{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T12:27:59Z","timestamp":1776083279231,"version":"3.50.1"},"reference-count":58,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined associations between adverse childhood experiences (ACEs) and heterogeneous disordered eating behaviors (DEBs) in a nationally representative sample of US children, investigating how sex and developmental stage jointly moderate these relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Data from the 2022\u20132023 National Survey of Children's Health included 67,607 children aged 6\u201317\u2009years (weighted\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200950,023,339), with information collected from caregivers. Latent class analysis identified DEB patterns. Multinomial logistic regression analyzed associations between both cumulative ACE scores and specific ACE types with DEB classes. Average marginal effects assessed how sex and developmental stage modified these associations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among participants, 44% had experienced at least one ACE. Four distinct DEB classes emerged:\n                      <jats:italic>Minimal Disordered Eating<\/jats:italic>\n                      (81.7%),\n                      <jats:italic>Binge\/Fasting Eating<\/jats:italic>\n                      (7.3%),\n                      <jats:italic>Picky\/Restrictive Eating<\/jats:italic>\n                      (8.9%), and\n                      <jats:italic>Severe Mixed Dysregulation<\/jats:italic>\n                      (2.1%). Cumulative ACE exposure showed significant relationships with all DEB subtypes. Each additional ACE increased the likelihood of\n                      <jats:italic>Severe Mixed Dysregulation<\/jats:italic>\n                      by 70% (RRR\u2009=\u20091.70, 95% CI [1.62, 1.75]). Economic hardship, household mental illness, and health discrimination showed significant positive associations across all DEB subtypes. Sex and developmental stage significantly moderated these associations: boys exhibited increasing ACE effects with developmental stage in the\n                      <jats:italic>Binge\/Fasting Eating<\/jats:italic>\n                      group, while girls showed intensified ACE effects with increasing developmental stage in the\n                      <jats:italic>Severe Mixed Dysregulation<\/jats:italic>\n                      group, particularly for health discrimination.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings support the adoption of trauma\u2010informed and developmentally sensitive approaches. Sex\u2010specific patterns highlight the need for interventions that consider both sex and developmental stage, with particular attention to girls entering middle\u2010late adolescence who demonstrate elevated vulnerability to developing eating dysregulation following ACE exposure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24555","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T09:52:47Z","timestamp":1758707567000},"page":"2413-2429","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Adverse Childhood Experiences and Disordered Eating Behaviors Among\n                    <scp>US<\/scp>\n                    Children: Untangling the Developmental Sex Differences"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8015-3071","authenticated-orcid":false,"given":"Z\u00e9kai","family":"Lu","sequence":"first","affiliation":[{"name":"Department of Sociology McGill University  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22783"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010soc\u2010073117\u2010041429"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010022\u201000603\u2010z"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.2871"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926771.2018.1532940"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003\u2010066X.32.7.513"},{"key":"e_1_2_12_9_1","unstructured":"Bureau U. 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