Mother-father-adolescent triadic concordance and discordance on home environment factors and adolescent disordered eating behaviors

Katharine Wickel Didericksen; Jerica M Berge; Peter J. Hannan; Steven M Harris; Richard F Maclehose; Dianne R Neumark-Sztainer

doi:10.1037/fsh0000325

Mother-father-adolescent triadic concordance and discordance on home environment factors and adolescent disordered eating behaviors

Katharine Wickel Didericksen, Jerica M Berge, Peter J. Hannan, Steven M Harris, Richard F Maclehose, Dianne R Neumark-Sztainer

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10 Scopus citations

Abstract

Introduction: This study utilizes triadic data to examine the association between motherfather- adolescent concordance (agreement) and discordance (disagreement) on home environment factors (i.e., parental encouragement of dieting, family functioning) and adolescent unhealthy weight control behaviors and binge eating. Method: A subsample of adolescentmother- father triads (n = 833; adolescents ages 10-22) from two coordinated populationbased studies (EAT 2010 and F-EAT) were used. Poisson regression analysis was used to estimate the relative risks of each eating disordered behavior. Results: Triads were more concordant (range 9-42%) than discordant (range 4-24%). Triadic agreement that parents did not encourage dieting was associated with a lower risk of adolescent eating disordered behaviors in some triadic combinations. Additionally, triadic concordance on high family functioning was also associated with a lower risk of adolescent eating disordered behaviors among some triadic combinations. Discussion: Results suggest that triadic concordance on healthy home environment factors is associated with fewer adolescent disordered eating behaviors in some triads. Family based interventions may want to consider focusing on strategies to help move mother-father-adolescent triads closer on seeing the home environment more similarly. Future research is needed on triadic concordance/discordance and disordered eating behaviors to confirm study results and to inform the development of family based interventions.

Original language	English (US)
Pages (from-to)	338-346
Number of pages	9
Journal	Families, Systems and Health
Volume	36
Issue number	3
DOIs	https://doi.org/10.1037/fsh0000325
State	Published - Sep 2018

Bibliographical note

Funding Information:
The authors have no financial relationships relevant to this article to disclose. Research is supported by grant R03 HD074677 from the National Institute of Child Health and Human Development (Co-PI’s: Jerica M. Berge and Richard F. MacLehose), R01 HL093247 (PI: Dianne Neumark-Sztainer) and R01 HL084064 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute, the National Institute of Child Health and Human Development or the National Institutes of Health. Berge and MacLehose had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Publisher Copyright:
© 2018 American Psychological Association.

Keywords

Binge eating
Concordance/discordance
Encouragement of dieting
Family functioning
Unhealthy weight control behaviors

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6070425

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title = "Mother-father-adolescent triadic concordance and discordance on home environment factors and adolescent disordered eating behaviors",

abstract = "Introduction: This study utilizes triadic data to examine the association between motherfather- adolescent concordance (agreement) and discordance (disagreement) on home environment factors (i.e., parental encouragement of dieting, family functioning) and adolescent unhealthy weight control behaviors and binge eating. Method: A subsample of adolescentmother- father triads (n = 833; adolescents ages 10-22) from two coordinated populationbased studies (EAT 2010 and F-EAT) were used. Poisson regression analysis was used to estimate the relative risks of each eating disordered behavior. Results: Triads were more concordant (range 9-42%) than discordant (range 4-24%). Triadic agreement that parents did not encourage dieting was associated with a lower risk of adolescent eating disordered behaviors in some triadic combinations. Additionally, triadic concordance on high family functioning was also associated with a lower risk of adolescent eating disordered behaviors among some triadic combinations. Discussion: Results suggest that triadic concordance on healthy home environment factors is associated with fewer adolescent disordered eating behaviors in some triads. Family based interventions may want to consider focusing on strategies to help move mother-father-adolescent triads closer on seeing the home environment more similarly. Future research is needed on triadic concordance/discordance and disordered eating behaviors to confirm study results and to inform the development of family based interventions.",

keywords = "Binge eating, Concordance/discordance, Encouragement of dieting, Family functioning, Unhealthy weight control behaviors",

author = "Didericksen, {Katharine Wickel} and Berge, {Jerica M} and Hannan, {Peter J.} and Harris, {Steven M} and Maclehose, {Richard F} and Neumark-Sztainer, {Dianne R}",

note = "Funding Information: The authors have no financial relationships relevant to this article to disclose. Research is supported by grant R03 HD074677 from the National Institute of Child Health and Human Development (Co-PI{\textquoteright}s: Jerica M. Berge and Richard F. MacLehose), R01 HL093247 (PI: Dianne Neumark-Sztainer) and R01 HL084064 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute, the National Institute of Child Health and Human Development or the National Institutes of Health. Berge and MacLehose had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Publisher Copyright: {\textcopyright} 2018 American Psychological Association.",

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AU - Harris, Steven M

AU - Maclehose, Richard F

AU - Neumark-Sztainer, Dianne R

N1 - Funding Information: The authors have no financial relationships relevant to this article to disclose. Research is supported by grant R03 HD074677 from the National Institute of Child Health and Human Development (Co-PI’s: Jerica M. Berge and Richard F. MacLehose), R01 HL093247 (PI: Dianne Neumark-Sztainer) and R01 HL084064 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute, the National Institute of Child Health and Human Development or the National Institutes of Health. Berge and MacLehose had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Publisher Copyright: © 2018 American Psychological Association.

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N2 - Introduction: This study utilizes triadic data to examine the association between motherfather- adolescent concordance (agreement) and discordance (disagreement) on home environment factors (i.e., parental encouragement of dieting, family functioning) and adolescent unhealthy weight control behaviors and binge eating. Method: A subsample of adolescentmother- father triads (n = 833; adolescents ages 10-22) from two coordinated populationbased studies (EAT 2010 and F-EAT) were used. Poisson regression analysis was used to estimate the relative risks of each eating disordered behavior. Results: Triads were more concordant (range 9-42%) than discordant (range 4-24%). Triadic agreement that parents did not encourage dieting was associated with a lower risk of adolescent eating disordered behaviors in some triadic combinations. Additionally, triadic concordance on high family functioning was also associated with a lower risk of adolescent eating disordered behaviors among some triadic combinations. Discussion: Results suggest that triadic concordance on healthy home environment factors is associated with fewer adolescent disordered eating behaviors in some triads. Family based interventions may want to consider focusing on strategies to help move mother-father-adolescent triads closer on seeing the home environment more similarly. Future research is needed on triadic concordance/discordance and disordered eating behaviors to confirm study results and to inform the development of family based interventions.

AB - Introduction: This study utilizes triadic data to examine the association between motherfather- adolescent concordance (agreement) and discordance (disagreement) on home environment factors (i.e., parental encouragement of dieting, family functioning) and adolescent unhealthy weight control behaviors and binge eating. Method: A subsample of adolescentmother- father triads (n = 833; adolescents ages 10-22) from two coordinated populationbased studies (EAT 2010 and F-EAT) were used. Poisson regression analysis was used to estimate the relative risks of each eating disordered behavior. Results: Triads were more concordant (range 9-42%) than discordant (range 4-24%). Triadic agreement that parents did not encourage dieting was associated with a lower risk of adolescent eating disordered behaviors in some triadic combinations. Additionally, triadic concordance on high family functioning was also associated with a lower risk of adolescent eating disordered behaviors among some triadic combinations. Discussion: Results suggest that triadic concordance on healthy home environment factors is associated with fewer adolescent disordered eating behaviors in some triads. Family based interventions may want to consider focusing on strategies to help move mother-father-adolescent triads closer on seeing the home environment more similarly. Future research is needed on triadic concordance/discordance and disordered eating behaviors to confirm study results and to inform the development of family based interventions.

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Mother-father-adolescent triadic concordance and discordance on home environment factors and adolescent disordered eating behaviors

Abstract

Bibliographical note

Keywords

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