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Regression models adjusted for body mass index, living in the parental home, and the education level of the patient as clinically relevant confounders confirmed the significant relationship between the overall psychological distress and the age difference to the mother (exp(\u03b2)\u202f=\u2009\u22120.091, 95% confidence interval [CI]\u202f=\u2009\u22120.022\u20130.000,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090.049). In addition, using the same set of confounders, there was a\u00a0trend toward an association between GSI scores and the paternal age difference to the ED-diagnosed patients (exp(\u03b2)\u202f=\u2009\u22120.086, 95% CI\u202f=\u2009\u22120.018\u20130.000,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090.063).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The symptom severity is more pronounced in cases of a\u00a0smaller age gap between the parents and their ED-affected child. In multivariate analysis, a\u00a0significant association was found between a\u00a0higher self-rated symptom severity and a\u00a0smaller maternal age difference to the patient. Future studies should thoroughly investigate the influence of parents\u2019 age on their offspring\u2019s EDs in search of potential underlying mechanisms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40211-025-00528-4","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T08:52:24Z","timestamp":1750063944000},"page":"120-128","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychopathological symptom severity and parent\u2013child age differences in patients with eating disorders","Intensit\u00e4t psychopathologischer Symptome und Eltern-Kind-Altersunterschiede bei Patientinnen mit Essst\u00f6rungen"],"prefix":"10.1007","volume":"40","author":[{"given":"Lina","family":"Schmauch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma Josephine","family":"Michel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcnter","family":"Reich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3509-1400","authenticated-orcid":false,"given":"Thomas","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"issue":"6","key":"528_CR1","doi-asserted-by":"publisher","first-page":"909","DOI":"10.1017\/S0007114508047752","volume":"101","author":"I Krug","year":"2009","unstructured":"Krug\u00a0I, Treasure\u00a0J, Anderluh\u00a0M, Bellodi\u00a0L, Cellini\u00a0E, Collier\u00a0D, di Bernardo\u00a0M, Granero\u00a0R, Karwautz\u00a0A, Nacmias\u00a0B, Penelo\u00a0E, Ricca\u00a0V, Sorbi\u00a0S, Tchanturia\u00a0K, Wagner\u00a0G, Fern\u00e1ndez-Aranda\u00a0F. 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