Emotional dysregulation in childhood and disordered eating and self-harm in adolescence : prospective associations and mediating pathways
© 2022 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health..
BACKGROUND: Emotional dysregulation may be a risk factor for disordered eating and self-harm in young people, but few prospective studies have assessed these associations long-term, or considered potential mediators. We examined prospective relationships between childhood emotional dysregulation and disordered eating and self-harm in adolescence; and social cognition, emotional recognition, and being bullied as mediators.
METHODS: We analysed Avon Longitudinal Study of Parents and Children data on 3,453 males and 3,481 females. We examined associations between emotional dysregulation at 7 years and any disordered eating and any self-harm at 16 years with probit regression models. We also assessed whether social cognition (7 years), emotional recognition (8 years) and bullying victimisation (11 years) mediated these relationships.
RESULTS: Emotional dysregulation at age 7 years was associated with disordered eating [fully adjusted probit B (95% CI) = 0.082 (0.029, 0.134)] and self-harm [fully adjusted probit B (95% CI) = 0.093 (0.036, 0.150)] at age 16 years. There was no evidence of sex interactions or difference in effects between self-harm and disordered eating. Mediation models found social cognition was a key pathway to disordered eating (females 51.2%; males 27.0% of total effect) and self-harm (females 15.7%; males 10.8% of total effect). Bullying victimisation was an important pathway to disordered eating (females 17.1%; males 10.0% of total effect), but only to self-harm in females (15.7% of total effect). Indirect effects were stronger for disordered eating than self-harm.
CONCLUSIONS: In males and females, emotional dysregulation in early childhood is associated with disordered eating and self-harm in adolescence and may be a useful target for prevention and treatment. Mediating pathways appeared to differ by sex and outcome, but social cognition was a key mediating pathway for both disordered eating and self-harm.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:64 |
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| Enthalten in: |
Journal of child psychology and psychiatry, and allied disciplines - 64(2023), 5 vom: 20. Mai, Seite 797-806 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Warne, Naomi [VerfasserIn] |
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| Links: |
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| Themen: |
ALSPAC |
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| Anmerkungen: |
Date Completed 17.04.2023 Date Revised 14.02.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/jcpp.13738 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM350530580 |
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| 100 | 1 | |a Warne, Naomi |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Emotional dysregulation in childhood and disordered eating and self-harm in adolescence |b prospective associations and mediating pathways |
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| 500 | |a Date Revised 14.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health. | ||
| 520 | |a BACKGROUND: Emotional dysregulation may be a risk factor for disordered eating and self-harm in young people, but few prospective studies have assessed these associations long-term, or considered potential mediators. We examined prospective relationships between childhood emotional dysregulation and disordered eating and self-harm in adolescence; and social cognition, emotional recognition, and being bullied as mediators | ||
| 520 | |a METHODS: We analysed Avon Longitudinal Study of Parents and Children data on 3,453 males and 3,481 females. We examined associations between emotional dysregulation at 7 years and any disordered eating and any self-harm at 16 years with probit regression models. We also assessed whether social cognition (7 years), emotional recognition (8 years) and bullying victimisation (11 years) mediated these relationships | ||
| 520 | |a RESULTS: Emotional dysregulation at age 7 years was associated with disordered eating [fully adjusted probit B (95% CI) = 0.082 (0.029, 0.134)] and self-harm [fully adjusted probit B (95% CI) = 0.093 (0.036, 0.150)] at age 16 years. There was no evidence of sex interactions or difference in effects between self-harm and disordered eating. Mediation models found social cognition was a key pathway to disordered eating (females 51.2%; males 27.0% of total effect) and self-harm (females 15.7%; males 10.8% of total effect). Bullying victimisation was an important pathway to disordered eating (females 17.1%; males 10.0% of total effect), but only to self-harm in females (15.7% of total effect). Indirect effects were stronger for disordered eating than self-harm | ||
| 520 | |a CONCLUSIONS: In males and females, emotional dysregulation in early childhood is associated with disordered eating and self-harm in adolescence and may be a useful target for prevention and treatment. Mediating pathways appeared to differ by sex and outcome, but social cognition was a key mediating pathway for both disordered eating and self-harm | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a ALSPAC | |
| 650 | 4 | |a disordered eating | |
| 650 | 4 | |a emotional regulation | |
| 650 | 4 | |a mediation | |
| 650 | 4 | |a prospective | |
| 650 | 4 | |a self-harm | |
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| 700 | 1 | |a Mars, Becky |e verfasserin |4 aut | |
| 700 | 1 | |a Solmi, Francesca |e verfasserin |4 aut | |
| 700 | 1 | |a Biddle, Lucy |e verfasserin |4 aut | |
| 700 | 1 | |a Gunnell, David |e verfasserin |4 aut | |
| 700 | 1 | |a Hammerton, Gemma |e verfasserin |4 aut | |
| 700 | 1 | |a Moran, Paul |e verfasserin |4 aut | |
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| 700 | 1 | |a Stewart, Anne |e verfasserin |4 aut | |
| 700 | 1 | |a Bould, Helen |e verfasserin |4 aut | |
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