Intergenerational transmission of childhood maltreatment and eating disorder behaviors: Shedding light on the mother-daughter dyad and grandmother-mother-daughter triad

Introduction Previous studies have established a relation between childhood maltreatment and eating disorder behaviors. However, this pattern of relations has not yet been studied within the nuclear family interactions. Objectives The aim of this study was to examine a model illuminating the transg...

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Main Authors: A. Talmon, N. Tsur
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S0924933823011070/type/journal_article
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author A. Talmon
N. Tsur
author_facet A. Talmon
N. Tsur
author_sort A. Talmon
collection DOAJ
description Introduction Previous studies have established a relation between childhood maltreatment and eating disorder behaviors. However, this pattern of relations has not yet been studied within the nuclear family interactions. Objectives The aim of this study was to examine a model illuminating the transgenerational mechanism underlying the association between childhood maltreatment and eating disorder behaviors. Methods One-hundred-sixty-eight Israeli mothers and their young-adult-daughters (discovery sample) and 143 Israeli grandmother-mother-daughter triads (replication sample) filled out a battery of questionnaires assessing their history of childhood maltreatment and level of eating disorder behaviors. Results Results of structural equation modeling (SEM) in the discovery sample indicated that mothers’ childhood maltreatment was associated with daughters’ childhood maltreatment and that mothers’ eating disorder behaviors were also associated with daughters’ eating disorder behaviors. In addition, for both mothers and daughters, childhood maltreatment was associated with eating disorder behaviors. Finally, an indirect effect was found in which the relation between mothers’ childhood maltreatment and daughters’ eating disorders was mediated by mothers’ eating disorders. Partial replication was observed; grandmothers’ childhood maltreatment was significantly associated with mothers’ childhood maltreatment. Grandmothers’ eating disorder behaviors were associated with mothers’ eating disorders and mothers’ eating disorders were associated with daughters’ eating disorders. Finally, an indirect effect was found in which the association between grandmothers’ eating disorders and daughters’ eating disorders were mediated by mothers’ eating disorders. Conclusions These findings point to the significant contribution of the mother-daughter relationship in different aspects of the intergenerational transmission of both childhood maltreatment and eating disorder behaviors. These findings highlight the need to include a trauma-informed family-system approach in the treatment of eating disorders. Disclosure of Interest None Declared
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spelling doaj.art-b86d76802261403da70e7f1eadf926cf2023-11-17T05:05:29ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S521S52210.1192/j.eurpsy.2023.1107Intergenerational transmission of childhood maltreatment and eating disorder behaviors: Shedding light on the mother-daughter dyad and grandmother-mother-daughter triadA. Talmon0N. Tsur1Hebrew University, JerusalemTel Aviv University, Tel Aviv, Israel Introduction Previous studies have established a relation between childhood maltreatment and eating disorder behaviors. However, this pattern of relations has not yet been studied within the nuclear family interactions. Objectives The aim of this study was to examine a model illuminating the transgenerational mechanism underlying the association between childhood maltreatment and eating disorder behaviors. Methods One-hundred-sixty-eight Israeli mothers and their young-adult-daughters (discovery sample) and 143 Israeli grandmother-mother-daughter triads (replication sample) filled out a battery of questionnaires assessing their history of childhood maltreatment and level of eating disorder behaviors. Results Results of structural equation modeling (SEM) in the discovery sample indicated that mothers’ childhood maltreatment was associated with daughters’ childhood maltreatment and that mothers’ eating disorder behaviors were also associated with daughters’ eating disorder behaviors. In addition, for both mothers and daughters, childhood maltreatment was associated with eating disorder behaviors. Finally, an indirect effect was found in which the relation between mothers’ childhood maltreatment and daughters’ eating disorders was mediated by mothers’ eating disorders. Partial replication was observed; grandmothers’ childhood maltreatment was significantly associated with mothers’ childhood maltreatment. Grandmothers’ eating disorder behaviors were associated with mothers’ eating disorders and mothers’ eating disorders were associated with daughters’ eating disorders. Finally, an indirect effect was found in which the association between grandmothers’ eating disorders and daughters’ eating disorders were mediated by mothers’ eating disorders. Conclusions These findings point to the significant contribution of the mother-daughter relationship in different aspects of the intergenerational transmission of both childhood maltreatment and eating disorder behaviors. These findings highlight the need to include a trauma-informed family-system approach in the treatment of eating disorders. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823011070/type/journal_article
spellingShingle A. Talmon
N. Tsur
Intergenerational transmission of childhood maltreatment and eating disorder behaviors: Shedding light on the mother-daughter dyad and grandmother-mother-daughter triad
European Psychiatry
title Intergenerational transmission of childhood maltreatment and eating disorder behaviors: Shedding light on the mother-daughter dyad and grandmother-mother-daughter triad
title_full Intergenerational transmission of childhood maltreatment and eating disorder behaviors: Shedding light on the mother-daughter dyad and grandmother-mother-daughter triad
title_fullStr Intergenerational transmission of childhood maltreatment and eating disorder behaviors: Shedding light on the mother-daughter dyad and grandmother-mother-daughter triad
title_full_unstemmed Intergenerational transmission of childhood maltreatment and eating disorder behaviors: Shedding light on the mother-daughter dyad and grandmother-mother-daughter triad
title_short Intergenerational transmission of childhood maltreatment and eating disorder behaviors: Shedding light on the mother-daughter dyad and grandmother-mother-daughter triad
title_sort intergenerational transmission of childhood maltreatment and eating disorder behaviors shedding light on the mother daughter dyad and grandmother mother daughter triad
url https://www.cambridge.org/core/product/identifier/S0924933823011070/type/journal_article
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AT ntsur intergenerationaltransmissionofchildhoodmaltreatmentandeatingdisorderbehaviorssheddinglightonthemotherdaughterdyadandgrandmothermotherdaughtertriad