Untangling the relationship between early adversity,placement breakdowns,and obesity in a secure adolescent developmental disorder service: A cross-sectional study |
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| Institution: | 1. Academic Centre, St Andrew''s Healthcare, Billing Road, Northampton, Northamptonshire, NN1 5DG, UK;2. School of Psychology and Wellbeing, The University of Buckingham, Hunter Street, Buckingham, Buckinghamshire, MK18 1EG, UK;3. Institute for Sport and Physical Activity [ISPAR], School of Sport Science and Physical Activity, University of Bedfordshire, Polhill Avenue, Bedford, Bedfordshire, MK41 9EA, UK;1. Graduate Institute of Public Health, College of Public Health, China Medical University, Taichung, Taiwan, ROC;2. Department of Health Services Administration, China Medical University, Taichung, Taiwan, ROC;3. Department of Healthcare Administration, Asia University, Taichung, Taiwan, ROC;4. Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan, ROC;1. Department of Traumatology, Cantonal Hospital, Tellstr.1, CH-5001, Aarau, Switzerland;2. Amsler Consulting, Gundeldingerrain 111, CH-4059, Basel, Switzerland;1. Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA;2. Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA;3. Department of Sport Sciences, Universidade Federal Do Triângulo Mineiro, Uberaba, MG, Brazil;4. Division of Occupational Therapy, Shenandoah University, Leesburg, VA, 20176, USA;5. School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA;1. Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa;2. Department of Sport Science, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa;3. Neuroscience Institute and Division of Neurosurgery, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa;1. Stockholm Centre for Health and Social Change (SCOHOST), Sodertorn University, Huddinge 141 89, Sweden;2. Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan;3. European Observatory on Health Systems and Policies, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK;4. Department of Epidemiology and Biostatistics, National Institute for Health Development, Estonia;5. Department of Sociology, Harvard University, Cambridge, MA, USA;6. University of Southern California, Suzanne Dworak Peck School of Social Work, 1149 South Hill Street Suite 1422, Los Angeles, CA, 90015, USA;7. Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, 1628655, Japan;8. International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UK;9. Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK |
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| Abstract: | BackgroundObesity is a growing global health concern, and those with a developmental disorder are at particular risk. Elevated levels of childhood trauma, placement breakdowns and obesity have been documented in the developmental disorder population, yet their relative associations remain unclear.ObjectiveA previous study (Morris et al., 2020) highlighted a high prevalence of adverse childhood experiences (ACEs) and obesity in adolescents with developmental disorders residing in a secure inpatient setting. The current cross-sectional study sought to further explore the prevalence of placement breakdowns and its relationship with Body Mass Index (BMI) in this sample.MethodsSecondary analysis was conducted on existing data for 34 adolescents, aged 10–17 years at admission, held in a secure mental health hospital developmental disorder service in the United Kingdom (UK) under the Mental Health Act.ResultsAlmost half of participants had experienced a placement breakdown (47.1%), the majority of whom typically experienced multiple breakdowns (M = 3.94, SD = 2.14). Placement breakdowns significantly predicted BMI and had a predictive effect that was independent to and above that of ACEs.ConclusionsPlacement breakdowns significantly contribute to risk for obesity, above that explained by early adversity. Those who have experienced placement breakdowns have a greater risk for obesity, irrespective of their level of exposure to ACEs. A history of previous placement breakdowns may act as a red flag for obesity. |
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| Keywords: | Body mass index Developmental disorder Placement breakdowns Adverse childhood experiences Adolescents |
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