Comparison of Bulimic-Anorexic and Nondistressed Families Using Structural Analysis of Social Behavior

Humphrey, Laura L.

doi:10.1097/00004583-198703000-00023

Cited by 83 publications

(66 citation statements)

References 11 publications

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“…The families of young women with bulimia nervosa have been found to demonstrate a pattern of hostile, disengaged, and less nurturing behaviors that negate the girls' emotional needs. [86][87][88] Although research has consistently linked family dysfunction with eating disorders among non-diabetic females, as well as with the adequacy of diabetes management among teens with diabetes, there has been little systematic investigation into the relationship between family functioning, eating disorders, and diabetesrelated outcomes.…”

Section: Discussionmentioning

confidence: 99%

Eating Disorders in Adolescent Girls and Young Adult Women With Type 1 Diabetes

Daneman¹,

Rodin²,

Jones³

et al. 2002

Diabetes Spectrum

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Section: Discussionmentioning

confidence: 99%

Eating Disorders in Adolescent Girls and Young Adult Women With Type 1 Diabetes

Daneman¹,

Rodin²,

Jones³

et al. 2002

Diabetes Spectrum

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“…Compared with normal controls, bulimic anorexics rated their families as more isolated and non-disclosing, less involved, supportive and organized, with little intellectual emphasis (Humphrey, 1986b); as more negative, less positive and more contradictory in their communications (Humphrey et al, 1986), as more belittling, ignoring and less helping, trusting and nurturing (Humphrey, 1987) and as less cohesive and expressive and more con¯icted (Stern et al, 1989).…”

Section: The Quality Of Childhood and Current Family Functioning: Empmentioning

confidence: 90%

“…No study to date has compared eating disordered subjects with their siblings in this respect. Two small studies show good agreement between bulimic±anorexic patients and their parents in their perception of family functioning, which both patients and parents saw as more disturbed than normal control families (Humphrey, 1986b(Humphrey, , 1987. In all other studies addressing this point eating disordered subjects rated their families as more disturbed than their parents (Stern et al, 1989;Waller et al, 1990b;Dare et al, 1994).…”

Section: Does Family Functioning or Childhood Care Of Eating Disordermentioning

confidence: 96%

The role of general family environment and sexual and physical abuse in the origins of eating disorders

Schmidt

Humfress

Treasure

1997

Eur. Eat. Disorders Rev.

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This paper reviews the role of childhood family functioning and of sexual and physical abuse in eating disorders. Bearing in mind the huge methodological differences across studies the following tentative conclusions can be reached: there is evidence of more family pathology in eating disorder families than in normal control families. Those with bulimic disorders seem to have poorer family functioning than restrictors. Different eating disorder subgroups show less or comparable levels of family pathology compared to psychiatric or other medical controls depending on the comparison group. In bulimia nervosa high levels of family disturbance seem to be associated with greater severity and chronicity of bulimic symptomatology. There is some suggestion that family functioning may have more of an effect on Axis II than on Axis I disorders. Rates of sexual abuse appear to be higher in bulimia nervosa than in normal controls. Depending on which psychiatric control groups are chosen, eating disorder patients may have similar, higher or lower rates of contact sexual abuse. The majority of studies fails to ®nd differences between eating disorder subtypes in terms of rates of sexual abuse. The evidence on whether there is any link between abuse characteristics and the severity of eating disorder is inconclusive. On balance, childhood sexual abuse does not seem to be a speci®c risk factor for eating disorders. Physical abuse is more common in bulimic than in restricting disorders and usually occurs in the context of a disturbed family environment. The clinical implications of these ®ndings are discussed. Future research in the area of family factors or childhood trauma in eating disorders needs to get away from mere`head

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“…Several of their families did not fit into the description of enmeshed, rigid, conflict-avoiding and overprotective. Humphrey (1986Humphrey ( , 1987 too did not find that the same description fitted all families.…”

Section: Introductionmentioning

confidence: 92%

Too close or too separate: family function in families with an anorexia nervosa patient in two Nordic countries

Wallin

Røijen

Hansson

1996

Journal of Family Therapy

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Previous research has shown that families with an anorexia nervosa patient are not a homogenous group. The purpose of this study was to see in what way these families differ from each other. Forty-nine families with a child suffering from anorexia nervosa were examined. They were rated by independent observers who, on the basis of a videotaped family task, evaluated family interaction using Beavers-Timberlawn's rating schedule. Family members completed the self-rrport questionnaires Family Climate, FARS and SCL-90. The subscale family style from the Beavers-Timberlawn schedule was found to provide a meaningful description of families with an anorexia nervosa patient. According to this subscale, anorexia nervosa families fall into three groups: centripetal, centrifugal and balanced. The centrifugal group differed from the two other groups in that the patients expressed more psychopathology and family dysfunction. This group of families probably requires a special form of treatment.

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Comparison of Bulimic-Anorexic and Nondistressed Families Using Structural Analysis of Social Behavior

Cited by 83 publications

References 11 publications

Eating Disorders in Adolescent Girls and Young Adult Women With Type 1 Diabetes

Eating Disorders in Adolescent Girls and Young Adult Women With Type 1 Diabetes

The role of general family environment and sexual and physical abuse in the origins of eating disorders

Too close or too separate: family function in families with an anorexia nervosa patient in two Nordic countries

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