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Family functioning in adolescent anorexia nervosa

C North1, S Gowers, V Byram

  • 1Department of Child and Adolescent Psychiatry, University of Manchester, Prestwich.

The British Journal of Psychiatry : the Journal of Mental Science
|November 1, 1995
PubMed
Summary
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Family functioning in anorexia nervosa appears normal through self-report but objective measures reveal significant dysfunction, particularly in purging subtypes.

Area of Science:

  • Psychiatry
  • Family Psychology
  • Adolescent Health

Background:

  • Anorexia nervosa (AN) has long been associated with family dysfunction, yet previous research is limited by methodological issues.
  • Understanding the role of family environment in AN etiology and maintenance is crucial.

Purpose of the Study:

  • To investigate family functioning in adolescents with anorexia nervosa compared to control groups.
  • To differentiate between self-report and objective measures of family dynamics in AN.

Main Methods:

  • A study involving 35 adolescents with anorexia nervosa, matched with psychiatric and community controls.
  • Utilized the Family Assessment Device (FAD) for controls and the McMaster Structured Interview of Family Functioning for AN families.
  • Employed both self-report questionnaires and objective diagnostic interviews.

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Main Results:

  • Self-report measures (FAD) indicated normal family functioning in AN families compared to community controls, but pathological ratings for psychiatric controls.
  • Objective assessments revealed significant family dysfunction in AN families, more pronounced in the purging subtype.
  • Discrepancies highlight the limitations of self-report in assessing family dynamics in AN.

Conclusions:

  • Family functioning in anorexia nervosa is perceived as normal via self-report but objectively dysfunctional.
  • The purging subtype of anorexia nervosa is associated with the most severe family dysfunction.
  • Objective assessment methods are essential for accurately evaluating family dynamics in eating disorders.