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Family Functioning in Adolescent Anorexia Nervosa

Published online by Cambridge University Press:  02 January 2018

Clive North ,
Simon Gowers  and
Victoria Byram
Clive North*
Affiliation:
Department of Child and Adolescent Psychiatry
Simon Gowers
Affiliation:
Department of Child and Adolescent Psychiatry
Victoria Byram
Affiliation:
Department of Child and Adolescent Psychiatry
*
Dr Clive North, Department of Child and Adolescent Psychiatry, University of Manchester, The Adolescent Unit, Bury New Road, Prestwich, Manchester M25 7BL
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Abstract

Background

Difficulties in family functioning have been noted since early descriptions of anorexia nervosa and may be of importance aetiologically. Previous studies have a number of methodological problems.

Method

Thirty-five anorexic adolescents were age/sex matched with psychiatric and community controls. A diagnostic interview and a questionnaire, the Family Assessment Device (FAD) were administered to control subjects and their mothers. Anorexic families only received the McMaster Structured Interview of Family Functioning.

Results

Multivariate analyses of FAD scores showed pathological ratings for psychiatric control but not anorexic families, compared with community controls. By contrast objective ratings revealed marked dysfunction in anorexic families (greater in the purging subgroup).

Conclusion

Family functioning in anorexic families is normal by self-report but not by an objective measure. Anorexic families in the purging subgroup appear most dysfunctional.

Type
Papers
Information
The British Journal of Psychiatry , Volume 167 , Issue 5 , November 1995 , pp. 673 - 678
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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References

Ambrosini, P. J., Metz, C., Prabucki, K., et al (1989) Videotape reliability of the third revised edition of the K-SADS. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 723–728.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders, (3rd edn revised) (DSM–III–R) Washington, DC: American Psychiatric Association.Google Scholar
Bishop, D., Epstein, K., Keitner, G., et al (1987) The McMaster Structured Interview of Family Functioning. Providence, RI: Brown/Butler Family Research Program.Google Scholar
Crisp, A. H. (1980) Anorexia Nervosa: Let Me Be. London: Academic Press.Google Scholar
Epstein, N. B., Bishop, D. S. & Levin, S. (1978) The McMaster model of family functioning. Journal of Marriage and Family Counselling, 3, 19–31.Google Scholar
Epstein, N. B., Baldwin, L. M. & Bishop, D. S. (1982) McMaster Clinical Rating Scale. Providence, RI: Brown/Butler Family Research Program.Google Scholar
Epstein, N. B., Baldwin, L. M. & Bishop, D. S. (1983) The McMaster Family Assessment Device. Journal of Marital and Family Therapy, 9, 171–180.CrossRefGoogle Scholar
Kabacoff, R. I., Miller, I. W., Bishop, D. S., et al (1990) A psychometric study of the McMaster Family Assessment Device in psychiatric, medical and nonclinical samples. Journal of Family Psychology, 3, 431–439.CrossRefGoogle Scholar
Kemsley, W. F. F. (1953/54) Body weight at different ages and heights. Annals of Eugenics London, 16, 316–334.CrossRefGoogle Scholar
Lasègue, C. (1873) On hysterical anorexia. Medical Times and Gazette, 6th September, 265–266 and 27th September, 367–369.Google Scholar
Miller, I. W., Bishop, D. S., Epstein, N. B., et al (1985) The McMaster Family Assessment Device: reliability and validity. Journal of Marital and Family Therapy, 11, 345–356.CrossRefGoogle Scholar
Minuchin, S., Rosman, B. L. & Baker, L. (1978) Psychosomatic Families: Anorexia Nervosa in Context. Cambridge, Massachusetts: Harvard University Press.Google Scholar
Office Of Population Census and Surveys (1980) Classification of Occupations 1980. London: Her Majesty's Stationery Office.Google Scholar
Selvini Palazzoli, M. (1974) Self-starvation: From the Intrapsychic to the Transpersonal Approach in Anorexia Nervosa. London: Chaucer.Google Scholar
Tanner, J., Whitehouse, R. & Takajshi, M. (1966) Standards from birth to maturity for height, weight, height velocity and weight velocity: British children, 1965, Parts 1 and 2. Archives of Disease in Childhood, 41, 454–471 & 613–635.Google Scholar
Thienemann, M. & Steiner, H (1993) Family environment of eating disordered and depressed adolescents. International Journal of Eating Disorders, 14, 43–48.Google Scholar
Waller, G., Calam, R. & Slade, P. (1989) Eating disorders and family interaction. British Journal of Clinical Psychology, 28, 285–286.Google Scholar
Waller, G., Slade, P. & Calam, R. (1990) Who knows best? Family interaction and eating disorders. British Journal of Psychiatry, 156, 546–550.CrossRefGoogle ScholarPubMed
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