Evidence map›Paper›PMID 40158699›Full record

ArticleAppetite2025

Emotion regulation difficulties during pregnancy mediate the relationship between childhood maltreatment and emotional, external, and restraint eating.

Sara F Stein, Alison L Miller, Amy K Nuttall, G Anne Bogat, Joseph S Lonstein, Maria Muzik, Alytia A Levendosky

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Appetite, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sara F SteinDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109, USA. Electronic address: steinsf@umich.edu.
Alison L MillerDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109, USA.
Amy K NuttallDepartment of Human Development and Family Studies, Michigan State University, 552 W Circle Dr, East Lansing, MI, 48824, USA.
G Anne BogatDepartment of Psychology, Michigan State University, 316 Physics Rd #262, East Lansing, MI, 48824, USA.
Joseph S LonsteinDepartment of Psychology, Michigan State University, 316 Physics Rd #262, East Lansing, MI, 48824, USA.
Maria MuzikDepartment of Psychiatry, Michigan Medicine, University of Michigan, 4250 Plymouth Rd, Ann Arbor, MI, 48109, USA.
Alytia A LevendoskyDepartment of Psychology, Michigan State University, 316 Physics Rd #262, East Lansing, MI, 48824, USA.

Funding

Timing of prenatal stress and infant regulatory functioningR01HD085990 · NICHD · MICHIGAN STATE UNIVERSITY · PI BOGAT, GLORIA ANNE, LEVENDOSKY, ALYTIA A · 2016 to 2021
$3.1M
Timing of prenatal stress and early markers of child psychopathologyR01HD100469 · NICHD · MICHIGAN STATE UNIVERSITY · PI LEVENDOSKY, ALYTIA A, MUZIK, MARIA · 2020 to 2024
$3.1M
Postpartum Intervention for Mothers with Opioid Use Disorders - Brain-Behavior MechanismsR33DA053688 · NIDA · STATE UNIVERSITY NEW YORK STONY BROOK · PI Maria Muzik, James Edward Swain · 2025 to 2026
$1.5M
Untangling heterogeneity: when, for whom, and how prenatal stress and early childhood risk and protection shape biopsychosocial competence in middle childhoodR01HD119903 · NICHD · MICHIGAN STATE UNIVERSITY · PI ALYTIA A LEVENDOSKY, Cecilia Martinez-Torteya · 2026 to 2026
$680k
NICHD NIH HHS R01 HD085990NICHD NIH HHS R01 HD100469NICHD NIH HHS R01 HD119903NIDA NIH HHS R33 DA053688
6 · The paper itself

Abstract

purposeChildhood maltreatment is a common and severe form of stress associated with compromised functioning in women including emotion regulation difficulties and eating behaviors associated with negative health outcomes. Although pregnancy is a sensitive period for women's health, mechanisms by which childhood maltreatment may drive eating behaviors during pregnancy remain unknown. The aim of this study was to determine if emotion regulation difficulty was a mechanism by which women's childhood maltreatment leads to emotional, external, and restraint eating during pregnancy and which types of maltreatment drive these associations.

methodsWomen (N = 446) were recruited during pregnancy based on experiences of pregnancy stress, including intimate partner violence. They reported on history of childhood maltreatment and emotion regulation difficulties and eating behaviors in pregnancy. We tested if emotion regulation difficulties mediated associations between childhood maltreatment and emotional, external, and restraint eating in pregnancy.

resultsMaternal childhood maltreatment was associated with greater emotion regulation difficulties and, in turn, greater severity of emotional, external, and restraint eating during pregnancy. Emotional abuse and neglect were each positively associated with emotion regulation difficulties and, in turn, all three eating behaviors.

conclusionsEmotion regulation difficulties may be a mechanism by which childhood maltreatment leads to emotional, external, and restraint eating during pregnancy. Interventions should address emotion regulation difficulties in women with histories of childhood emotional maltreatment and neglect as a way to mitigate these eating behaviors in pregnancy.

Indexed as

Adult Survivors of Child AbuseChild AbuseEmotional RegulationFeeding BehaviorPregnancy ComplicationsAdultEmotionsFemaleHumansPregnancyYoung AdultChildhood maltreatmentEmotional eatingEmotion regulationExternal eatingPregnancyRestraint eating

Identifiers

PMID40158699
PMCPMC12147652

What Socratic holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.