M K Higgins Neyland1, Lisa M Shank1,2,3,4, Natasha L Burke5, Natasha A Schvey1,2, Abigail Pine1, Mary Quattlebaum1, William Leu1, Dakota Gillmore1, Alexandria Morettini1, Denise E Wilfley6, Mark Stephens7, Tracy Sbrocco1, Jack A Yanovski2, Sarah Jorgensen8, David A Klein8,9, Cara H Olsen10, Jeffrey Quinlan9, Marian Tanofsky-Kraff1,2,4. 1. Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland. 2. Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, Bethesda, Maryland. 3. Metis Foundation, San Antonio, Texas. 4. Department of Medicine, Military Outcomes Cardiovascular Research (MiCOR), USU, Bethesda, Maryland. 5. Department of Psychology, Fordham University, Bronx, New York. 6. Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri. 7. Department of Family and Community Medicine, Pennsylvania State University, University Park, Pennsylvania. 8. Department of Family Medicine, Fort Belvoir Community Hospital, Fort Belvoir, Virginia. 9. Department of Family Medicine, USU, Bethesda, Maryland. 10. Preventative Medicine and Biometrics Department, USU, Bethesda, Maryland.
Abstract
OBJECTIVE: Parental military deployment can lead to stress in the family system due to concerns about the deployed service-member's safety and increased responsibilities for those not deployed. Parent-related stress can impact adolescent disordered eating. Given the important role that stress plays in disordered eating and obesity, it is crucial to understand the impacts of unique stressors to which vulnerable populations are exposed. METHOD: We studied 126 adolescent (14.3 ± 1.6 years; 59.5% girls; 44.4% non-Hispanic White; BMI-z, 1.91 ± .39) military dependents prior to entering an obesity and binge-eating disorder prevention trial. The Eating Disorder Examination was used to assess adolescent disordered eating. Parents self-reported their own distress and family deployment history that occurred during the adolescent's lifetime. RESULTS: Parental distress interacted with frequency of parental deployments such that for those with high parental distress, more frequent deployment was associated with greater adolescent shape and weight concerns (β = .21, p = .012) and global eating pathology (β = .18, p = .024). DISCUSSION: In this hypothesis-generating study, the combination of number of deployments and parental distress may be associated with disordered eating among adolescent military dependents seeking prevention of binge-eating disorder and adult obesity. If these preliminary findings are supported longitudinally, interventions to reduce parental stress related to deployment may be warranted to reduce disordered eating in adolescent dependents. Published 2019. This article is a U.S. Government work and is in the public domain in the USA.
OBJECTIVE: Parental military deployment can lead to stress in the family system due to concerns about the deployed service-member's safety and increased responsibilities for those not deployed. Parent-related stress can impact adolescent disordered eating. Given the important role that stress plays in disordered eating and obesity, it is crucial to understand the impacts of unique stressors to which vulnerable populations are exposed. METHOD: We studied 126 adolescent (14.3 ± 1.6 years; 59.5% girls; 44.4% non-Hispanic White; BMI-z, 1.91 ± .39) military dependents prior to entering an obesity and binge-eating disorder prevention trial. The Eating Disorder Examination was used to assess adolescent disordered eating. Parents self-reported their own distress and family deployment history that occurred during the adolescent's lifetime. RESULTS: Parental distress interacted with frequency of parental deployments such that for those with high parental distress, more frequent deployment was associated with greater adolescent shape and weight concerns (β = .21, p = .012) and global eating pathology (β = .18, p = .024). DISCUSSION: In this hypothesis-generating study, the combination of number of deployments and parental distress may be associated with disordered eating among adolescent military dependents seeking prevention of binge-eating disorder and adult obesity. If these preliminary findings are supported longitudinally, interventions to reduce parental stress related to deployment may be warranted to reduce disordered eating in adolescent dependents. Published 2019. This article is a U.S. Government work and is in the public domain in the USA.
Entities:
Keywords:
disordered eating; military adolescent dependents; parental deployment; parental distress
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