Family functioning in anorexia nervosa: British and Italian mothers' perceptions (original) (raw)
Related papers
Psychiatria polska
To assess the correlations between the perception of relations in parents' families of origin and the assessment of the current family by the parents and their daughters suffering from eating disorders. STUDIED GROUP: Statistical analyses were applied to the results obtained from 54 patients diagnosed with restrictive anorexia nervosa, from 22 with binge-purge anorexia, from 36 with bulimia and from two control groups: 36 patients diagnosed with depressive disorders and 85 Krakow schoolgirls. The study also covered the parents of the investigated girls. Family of Origin Scale and Family Assessment Questionnaire (FAM Polish version) were used in the study. The procreative family assessment made by the mothers was correlated with the assessment of their own generational family and the assessment of own generational family made by their husbands. Procreative family assessment made by the fathers was correlated only with their assessment of their family of origin. Family of origin a...
This ex post facto study explored the differences in perceived family characteristics between a group of 34 female patients with anorexia nervosa and 34 females without eating pathology. All participants filled out the following self-report scales: FACES II, F-COPES, IPPA and the Family Beliefs Questionnaire. The results showed that, in contrast with participants without pathology, patients perceived their families as less cohesive and less capable of redefining stressful events in order to make them more manageable. However, they perceived their families as being more able to acquire and accept help, and presented more family beliefs related to a sense of an individual responsibility/ self-blaming. In addition, patients seemed to trust less their mothers and peers and to communicate less with their peers, and to show more detachment to mothers, fathers, and peers. Of all studied variables, detachment from friends and mother, as well as perceived higher family capacity to seek out c...
European Eating Disorders Review, 2005
Family therapy is recognized as one of the most effective treatment modalities in adolescent anorexia nervosa, but family therapists continue to be guided by conflicting models of family functioning that either rely on the notion of a family cause that needs to be remedied or support a more positive view of family factors. Most often, these models are anchored to clinical observations or incomplete self-report assessments. The aim of this study was to determine whether a specific pattern of self-assessed family functioning is associated with adolescent anorexia nervosa. All family members from 40 French families with an anorexic adolescent completed the FACES III and results were compared with a reference population. Findings tend to refute the notion of a specific pathological pattern in these families while also pointing to unique trends in family relationships (flexible distance) and unique areas of dissatisfaction and distress. Overall, results encourage family therapists to hold a more flexible view of family functioning, adapting therapeutic interventions to each family's style and level of functioning, and to acknowledge the voice of all family members living with the anorexic patient.
Family Interventions in Adolescent Anorexia Nervosa
Child and Adolescent Psychiatric Clinics of North America, 2009
The view that the family has a central role in eating disorders can be traced at least as far back as the late 19th century. The views about the role of parents in anorexia nervosa (AN) varied from Lasegue's 1 neutral stance in taking into account the ''preoccupations of relatives,'' to Gull, 2 considering parents as ''generally the worst attendants,'' and Charcot 3 thinking that their influence is ''particularly pernicious.'' These early descriptions did not see parents as playing a helpful role in their daughter's illness, and indeed one of the earliest debates in the literature on AN was about whether it was at all possible to treat the patient without isolating her from her family. 4,5 During the first half of the 20th century the family continued to be seen primarily as a hindrance to treatment, 6,7 which together with a general notion that the family environment had at least a contributory role in the development of the illness 7,8 generally led to the exclusion of parents from treatment, sometimes referred to pejoratively as a ''parentectomy.'' 9 It is not until the 1960s that the authors find a major shift in thinking about the role of the family in eating disorders in the work of Bruch, 10,11 Palazzoli, 12 and in particular Minuchin and colleagues 13,14 at the Child Guidance Center in Philadelphia. The theoretic models suggested by these investigators, posited specific family mechanisms underpinning the development of AN, which could be targeted by
Family functioning in two treatments for adolescent anorexia nervosa
The International journal of eating disorders, 2015
Family functioning impairment is widely reported in the eating disorders literature, yet few studies have examined the role of family functioning in treatment for adolescent anorexia nervosa (AN). This study examined family functioning in two treatments for adolescent AN from multiple family members' perspectives. Participants were 121 adolescents with AN ages 12-18 from a randomized-controlled trial comparing family-based treatment (FBT) to individual adolescent-focused therapy (AFT). Multiple clinical characteristics were assessed at baseline. Family functioning from the perspective of the adolescent and both parents was assessed at baseline and after 1 year of treatment. Full remission from AN was defined as achieving both weight restoration and normalized eating disorder psychopathology. In general, families dealing with AN reported some baseline impairment in family functioning, but average ratings were only slightly elevated compared to published impaired functioning cutof...
The family and anorexia nervosa: examining parent-child boundary problems
European Eating Disorders Review, 2001
Objective: To examine parent±child boundary dissolution in anorexia nervosa using a measure that treats boundary phenomena as multidimensional and distinct from highly cohesive relationships. Method: 30 women with anorexia were recruited from an eating disorders programme and compared with 65 control women on reports of intergenerational boundary problems using the Parent-Child Boundaries Scale. This measure conceptualizes boundaries as multidimensional and can address both mother±daughter and father±daughter relations. Family cohesion was also measured using the FACES III. A subset of parents completed these measures. Results: Women with anorexia reported more boundary problems with mothers and fathers than did control women, both in terms of global and some speci®c violations. However, parents of anorexic women did not endorse more boundary problems with their daughters. Discussion: Daughters' views suggest that boundary violations are problematic in anorexia. Results suggest that boundary problems can be treated as multidimensional and should be viewed as distinct from high levels of familial cohesion. These results also suggest that it is important to ascertain individual family members' viewpoints on family dynamics.
Follow-up investigation of family relations in patients with anorexia nervosa
1996
In a group of 22 formerly anorectic inpatients (follow-up 3.8 years after treatment) and in a control group of 24 paralleled young women, the subjective perception of the family structure was assessed using the "Subjective Family Image (SFI)', in order to investigate the question whether the family structure of former anorectics differs from the controls and whether individual development of the former inpatients is associated with the experienced family structure. Empirical results are in favor of the following two hypotheses: 1) Compared to the control group, formerly anorectic inpatients experience family relationships as more corn-plicated and less satisfying. The quality of family relationships in the patient group is reduced, even at the time of follow-up. 2) Individual outcome (individual course of the illness) and quality of family relationships at time of follow-up are associated. Patients with a good outcome experience family relationships as more positive than patients with a poor outcome. The accordance of these findings to other empirical results and their implications for clinical practice are discussed.
Contribution of social and family factors in anorexia nervosa
hsj.gr
Background: Anorexia nervosa is probably the most substantial eating disorder, with basically unknown causes, centered on psychological factors and affected by many social, biological and cultural ones. The aim of this study was to emerge the complex ...