@article{ref1,
title="Emotional dysregulation in childhood and disordered eating and self-harm in adolescence: prospective associations and mediating pathways",
journal="Journal of child psychology and psychiatry",
year="2022",
author="Warne, Naomi and Heron, Jon and Mars, Becky and Solmi, Francesca and Biddle, Lucy and Gunnell, David and Hammerton, Gemma and Moran, Paul and Munafó, Marcus and Penton-Voak, Ian and Skinner, Andy and Stewart, Anne and Bould, Helen",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Emotional dysregulation may be a risk factor for disordered eating and self-harm in young people, but few prospective studies have assessed these associations long-term, or considered potential mediators. We examined prospective relationships between childhood emotional dysregulation and disordered eating and self-harm in adolescence; and social cognition, emotional recognition, and being bullied as mediators. <br><br>METHODS: We analysed Avon Longitudinal Study of Parents and Children data on 3,453 males and 3,481 females. We examined associations between emotional dysregulation at 7 years and any disordered eating and any self-harm at 16 years with probit regression models. We also assessed whether social cognition (7 years), emotional recognition (8 years) and bullying victimisation (11 years) mediated these relationships. <br><br>RESULTS: Emotional dysregulation at age 7 years was associated with disordered eating [fully adjusted probit B (95% CI) = 0.082 (0.029, 0.134)] and self-harm [fully adjusted probit B (95% CI) = 0.093 (0.036, 0.150)] at age 16 years. There was no evidence of sex interactions or difference in effects between self-harm and disordered eating. Mediation models found social cognition was a key pathway to disordered eating (females 51.2%; males 27.0% of total effect) and self-harm (females 15.7%; males 10.8% of total effect). Bullying victimisation was an important pathway to disordered eating (females 17.1%; males 10.0% of total effect), but only to self-harm in females (15.7% of total effect). Indirect effects were stronger for disordered eating than self-harm. <br><br>CONCLUSIONS: In males and females, emotional dysregulation in early childhood is associated with disordered eating and self-harm in adolescence and may be a useful target for prevention and treatment. Mediating pathways appeared to differ by sex and outcome, but social cognition was a key mediating pathway for both disordered eating and self-harm.<p /> <p>Language: en</p>",
language="en",
issn="0021-9630",
doi="10.1111/jcpp.13738",
url="http://dx.doi.org/10.1111/jcpp.13738"
}