Family profiles in eating disorders: family functioning and psychopathology

Cerniglia, Luca; Cimino, Silvia; Tafà, Mimma; Marzilli, Eleonora; Ballarotto, Giulia; Bracaglia, Fabrizia

doi:10.2147/prbm.s145463

Cited by 78 publications

(75 citation statements)

References 60 publications

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“…All of these were associated with the development of less depressive symptoms over time. Family functioning has not only a significant role in the development of depression and anxiety, it remains an important risk factor for the onset of a wide range of difficulties in adolescence including eating disorders, and substance use [23,24,25].…”

Section: Introductionmentioning

confidence: 99%

Self-esteem and other risk factors for depressive symptoms among adolescents in United Arab Emirates

et al. 2020

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Background Little is known about depressive symptoms among adolescents in the United Arab Emirates (UAE). This study aimed to identify the prevalence of depression and its association with selfesteem, individual, parental and family factors among adolescents aged 12 to 18 in UAE. Methods Six hundred adolescents, aged 12 to 18 years were recruited from 4 of 111 schools in a cross-sectional study. We administered Beck Depression Inventory Scale and Rosenberg Self-esteem Scale to measure self-report symptoms of depression and self-esteem. We used multiple linear regression to identify significant predictors of depression. Results Over 86% of the identified sample participated to the survey. The mean age of the sample was 14.3 (±1.3) with an excess of girls (61%). Depressive symptoms were detected in 17.2% (95% CI 14.2-20.7). There was an inverse relationship between self-esteem scores and depressive symptoms. Positive predictors of depressive symptoms, having controlled for age, gender, and ethnicity included experiencing neglect, being verbally abused in school, having no monthly allowance to spend in school, a history of physical morbidities requiring treatment, being a current or past smoker and a low family income. Conclusion The high prevalence of depressive symptoms measured in this survey suggests a significant public health problem among adolescents in the UAE. Public health interventions aimed at

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Section: Introductionmentioning

confidence: 99%

Self-esteem and other risk factors for depressive symptoms among adolescents in United Arab Emirates

et al. 2020

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“…105–106). Other predictors of disordered eating are as follows: bullying (Copeland et al, ; Lee & Vaillancourt, ), including weight‐related teasing (Hunger & Tomiyama, ); perfectionism (Boone, Soenens, & Luyten, ); anxiety (Hughes, ); depression (Haynos, Watts, Loth, Pearson, & Neumark‐Stzainer, ; Johnson, Cohen, Kotler, Kasen, & Brook, ); poor relationship with a parent (Cerniglia et al, ; Johnson, Cohen, Kasen, et al, ); and low self‐esteem (Haynos et al, ). Self‐reported depression and anxiety are also often co‐morbid with eating issues in adolescence (Hughes, ), although the research evidence has been of low quality due to methodological problems including small sample sizes, mixed or unclear samples, undeclared sampling biases and diverse assessment methods (Godart et al, ).…”

Section: Introductionmentioning

confidence: 99%

Stuffing down feelings: Bereavement, anxiety and emotional detachment in the life stories of people with eating disorders

Reid

Wilson‐Walsh²,

Cartwright

et al. 2020

Health Soc Care Community

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This study aimed to explore the life stories of people with eating disorders (EDs) in order to better understand possible contributing factors to their development. It used a qualitative Life Story method, in order to reduce the tendency to focus on the negative in the lives of people with EDs. Sixteen people in contact with an EDs charity participated. Data were analysed using a thematic analysis. Despite the attempt to elicit both positive and negative information, most themes from the life stories were negative. Here, the focus is on the three most common themes reported, which are less often reported in previous research: (a) substantial bereavement and loss; (b) major issues with anxiety and (c) difficulties coping with emotions. A model is proposed whereby major losses and the resultant anxiety can lead to emotional deadening and ‘stuffing down feelings’ with food, leading on to an ED. This model implies that interventions need to consider psychological factors in an ED, especially the use of it as a dysfunctional coping strategy, as well as the behavioural and physiological aspects of an ED.

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“…Furthermore, in line with the previous literature [23,67,68,73], WBT was also associated with depressive symptoms, poorer self-esteem and impaired social functioning. In addition, data demonstrate that greater family dysfunction is linked with exacerbated risk for psychopathology and eating disturbances among youth [74,75]. Specifically, children in families characterized by rigidity, disengagement, and low cohesion may be most susceptible to eating disorders.…”

Section: Discussionmentioning

confidence: 99%

Associations between Family Weight-Based Teasing, Eating Pathology, and Psychosocial Functioning among Adolescent Military Dependents

Pearlman

Schvey

Neyland

et al. 2019

IJERPH

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Weight-based teasing (WBT) by family members is commonly reported among youth and is associated with eating and mood-related psychopathology. Military dependents may be particularly vulnerable to family WBT and its sequelae due to factors associated with their parents’ careers, such as weight and fitness standards and an emphasis on maintaining one’s military appearance; however, no studies to date have examined family WBT and its associations within this population. Therefore, adolescent military dependents at-risk for adult obesity and binge-eating disorder were studied prior to entry in a weight gain prevention trial. Youth completed items from the Weight-Based Victimization Scale (to assess WBT by parents and/or siblings) and measures of psychosocial functioning, including the Beck Depression Inventory-II, The Rosenberg Self-Esteem Scale, and the Social Adjustment Scale. Eating pathology was assessed via the Eating Disorder Examination interview, and height and fasting weight were measured to calculate BMIz. Analyses of covariance, adjusting for relevant covariates including BMIz, were conducted to assess relationships between family WBT, eating pathology, and psychosocial functioning. Participants were 128 adolescent military dependents (mean age: 14.35 years old, 54% female, 42% non-Hispanic White, mean BMIz: 1.95). Nearly half the sample (47.7%) reported family WBT. Adjusting for covariates, including BMIz, family WBT was associated with greater eating pathology, poorer social functioning and self-esteem, and more depressive symptoms (ps ≤ 0.02). Among military dependents with overweight and obesity, family WBT is prevalent and may be linked with eating pathology and impaired psychosocial functioning; prospective research is needed to elucidate the temporal nature of these associations.

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Family profiles in eating disorders: family functioning and psychopathology

Cited by 78 publications

References 60 publications

Self-esteem and other risk factors for depressive symptoms among adolescents in United Arab Emirates

Self-esteem and other risk factors for depressive symptoms among adolescents in United Arab Emirates

Stuffing down feelings: Bereavement, anxiety and emotional detachment in the life stories of people with eating disorders

Associations between Family Weight-Based Teasing, Eating Pathology, and Psychosocial Functioning among Adolescent Military Dependents

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