UC San Diego

Objective To examine differences in parent feeding behaviors and general parenting of overweight children with and without loss of control (LOC) eating. Method One-hundred-and-eighteen overweight and obese children (10.40 ±-1.35 years; 53% female; 52% Caucasian; BMI-z: 2.06-±-0.39) and their parents (42.42-±-6.20 years; 91% female; 70% Caucasian; BMI: 31.74-±-6.96 kg/m2) were seen at a baseline assessment visit for a behavioral intervention that targeted overeating. The Eating Disorder Examination, adapted for children (ChEDE) was administered to assess for LOC eating. Parents completed the Parental Feeding Styles Questionnaire (PFSQ) and the Child Feeding Questionnaire (CFQ) to assess parent feeding styles and behaviors. Children also completed a self-report measure of general parenting (Child Report of Parent Behavior Inventory, CRPBI-30). Results Forty-three children (36.40%) reported at least one LOC eating episode in the month prior to assessment. Parents who reported greater restriction and higher levels of pressure to eat were more likely to have children that reported LOC eating (ps-<-0.05). Parents who utilized more instrumental feeding and prompting/encouragement to eat techniques were less likely to have children that reported LOC eating (ps-<-0.05). Child-reported parenting behaviors were unrelated to child LOC eating (ps > 0.05). Discussion Parent feeding styles and behaviors appear to be differentially and uniquely related to LOC eating in treatment-seeking overweight and obese children. Future research is needed to determine if implementing interventions that target parent feeding behaviors may reduce LOC eating, prevent full-syndrome eating disorders, and reduce weight gain in youth.