{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:54:03Z","timestamp":1790949243781,"version":"4.1.0"},"reference-count":57,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T00:00:00Z","timestamp":1756944000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["136772"],"award-info":[{"award-number":["136772"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Family Process"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Parental psychological distress and accommodating and enabling behaviors may represent maintaining factors of anorexia nervosa (AN). However, very few studies included both parents; their interdependence is unknown. Using a dyadic approach, this study aimed to examine the relationship between parental psychological distress and accommodation at the admission of their child to specialized eating disorder programs, and their observation of their child's eating disordered behaviors 1 year later. Ninety\u2010one dyads of mixed\u2010gender couples of parents of children and adolescents diagnosed with AN (\n                    <jats:italic>M<\/jats:italic>\n                    <jats:sub>age<\/jats:sub>\n                    \u2009=\u200914.5\u2009\u00b1\u20091.5\u2009years) were recruited from one of the five University Health Centers across the province of Qu\u00e9bec, Canada. At admission, parents completed the Psychological Distress Index and the Accommodation and Enabling Scale for Eating Disorders. Furthermore, parents reported their child's anorexic behaviors 12\u2009months later using the Anorexic Behavior Observation Scale. The dyads were nondistinguishable by gender, suggesting a similar pattern of associations for mothers and fathers. Path analyses guided by the actor\u2013partner interdependence model revealed an indirect effect within each parent; higher parental psychological distress was associated with higher child's eating disordered behaviors at the 12\u2010month follow\u2010up through greater parental eating disorder accommodation. A partner effect was also found; when one parent experienced psychological distress, the other parent was more likely to engage in concomitant accommodating behaviors, which, in turn, was associated with a report of more child's eating disordered behaviors by this parent at the 12\u2010month follow\u2010up. These findings highlight the importance of a dyadic perspective in exploring parents' emotional states and behaviors toward children with AN.\n                  <\/jats:p>","DOI":"10.1111\/famp.70070","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T06:09:44Z","timestamp":1757052584000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Mother\u2013Father Distress, Accommodation, and Child Eating Disorder Behaviors: A Dyadic Perspective"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0526-6022","authenticated-orcid":false,"given":"Alexandra","family":"B\u00e9dard","sequence":"first","affiliation":[{"name":"Centre Nutrition, Sant\u00e9 et Soci\u00e9t\u00e9 (NUTRISS), Institut Sur la Nutrition et les Aliments Fonctionnels (INAF) Universit\u00e9 Laval  Qu\u00e9bec Qu\u00e9bec 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Montr\u00e9al Pour Enfants, Centre Universitaire de Sant\u00e9 McGill  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Gingras","sequence":"additional","affiliation":[{"name":"Centre de P\u00e9dopsychiatrie, Centre Int\u00e9gr\u00e9 Universitaire de Sant\u00e9 et de Services Sociaux de la Capitale\u2010Nationale  Qu\u00e9bec Qu\u00e9bec Canada"},{"name":"D\u00e9partement de Psychiatrie et de Neurosciences, Facult\u00e9 de M\u00e9decine Universit\u00e9 Laval  Qu\u00e9bec Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Pesant","sequence":"additional","affiliation":[{"name":"H\u00f4pital Fleurimont, Centre Int\u00e9gr\u00e9 Universitaire de Sant\u00e9 et de Services Sociaux de l'Estrie \u2010 Centre Hospitalier Universitaire de Sherbrooke  Sherbrooke Qu\u00e9bec 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