Subjektives Familienbild bei Anorexia nervosa und Bulimia nervosa im Jugendalter: Eine kontrollierte Studie

Abstract

The main findings were that bulimia nervosa patients perceived lower individual autonomy and lower emotional connectedness than all other groups, the adolescents with bulimia perceived significantly lower autonomy and emotional connectedness within the family than their fathers, and the restrictive anorexia nervosa patients perceived higher connectedness than their fathers. The relevance of these findings for understanding family dynamics are discussed.

Exploring Types of Family Environments in Youth with Eating Disorders

“…These youths also had lower independence scores, suggesting they perceived more enmeshment within their family, or felt less encouraged to be assertive and self-reliant. This finding is similar to recent qualitative findings about youths’ perceptions of low emotional connectedness (Huemer et al, 2012; Karwautz et al, 2002) and may have implications for how treatment might aim to change family interactions in order to promote the youth’s independence, possibly with additional youth-focused interventions and/or family interventions focused on increasing the youth’s independence within the family system. This class also had high FES control scores, indicating that System Maintenance-Oriented youths perceived family life as being governed by more rules and procedures.…”

“…, ; Karwautz et al . , ) and may have implications for how treatment might aim to change family interactions in order to promote the youth's independence, possibly with additional youth‐focused interventions and/or family interventions focused on increasing the youth's independence within the family system. This class also had high FES control scores, indicating that system maintenance‐oriented youths perceived family life as being governed by more rules and procedures.…”

A constituição da relação mãe-filha e o desenvolvimento dos transtornos alimentares

“…Vários são os estudos que buscam relacionar o funcionamento familiar do paciente -como fator desencadeador ou que contribui para a perpetuação do quadro -, e o desenvolvimento do TA. Determinadas características da dinâmica familiar do paciente, como baixa capacidade de expressão emocional, baixo nível de coesão e experiência de conflitos mais intensos do que nas famílias empregadas como controles, são frequentemente mencionadas pela literatura (Casper & Troiani, 2001;Karwautz et al, 2002;Ma, 2008). A percepção dos pais e demais familiares em relação aos TA também tem chamado a atenção dos pesquisadores, como mostra estudo que tratou da correspondência entre a psicopatologia percebida pelos pais e a autorrelatada pelos adolescentes com TA (Salbach-Andrae et al, 2008).…”

Behavioral Alterations in Mice Carrying Homozygous HDAC4A778T Missense Mutation Associated With Eating Disorder

“…In spite of EDs having the highest mortality rate of all mental disorders, available treatments are extremely limited, mainly due to the poor understanding of the underlying neurobiology of EDs and lack of useful animal models that can be used to develop novel treatment strategies (Lutter et al, 2016;Lutter, 2017). Among the proposed factors contributing to EDs, genetics plays a major role in the development of an ED, as family and twin studies indicate that the risk of developing an ED is 60-80% heritable (Lilenfeld et al, 1998;Strober et al, 2000;Karwautz et al, 2002;Baker et al, 2017).…”