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Article

Identifying Loss of Control Eating within Childhood Obesity: The Importance of Family Environment and Child Psychological Distress

by
Ana Rosa Sepúlveda
1,*,
Tatiana Lacruz
1,
Santos Solano
1,
Miriam Blanco
1,
Alba Moreno
1,
Marta Rojo
1,
Lucía Beltrán
1 and
Montserrat Graell
2
1
Department of Biological and Health Psychology, School of Psychology, Autonomous University of Madrid, 28049 Madrid, Spain
2
Department of Child and Adolescent Psychiatry and Psychology, University Hospital Niño Jesús, 28009 Madrid, Spain
*
Author to whom correspondence should be addressed.
Children 2020, 7(11), 225; https://doi.org/10.3390/children7110225
Submission received: 15 September 2020 / Revised: 3 November 2020 / Accepted: 8 November 2020 / Published: 11 November 2020
(This article belongs to the Special Issue Eating Disorders and Obesity in Children and Adolescents)
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Abstract

This study aims to examine the differences in family environment, psychological distress, and disordered eating symptomatology between children classified by weight status with or without loss of control (LOC) eating and to test a model of the role of emotional regulation of LOC eating based on a dysfunctional family environment. A cross-sectional study was conducted among 239 families. The assessment measured family expressed emotion, family adaptability and cohesion, child levels of depression and anxiety, body esteem, and disordered eating attitudes. The assessment was carried out in primary care centers and primary schools. Child body mass index (BMI) was associated with higher expressed emotion, psychological distress, and disordered eating symptomatology. Children with obesity and LOC presented higher BMI, poorer body esteem, and more disordered eating attitudes than children without LOC. Children with overweight/obesity, both with or without LOC, exhibited higher psychological distress and emotional overinvolvement than normal-weight children. A partial mediation of depression or anxiety and disordered eating attitudes between expressed emotion and LOC was found. Findings support that children with overweight/obesity show more family and psychological distress. Body esteem issues and disordered eating attitudes could alert the presence of LOC in children with obesity. The function of LOC might be to cope with psychological distress that may appear in a dysfunctional family environment.
Keywords: childhood obesity; eating disorders; loss of control eating; expressed emotion; family childhood obesity; eating disorders; loss of control eating; expressed emotion; family

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MDPI and ACS Style

Sepúlveda, A.R.; Lacruz, T.; Solano, S.; Blanco, M.; Moreno, A.; Rojo, M.; Beltrán, L.; Graell, M. Identifying Loss of Control Eating within Childhood Obesity: The Importance of Family Environment and Child Psychological Distress. Children 2020, 7, 225. https://doi.org/10.3390/children7110225

AMA Style

Sepúlveda AR, Lacruz T, Solano S, Blanco M, Moreno A, Rojo M, Beltrán L, Graell M. Identifying Loss of Control Eating within Childhood Obesity: The Importance of Family Environment and Child Psychological Distress. Children. 2020; 7(11):225. https://doi.org/10.3390/children7110225

Chicago/Turabian Style

Sepúlveda, Ana Rosa, Tatiana Lacruz, Santos Solano, Miriam Blanco, Alba Moreno, Marta Rojo, Lucía Beltrán, and Montserrat Graell. 2020. "Identifying Loss of Control Eating within Childhood Obesity: The Importance of Family Environment and Child Psychological Distress" Children 7, no. 11: 225. https://doi.org/10.3390/children7110225

APA Style

Sepúlveda, A. R., Lacruz, T., Solano, S., Blanco, M., Moreno, A., Rojo, M., Beltrán, L., & Graell, M. (2020). Identifying Loss of Control Eating within Childhood Obesity: The Importance of Family Environment and Child Psychological Distress. Children, 7(11), 225. https://doi.org/10.3390/children7110225

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