Parents fighting multiple battles: Comorbid psychopathology among young people with eating disorders and their parents-implications for needs, treatment allocation and treatment outcomes

Presentation

White, J, Wilson, D, Withington, T, Dalton, M, Leering, L, Krishnamoorthy, G, Loxton, N and Scott, J. 2025. "Parents fighting multiple battles: Comorbid psychopathology among young people with eating disorders and their parents-implications for needs, treatment allocation and treatment outcomes." Royal Australian & New Zealand College of Psychiatrists (RANZCP) 2025 Congress. Gold Coast, Australia 04 - 08 May 2025 Australia. SAGE Publications Ltd.
Paper/Presentation Title

Parents fighting multiple battles: Comorbid psychopathology among young people with eating disorders and their parents-implications for needs, treatment allocation and treatment outcomes

Presentation TypePresentation
AuthorsWhite, J, Wilson, D, Withington, T, Dalton, M, Leering, L, Krishnamoorthy, G, Loxton, N and Scott, J
Journal or Proceedings TitleAustralian and New Zealand Journal of Psychiatry
Journal Citation59 (S1), pp. 49-50
Number of Pages2
Year2025
PublisherSAGE Publications Ltd
Place of PublicationAustralia
ISSN0004-8674
1440-1614
Web Address (URL) of Conference Proceedingshttps://journals.sagepub.com/doi/10.1177/00048674251327789
Conference/EventRoyal Australian & New Zealand College of Psychiatrists (RANZCP) 2025 Congress
Event Details
Royal Australian & New Zealand College of Psychiatrists (RANZCP) 2025 Congress
Delivery
In person
Event Date
04 to end of 08 May 2025
Event Location
Gold Coast, Australia
Event Venue
Gold Coast Convention and Exhibition Centre
Abstract

Background: Comorbid psychopathology is common among young people with eating disorders (EDs) and impacts treatment planning and effectiveness. However, little is known about how the ‘newer’ ED diagnoses of atypical anorexia nervosa (AAN) and avoidant/ restrictive food intake disorder (ARFID) differ in terms of comorbidities compared to anorexia nervosa (AN). Additionally, while the genetic link between parental/ child vulnerability to EDs and comorbid mental health conditions is well established, little is known about the mental health of parents of young people as they present to treatment. This makes it difficult to understand the needs and potential barriers to recovery that parental mental health may have for treatment.
Objectives: To compare comorbid symptomology among individuals with AN, AAN, and AFRID. Additionally, it aimed to investigate associations between parental mental health and expressed emotion, and if these symptoms influence treatment allocation.
Methods: Young people with EDs (n = 298) and parents (n = 373) completed a range of self-report measures prior to engaging in outpatient treatment.
Results: For young people, there was no difference between AN and AAN on any measure of comorbid symptoms. Both showed severe levels of comorbidity with roughly half exceeding the cut-point for four or more comorbid diagnoses. Young people with ARFID had comparatively less severe comorbid symptoms. Parent symptomology was associated with constructs shown to predict treatment outcome but did not predict treatment allocation.
Conclusions: EDs are severe and complex, with comorbidity extending beyond the young person. Both young people and family comorbid symptoms warrant consideration when planning treatment.

Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420313. Mental health services
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Byline AffiliationsChildren’s Health Queensland, Australia
University of Queensland
Griffith University
School of Psychology and Wellbeing
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Krishnamoorthy, Govind and Bradley, Julie. 2020. "Trauma informed care: Adverse childhood experiences and its implications for health care." Australian Physiotherapy Association Online Seminar series: Trauma informed care: Implications for physiotherapists (2020). Online 23 May 2020
The impact of abuse and neglect on children: Understanding challenging behaviour and trauma informed practice
Krishnamoorthy, Govind. 2019. "The impact of abuse and neglect on children: Understanding challenging behaviour and trauma informed practice." The Pyjama Foundation Seminar Series: The impact of abuse and neglect on children (2019). Toowoomba, Australia 15 Oct 2019
Trauma informed care in early childhood education
Krishnamoorthy, Govind and Ayre, Kay. 2020. "Trauma informed care in early childhood education." Developmental Trauma and the Brain: Three part online professional development seminar for Gowrie NSW (2020). Online 06 Apr - 18 May 2020
Helping children who have been affected by bushfires
Krishnamoorthy, Govind, Ayre, Kay and Rees, Bronwyn. 2020. "Helping children who have been affected by bushfires." Reflections. 2020 (1), pp. 3-6.
Effects of the ‘Circle of Security’ group parenting program (COS-P) with foster carers: An observational study
Krishnamoorthy, Govind, Hessing, Paula, Middeldorp, Christel and Branjerdporn, Melissa. 2020. "Effects of the ‘Circle of Security’ group parenting program (COS-P) with foster carers: An observational study." Children and Youth Services Review. 115, pp. 1-8. https://doi.org/10.1016/j.childyouth.2020.105082
An integrative approach to personality: Behavioural Approach System, mastery approach orientation and environmental cues in the prediction of performance
Izadikhah, Zahra, Jackson, Chris J. and Loxton, Natalie. 2010. "An integrative approach to personality: Behavioural Approach System, mastery approach orientation and environmental cues in the prediction of performance." Personality and Individual Differences. 48 (5), pp. 590-595. https://doi.org/10.1016/j.paid.2009.12.012
Rash impulsivity predicts lower anticipated pleasure response and a preference for the supernormal
Goodwin, Belinda C., Browne, Matthew, Rockloff, Matthew and Loxton, Natalie J.. 2016. "Rash impulsivity predicts lower anticipated pleasure response and a preference for the supernormal." Personality and Individual Differences. 94, pp. 206-210. https://doi.org/10.1016/j.paid.2016.01.030