Family Functioning and Quality of Life among Families in Eating Disorders: A Comparison with Substance‐related Disorders and Healthy Controls

Abstract

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Quality of life of parents of mentally-ill children: a systematic review and meta-analysis

“…55.6%) provide information about response/refusal rate in regard to caregivers of mentally-ill children (Foldemo et al ., 2005; Xiang et al ., 2009; Yamada et al ., 2012; Ji et al ., 2014; Kuhlthau et al ., 2014). Among studies that assessed a control group, one provided information about response/refusal rate for both groups (Mugno et al ., 2007), seven only for caregivers of mentally-ill children (Allik et al ., 2006; Lee et al ., 2009; Schreyer and Hampel, 2009; Benjak et al ., 2011; Ginieri-Coccossis et al ., 2012; Anastasiadou et al ., 2016; Jalenques et al ., 2017) and nine for neither group (Lange et al ., 2005; Egemen et al ., 2008; Naitoh et al ., 2012; Hadi et al ., 2013; Kandemir et al ., 2014; Kilicoglu et al ., 2014; Avrech Bar et al ., 2015; Suzumura, 2015; Zare et al ., 2017). Caregivers of mentally-ill children were mostly recruited via (psychiatric) outpatient clinics or other centers specialised on the child's diagnosis.…”

“…The following measures were taken to reduce interdependences of effects: Firstly, only effects for mothers were considered in studies that reported effects for mothers and fathers of the same child separately (Lange et al 2005;Allik et al 2006;Mugno et al 2007;Yamada et al 2012;Anastasiadou et al 2016;Jalenques et al 2017).…”

“…Secondly, only one comparison was considered from publications that compared the QOL of caregivers of two different groups of mentally-ill children to just one control group. In one study (Anastasiadou et al ., 2016), caregivers of children with substance-related disorders (SRD) were included (excluded: caregivers of children with eating disorders, ED) as the proportion of boys was higher in this clinical group and thus more comparable with the other included studies. In another study (Lange et al ., 2005), the ADHD sample was given preference over the ED sample, since ADHD was the second most commonly considered disorder in the included studies.…”

“…An outlier was defined as an ES exceeding three standard deviations from the composite ES (Lipsey and Wilson, 2001). Based on this criteria, only one study was identified as an outlier (Anastasiadou et al ., 2016). Given that the outlier effect was in the same direction as the mean effect and since no reasons for the variation were found, the effect was retained.…”

Family accommodation in psychopathology: A synthesized review

“…Quantitative data also support associations between family accommodation and factors that increase caregiver burden. [858687] Family accommodation is higher in caregivers of patients with a longer duration of the disorder, patients with anorexia nervosa (compared to bulimia nervosa), when the caregiver spends more time with the patient, has a personal history of an eating disorder, and when the caregiver or the patient have high levels of anxiety. [868889] Family accommodation also mediated the relation between objective indicators of burden (i.e., time spent across caregiving tasks) and subjective perception of burden (caregivers’ distress) in mothers of patients with anorexia nervosa.…”