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Eco-systemic analysis of anorexia nervosa
M I Sheppy1, J D Friesen, A R Hakstian
1University of British Columbia, Faculty of Education, Department of Counseling Psychology, Vancouver.
Journal of Adolescence
|December 1, 1988
Summary
This study used an eco-systemic approach to understand anorexia nervosa, finding that mother-daughter affiliation and maternal psychopathic deviancy significantly differentiated anorexic patients from controls.
Area of Science:
- Psychology
- Family Studies
- Developmental Psychology
Background:
- Anorexia nervosa is a complex disorder influenced by multiple environmental factors.
- An eco-systemic approach provides a framework for understanding individual behavior within broader social contexts.
- Bronfenbrenner's ecological-systems theory offers insights into human development across various environmental layers.
Purpose of the Study:
- To empirically test an eco-systemic model of anorexia nervosa.
- To compare individuals with anorexia nervosa and their parents with matched control groups.
- To identify key variables differentiating anorexic patients and their families from controls.
Main Methods:
- Utilized an adaptation of Conger's Ecological-Systems approach.
- Compared 30 anorexic patients and their parents with 34 control subjects and their parents.
- Employed the California Psychological Inventory (CPI), Structural Analysis of Social Behavior (SASB), Family Environment Scale (FES), and Pattison Psychological Inventory (PPI).
Main Results:
- Discriminant analysis identified mother-daughter affiliation (SASB) and maternal psychopathic deviancy (CPI) as key differentiating variables.
- These variables alone achieved 87.5% accuracy in classifying subjects.
- Statistically significant differences were observed at individual, parent, and family levels, including maternal overprotection and reduced familial support.
Conclusions:
- The eco-systemic model effectively differentiates individuals with anorexia nervosa and their families.
- Maternal behaviors and family dynamics play a crucial role in the development and manifestation of anorexia nervosa.
- Findings highlight the importance of considering individual, familial, and interpersonal factors in understanding and treating anorexia nervosa.