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Mental and physical health in children of women with a history of anorexia nervosa

Dobrescu, Sandra Rydberg ; Dinkler, Lisa ; Gillberg, Carina ; Gillberg, Christopher ; Råstam, Maria LU orcid and Wentz, Elisabet LU (2024) In European Child and Adolescent Psychiatry
Abstract

Few studies have investigated the offspring of women with anorexia nervosa (AN). The aim of this study was to examine perinatal status, mental and physical health in the offspring of mothers with a history of AN. Fifty-one individuals with adolescent-onset AN and 51 matched controls (COMP) have been followed prospectively. Presently, 30 years after AN onset, at a mean age of 44 years, female participants who had given birth (nAN = 40, nCOMP = 40) were interviewed regarding psychiatric health in their offspring using the Developmental and Well-Being Assessment and the MINI International Neuropsychiatric Interview. In addition, information on the offspring’s perinatal status, psychiatric- and physical health was... (More)

Few studies have investigated the offspring of women with anorexia nervosa (AN). The aim of this study was to examine perinatal status, mental and physical health in the offspring of mothers with a history of AN. Fifty-one individuals with adolescent-onset AN and 51 matched controls (COMP) have been followed prospectively. Presently, 30 years after AN onset, at a mean age of 44 years, female participants who had given birth (nAN = 40, nCOMP = 40) were interviewed regarding psychiatric health in their offspring using the Developmental and Well-Being Assessment and the MINI International Neuropsychiatric Interview. In addition, information on the offspring’s perinatal status, psychiatric- and physical health was obtained from the Swedish Medical Birth Register and The Swedish National Patient Register. Data regarding mental and physical health were available for 83 and 86 offspring in the AN and COMP groups, respectively. At birth, all of weight, length, head circumference and ponderal index were significantly reduced in the offspring of mothers with a history of AN. In adolescence, parental interviews indicated an overrepresentation of current psychiatric diagnoses in the offspring of mothers with AN. Compared with the offspring in the COMP group, endocrinological, immune and metabolic disorders were much more common in the offspring of the AN group. In conclusion, a history of AN increases the risk of worse perinatal outcome of the offspring. Later on, in childhood and adolescence, psychiatric and physical morbidity may be overrepresented in the offspring of women with AN.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Anorexia nervosa, Long-term follow-up, Mental health, Offspring, Physical health
in
European Child and Adolescent Psychiatry
publisher
Springer
external identifiers
  • pmid:38472414
  • scopus:85187520729
ISSN
1018-8827
DOI
10.1007/s00787-024-02393-y
language
English
LU publication?
yes
id
4a49615b-043f-49a6-8122-e8495883f700
date added to LUP
2024-04-02 15:38:01
date last changed
2024-04-16 17:35:19
@article{4a49615b-043f-49a6-8122-e8495883f700,
  abstract     = {{<p>Few studies have investigated the offspring of women with anorexia nervosa (AN). The aim of this study was to examine perinatal status, mental and physical health in the offspring of mothers with a history of AN. Fifty-one individuals with adolescent-onset AN and 51 matched controls (COMP) have been followed prospectively. Presently, 30 years after AN onset, at a mean age of 44 years, female participants who had given birth (n<sub>AN</sub> = 40, n<sub>COMP</sub> = 40) were interviewed regarding psychiatric health in their offspring using the Developmental and Well-Being Assessment and the MINI International Neuropsychiatric Interview. In addition, information on the offspring’s perinatal status, psychiatric- and physical health was obtained from the Swedish Medical Birth Register and The Swedish National Patient Register. Data regarding mental and physical health were available for 83 and 86 offspring in the AN and COMP groups, respectively. At birth, all of weight, length, head circumference and ponderal index were significantly reduced in the offspring of mothers with a history of AN. In adolescence, parental interviews indicated an overrepresentation of current psychiatric diagnoses in the offspring of mothers with AN. Compared with the offspring in the COMP group, endocrinological, immune and metabolic disorders were much more common in the offspring of the AN group. In conclusion, a history of AN increases the risk of worse perinatal outcome of the offspring. Later on, in childhood and adolescence, psychiatric and physical morbidity may be overrepresented in the offspring of women with AN.</p>}},
  author       = {{Dobrescu, Sandra Rydberg and Dinkler, Lisa and Gillberg, Carina and Gillberg, Christopher and Råstam, Maria and Wentz, Elisabet}},
  issn         = {{1018-8827}},
  keywords     = {{Anorexia nervosa; Long-term follow-up; Mental health; Offspring; Physical health}},
  language     = {{eng}},
  publisher    = {{Springer}},
  series       = {{European Child and Adolescent Psychiatry}},
  title        = {{Mental and physical health in children of women with a history of anorexia nervosa}},
  url          = {{http://dx.doi.org/10.1007/s00787-024-02393-y}},
  doi          = {{10.1007/s00787-024-02393-y}},
  year         = {{2024}},
}