Improving the mother-infant relationship in the context of maternal eating disorder: a randomised controlled trial

ISRCTN ISRCTN95026274
DOI https://doi.org/10.1186/ISRCTN95026274
Secondary identifying numbers 050892
Submission date
25/09/2004
Registration date
08/12/2004
Last edited
29/01/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Alan Stein
Scientific

Section of Child and Adolescent Psychiatry
University of Oxford
Warneford Hospital
Oxford
OX3 7JX
United Kingdom

Study information

Study designMulticentre, randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific titleThe influence of maternal eating disorder on infant development: an intervention study
Study objectivesMaternal eating disorders have been shown to be associated with adverse effects on mother-infant interaction and infant outcome. By the infants' first birthday mothers with eating disorders are considerably more likely to be involved in major episodes of mealtime conflict with their infants and controls. This study tested whether a video-feedback treatment targeted specifically at mother-child interaction improved that interaction, especially reducing mealtime conflict, and improving infant weight and autonomy, compared to a counselling treatment.
Ethics approval(s)Added 09/02/2009:
1. Oxfordshire Psychiatric Research Ethics Committee gave approval on the 4th August 1999 (ref: O99.35)
2. Royal Free Hospital & Medical School Local Research Ethics Committee gave approval on the 23rd June 1998 (ref: 76-97)
Health condition(s) or problem(s) studiedBulimia nervosa
InterventionEighty mothers attending routine baby clinics with bulimia nervosa or a similar eating disorder (i.e. a subtype of EDNOS) of the bulimic type, with infants aged four to six months, were randomised to the following:
1. Intervention group: video-feedback interactional treatment
2. Control group: non-directive supportive counselling

Both groups also received guided cognitive behavioural self-help for their eating disorder. Each group received 13 sessions altogether.
Intervention typeOther
Primary outcome measureLevel of conflict during the principal main meal of the day.
Secondary outcome measures1. Infant weight
2. Other mother-infant mealtime interaction variables including maternal facilitation, maternal picking up of infant to cues (verbal and non-verbal), and maternal intrusiveness
3. Infant autonomy involving self-feeding initiatives
4. Maternal eating disorder psychopathology
Overall study start date08/12/2004
Completion date01/01/2006

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants80
Key inclusion criteria1. Women between 18 and 45 years of age, with infants aged between four and six months
2. Met Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM IV) diagnostic criteria for an eating disorder, either bulimia nervosa or a similar form of eating disorder of clinical severity (i.e. a subtype of Eating Disorder Not Otherwise Specified [EDNOS]) of the bulimic type
3. The inclusion criteria were:
3.1. The over evaluation of body shape or weight of clinical severity
3.2. Recurrent episodes of loss of control over eating (i.e. subjective or objective bulimic episodes)
3.3. Secondary social impairment
Key exclusion criteriaMothers with severe co-morbid psychiatric disorders were excluded.
Date of first enrolment08/12/2004
Date of final enrolment01/01/2006

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Section of Child and Adolescent Psychiatry
Oxford
OX3 7JX
United Kingdom

Sponsor information

University of Oxford (and Royal Free and University College Medical School) (UK)
University/education

Department of Psychiatry
Warneford Hospital
Oxford
OX3 7JX
England
United Kingdom

Website http://www.ox.ac.uk/
ROR logo "ROR" https://ror.org/052gg0110

Funders

Funder type

Charity

The Wellcome Trust (UK) (grant ref: 050892)

No information available

The North Central London Research Consortium (NoCLoR) (UK) supported the recruitment process in primary care.

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2006 Yes No