{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T22:28:10Z","timestamp":1785277690366,"version":"3.55.0"},"reference-count":46,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T00:00:00Z","timestamp":1605744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objective<\/jats:title>\n<jats:p>Perceived parental influence on diet in early adolescence in the context of the parental relationship had previously not been studied in a clinical sample. The aim of this study was to investigate a possible association between eating disorders and characteristics of the relationship with parents and the parental feeding practices in early adolescence.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>21 female adolescents and young adults with an eating disorder (ED)\u2013bulimia nervosa or anorexia nervosa\u2013and 22 females without eating disorder (healthy control; HC), aged between 16 and 26, were assessed via self-report questionnaires for problematic eating behaviour, relationship with parents, perceptions of parent\u2019s feeding practices at the age of 10\u201313 years and personality. Statistical evaluation was performed by means of group comparisons, effect sizes, regression analyses and mediator analyses.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Adolescent and young adult females with ED reported more fears\/overprotection and rejection\/neglect by their mothers and less self-responsibility in terms of eating behaviour during adolescence than did the HC. The relationship with the fathers did not differ significantly. Females who perceived more cohesion, rejection\/neglect and fears\/overprotection by the mother were more likely to suffer from an ED. Rejection\/neglect by both parents were associated with less self-acceptance of the young females with even stronger effect sizes for the fathers than the mothers. Harm prevention in the young females was a partial mediator between fears\/overprotection and the drive for thinness.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The parental relationship is partly reflected in the self-acceptance and self-responsibility in eating of the adolescent and young females, both of them are particularly affected in EDs. Stressors in the parent-child relationship should be targeted in treatment of eating disorders. Nutritional counselling for parents might be useful in early adolescence.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0242518","type":"journal-article","created":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T23:22:40Z","timestamp":1605828160000},"page":"e0242518","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":19,"title":["Parental feeding practices and the relationship with parents in female adolescents and young adults with eating disorders: A case control 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Bolton","year":"2019"},{"key":"pone.0242518.ref009","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1026\/0012-1924\/a000002","article-title":"Der Elternbildfragebogen f\u00fcr Kinder- und Jugendliche (EBF-KJ)","volume":"56","author":"K Titze","year":"2010","journal-title":"Diagnostica"},{"key":"pone.0242518.ref010","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1159\/000341540","article-title":"Selbstregulation bei essstrungen und adipositas\u2014implikationen fr die behandlung","author":"S Fischer","year":"2012","journal-title":"Verhaltenstherapie"},{"key":"pone.0242518.ref011","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1002\/erv.615","article-title":"Perceived family cohesion, adaptability and communication in eating disorders","volume":"13","author":"V Vidovic","year":"2005","journal-title":"Eur Eat Disord Rev"},{"key":"pone.0242518.ref012","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2015.01136","article-title":"Eating disorders in adolescence: attachment issues from a developmental perspective","volume":"6","author":"M Gander","year":"2015","journal-title":"Front Psychol"},{"key":"pone.0242518.ref013","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1002\/imhj.21732","article-title":"Impact of parental binge eating disorder: exploring children\u2019s emotional\/behavioral problems and the quality of parent\u2013child feeding interactions","volume":"39","author":"S Cimino","year":"2018","journal-title":"Infant Ment Health J"},{"key":"pone.0242518.ref014","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1089\/chi.2017.0164","article-title":"The Relationship between Structure-Related Food Parenting Practices and Children\u2019s Heightened Levels of Self-Regulation in Eating","volume":"14","author":"LA Frankel","year":"2018","journal-title":"Child Obes"},{"key":"pone.0242518.ref015","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1016\/j.comppsych.2013.12.005","article-title":"Does Harm Avoidance mediate effects of recollected parental bonding on mental distress in adulthood?","volume":"55","author":"DS Stenb\u00e6k","year":"2014","journal-title":"Compr Psychiatry"},{"key":"pone.0242518.ref016","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.eatbeh.2013.10.008","article-title":"Parental bonding and eating disorders: A systematic review","volume":"15","author":"A Tetley","year":"2014","journal-title":"Eat Behav"},{"key":"pone.0242518.ref017","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1007\/s10608-012-9518-8","article-title":"Maternal Anxiety, Overprotection and Anxious Personality as Risk Factors for Eating Disorder: A Sister Pair Study","volume":"37","author":"E Taborelli","year":"2013","journal-title":"Cognit Ther Res"},{"key":"pone.0242518.ref018","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1007\/s10608-010-9319-x","article-title":"The Relationship between Disordered Eating, Perceived Parenting, and Perfectionistic Schemas","volume":"35","author":"S Deas","year":"2011","journal-title":"Cognit Ther Res"},{"key":"pone.0242518.ref019","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1348\/014466500163220","article-title":"The relationship between parental bonding and core beliefs in anorexic and bulimic women","volume":"39","author":"N Leung","year":"2000","journal-title":"Br J Clin Psychol"},{"key":"pone.0242518.ref020","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1007\/s10826-016-0531-5","article-title":"Female Adolescents with Eating Disorders, Parental Psychopathological Risk and Family Functioning","volume":"26","author":"M Taf\u00e0","year":"2017","journal-title":"J Child Fam Stud"},{"key":"pone.0242518.ref021","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2013\/352865","article-title":"The Pharmacological Options in the Treatment of Eating Disorders","volume":"2013","author":"W Milano","year":"2013","journal-title":"ISRN Pharmacol"},{"key":"pone.0242518.ref022","doi-asserted-by":"crossref","first-page":"e0227564","DOI":"10.1371\/journal.pone.0227564","article-title":"The shield of self-compassion: A buffer against disordered eating risk from physical appearance perfectionism","volume":"15","author":"L Bergunde","year":"2020","journal-title":"PLoS One"},{"key":"pone.0242518.ref023","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1479-5868-10-24","article-title":"Maternal feeding practices predict weight gain and obesogenic eating behaviors in young children: a prospective study","volume":"10","author":"RF Rodgers","year":"2013","journal-title":"Int J Behav Nutr Phys Act"},{"key":"pone.0242518.ref024","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1002\/eat.22189","article-title":"Are food restriction and pressure-to-eat parenting practices associated with adolescent disordered eating behaviors?","volume":"47","author":"KA Loth","year":"2014","journal-title":"Int J Eat Disord"},{"key":"pone.0242518.ref025","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1093\/ajcn\/78.2.215","article-title":"Learning to overeat: maternal use of restrictive feeding practices promotes girls\u2019 eating in the absence of hunger","volume":"78","author":"LL Birch","year":"2003","journal-title":"Am J Clin Nutr"},{"key":"pone.0242518.ref026","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1093\/ajcn\/76.1.226","article-title":"Eating in the absence of hunger and overweight in girls from 5 to 7 y of age","volume":"76","author":"JO Fisher","year":"2002","journal-title":"Am J Clin Nutr"},{"key":"pone.0242518.ref027","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1177\/0759106309360114","article-title":"Do We Necessarily Need Longitudinal Data to Infer Causal Relations?","volume":"106","author":"G Wunsch","year":"2010","journal-title":"Bull Sociol Methodol M\u00e9thodologie Sociol"},{"key":"pone.0242518.ref028","volume-title":"EDI-2. Eating Disorder Inventory","author":"T Paul","year":"2004","edition":"2"},{"key":"pone.0242518.ref029","volume-title":"International classification of diseases 10th revision (ICD-10)","author":"World Health Organisation","year":"1993","edition":"2"},{"key":"pone.0242518.ref030","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1002\/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6","article-title":"Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia","volume":"2","author":"DM Garner","year":"1983","journal-title":"Int J Eat Disord"},{"key":"pone.0242518.ref031","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1002\/1098-108X(199412)16:4<371::AID-EAT2260160406>3.0.CO;2-W","article-title":"An examination of the internal consistency and factor structure of the eating disorder inventory-2 in a clinical sample","volume":"16","author":"KP Eberenz","year":"1994","journal-title":"Int J Eat Disord"},{"key":"pone.0242518.ref032","volume-title":"Elternbildfragebogen f\u00fcr Kinder und Jugendliche","author":"K Titze","year":"2010"},{"key":"pone.0242518.ref033","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.jadohealth.2013.08.007","article-title":"Adolescents\u2019 Level of Eating Psychopathology Is Related to Perceptions of Their Parents\u2019 Current Feeding Practices","volume":"54","author":"E Haycraft","year":"2014","journal-title":"J Adolesc Heal"},{"key":"pone.0242518.ref034","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.appet.2006.01.020","article-title":"Confirmatory factor analysis of the child-feeding questionnaire among parents of adolescents","volume":"47","author":"H Kaur","year":"2006","journal-title":"Appetite"},{"key":"pone.0242518.ref035","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1006\/appe.2001.0398","article-title":"Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness","volume":"36","author":"L Birch","year":"2001","journal-title":"Appetite"},{"key":"pone.0242518.ref036","author":"K Goth","year":"2009","journal-title":"JTCI Das Junior Temperament und Charakter Inventar. 1st editio."},{"key":"pone.0242518.ref037","doi-asserted-by":"crossref","first-page":"305","DOI":"10.2147\/PRBM.S145463","article-title":"Family profiles in eating disorders: family functioning and psychopathology","volume":"10","author":"L Cerniglia","year":"2017","journal-title":"Psychol Res Behav Manag"},{"key":"pone.0242518.ref038","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1097\/00004583-199607000-00019","article-title":"Abnormal Psychosocial Situations and Eating Disorders in Adolescence","volume":"35","author":"N Horesh","year":"1996","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"pone.0242518.ref039","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1002\/1098-108X(199411)16:3<211::AID-EAT2260160302>3.0.CO;2-X","article-title":"Redefining the psychosomatic family: Family process of 26 eating disorder families","volume":"16","author":"C Dare","year":"1994","journal-title":"Int J Eat Disord"},{"key":"pone.0242518.ref040","unstructured":"Brighouse A, Cini E, Cutinha DJ. The father-daughter relationship in eating disorders: A \u201cmixed-methods\u201d systematic review. Conference: International Conference on Eating Disorders 2018 (Academy for Eating Disorders); 2018. doi: 10.13140\/RG.2.2.26720.99849"},{"key":"pone.0242518.ref041","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1007\/s10964-019-01007-0","article-title":"Perceived Quality of the Mother\u2013Adolescent and Father\u2013Adolescent Attachment Relationship and Adolescents\u2019 Self-Esteem","volume":"48","author":"R Keizer","year":"2019","journal-title":"J Youth Adolesc."},{"key":"pone.0242518.ref042","doi-asserted-by":"crossref","first-page":"2415","DOI":"10.1017\/S1368980016000860","article-title":"Sibling eating behaviours and parental feeding practices with siblings: similar or different?","volume":"19","author":"JM Berge","year":"2016","journal-title":"Public Health Nutr"},{"key":"pone.0242518.ref043","volume-title":"Kurzgefasste Statistik f\u00fcr die klinische Forschung","author":"J Bortz","year":"2008"},{"key":"pone.0242518.ref044","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/S1471-0153(03)00024-2","article-title":"If you are good you can have a cookie: How memories of childhood food rules link to adult eating behaviors","volume":"4","author":"RM Puhl","year":"2003","journal-title":"Eat Behav"},{"key":"pone.0242518.ref045","doi-asserted-by":"crossref","first-page":"291","DOI":"10.2307\/2982962","article-title":"Causality: Some Statistical Aspects","volume":"155","author":"DR Cox","year":"1992","journal-title":"J R Stat Soc Ser A (Statistics Soc"},{"key":"pone.0242518.ref046","doi-asserted-by":"crossref","first-page":"e0169493","DOI":"10.1371\/journal.pone.0169493","article-title":"Metasynthesis of the Views about Treatment of Anorexia Nervosa in Adolescents: Perspectives of Adolescents, Parents, and Professionals","volume":"12","author":"J Sibeoni","year":"2017","journal-title":"PLoS One"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0242518","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T23:22:55Z","timestamp":1605828175000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0242518"}},"subtitle":[],"editor":[{"given":"Silvia","family":"Cimino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2020,11,19]]},"references-count":46,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11,19]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0242518","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,19]]}}}