Self-directed hostility and family functioning in normal-weight bulimics and overweight binge eaters

Friedman, Michael; Wilfley, Denise E.; Welch, R. Robinson; Kunce, Joseph T.

doi:10.1016/s0306-4603(97)80001-9

Cited by 27 publications

(22 citation statements)

References 29 publications

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“…Therefore, this suggests that impairment in family functioning may be relatively low across this sample. This is somewhat inconsistent with previous research, which has generally found that families of adolescents with AN report greater family functioning impairment in multiple areas compared to community norms and non‐psychiatric controls . The lack of a non‐clinical comparison group in this study and the differences in measures used to assess family functioning across studies limit many direct comparisons to previous research.…”

Section: Discussioncontrasting

confidence: 81%

“…Family functioning is an important but often neglected outcome in the treatment of eating disorders, given consistent reports from patients and their family members of impairment in one or more areas of family functioning compared to community norms and to non‐psychiatric controls . Common areas of family functioning impairment include family cohesion and organization, family conflict, and emotional expression.…”

Section: Introductionmentioning

confidence: 99%

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Family functioning in two treatments for adolescent anorexia nervosa

Ciao

Accurso

Fitzsimmons‐Craft

et al. 2014

Intl J Eating Disorders

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Objective 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. Method 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 one year of treatment. Full remission from AN was defined as achieving both weight restoration and normalized eating disorder psychopathology. Results 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 cutoffs. Adolescents’ perspectives on family functioning were the most impaired and were generally associated with poorer psychosocial functioning and greater clinical severity. Regardless of initial level of family functioning, improvements in several family functioning domains were uniquely related to full remission at the end of treatment in both FBT and AFT. However, FBT had a more positive impact on several specific aspects of family functioning compared to AFT. Discussion Families seeking treatment for adolescent AN report some difficulties in family functioning, with adolescents reporting the greatest impairment. While FBT may be effective in improving some specific aspects of family dynamics, remission from AN was associated with improved family dynamics, regardless of treatment type.

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Section: Discussioncontrasting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Family functioning in two treatments for adolescent anorexia nervosa

Ciao

Accurso

Fitzsimmons‐Craft

et al. 2014

Intl J Eating Disorders

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show abstract

“…their daughters' daily experiences and increases in mother-daughter conflict were related to increases in girls' weight concerns across the course of adolescence. The findings on intimacy and conflict fit with results from prior research focusing on adolescent eating disorders 31,41,42 ; however, the present study extended this work to document how changes in mother-daughter relationships are associated with changes in adolescent weight concerns. Thus, our findings emphasized that the links between mother-daughter relationships and adolescent girls' weight concerns are not to limited concurrent associations, and also may be reciprocal.…”

Section: Parent-adolescent Relationship Quality and Adolescent Weightsupporting

confidence: 84%

“…Past research shows that high levels of familial hostility, 41 low levels of parental affection, 42 high levels of control, 30 and low levels of monitoring 31 are related to the development of eating disorders. The current study focused on three closely related dimensions of parent-adolescent relationships: (1) mother-adolescent and father-adolescent conflict, (2) mother-adolescent and fatheradolescent intimacy, and (3) mothers' and fathers' knowledge of adolescents' daily experiences as potential correlates of the development of adolescents' weight concerns.…”

mentioning

confidence: 99%

Parent–adolescent relationships and the development of weight concerns from early to late adolescence

May

Kim

McHale

et al. 2006

Int. J. Eat. Disord.

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“…A meta-analysis of 53 studies revealed a small, but significant relationship between childhood sexual abuse and eating disorders (Smolak & Murnen, 2002). Reports of sexual and physical abuse are not elevated in BN relative to other psychiatric problems, although they tend to be significantly greater than in non-psychiatric controls (Friedman, Wilfley, Welch, & Kunce, 1997;Welch & Fairburn, 1996).…”

Section: Introductionmentioning

confidence: 62%

High self-reported rates of neglect and emotional abuse, by persons with binge eating disorder and night eating syndrome

Allison

Grilo

Masheb

et al. 2007

Behaviour Research and Therapy

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This study compared rates of self-reported childhood maltreatment in three groups diagnosed using semi-structured interviews: binge eating disorder (BED; n = 176), night eating syndrome (NES, n = 57), and overweight/obese comparison (OC, n = 38). We used the Childhood Trauma Questionnaire (CTQ) to assess childhood maltreatment and the Beck Depression Inventory-II to assess depression levels. Reports of maltreatment were common in patients with BED (82%), NES (79%), and OC (71%). The BED group reported significantly more forms of maltreatment above clinical cutpoints (2.4) than the OC (1.4) group but not the NES (1.8) group. The BED and NES groups reported more emotional abuse than the OC group. A higher proportion of the BED group reported emotional neglect and a higher proportion of the NES group reported physical neglect. Depression levels, which were higher in BED and NES than OC, were associated with higher levels of physical and emotional abuse and neglect. In conclusion, reported rates of physical and sexual abuse differed little across groups whereas reports of neglect and emotional abuse were higher in the BED and NES groups than in the OC group and were associated with elevated depression levels.

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Self-directed hostility and family functioning in normal-weight bulimics and overweight binge eaters

Cited by 27 publications

References 29 publications

Family functioning in two treatments for adolescent anorexia nervosa

Family functioning in two treatments for adolescent anorexia nervosa

Parent–adolescent relationships and the development of weight concerns from early to late adolescence

High self-reported rates of neglect and emotional abuse, by persons with binge eating disorder and night eating syndrome

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