Family interactions in bulimia nervosa I: Study design, comparisons to established population norms, and changes over the course of an intensive day hospital treatment program

Woodside, D. Blake; Shekter-Wolfson, Lorie F.; Garfinkel, Paul E.; Olmsted, Marion P.; Kaplan, Allan S.; Maddocks, Sarah

doi:10.1002/1098-108x(199503)17:2<105::aid-eat2260170202>3.0.co;2-p

Cited by 36 publications

(21 citation statements)

References 25 publications

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“…Previous studies that found differences in perception of family functioning among family members, either using the FAD (13) or the Family Assessment Measure (14) did not indicate what factors were underlying these differences. Daughters perceive the family functioning as more pathologic than do their mothers.…”

Section: Discussionmentioning

confidence: 82%

What may underlie differing perceptions of family functioning between mothers and their adolescent daughters with eating disorders?

Dancyger

Fornari²,

Sunday³

2006

International Journal of Adolescent Medicine and Health

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Daughters with eating disorders (ED) were found to perceive family functioning more negatively than their mothers. This study examined variables that may underlie these differences in a subgroup of adolescent girls and their mothers from the original study. Methods: Participants were 77 mother-adolescent daughter dyads. Daughters met current DSM-IV criteria for Anorexia Nervosa, Bulimia Nervosa or ED Not Otherwise Specified. Daughters and mothers completed the Family Assessment Device (FAD), which measures perceptions of family functioning with seven subscales. Daughters also completed the Eating Disorders Inventory (EDI). Backward elimination stepwise regressions were conducted on difference scores between mothers and daughters for each FAD subscale. Daughter's EDI subscales (except Bulimia) were entered as possible predictors. Results: Interpersonal Distrust was the only predictor of the differences between daughters and mothers on Problem Solving, Communication, Affective Responsiveness and General Functioning, accounting for 24%, 14%, 10% and 23% of the variance, respectively. Conclusions: Differences in viewpoints between mothers and daughters regarding the family environment may be understood in terms of the daughters' level of distrust of people in general and their overall feelings of inadequacy. Addressing these psychological difficulties may have powerful implications both for individual and family treatment in the recovery from an eating disorder. Could this be part of the dynamic that led to the eating disorder, a result of the stress on the whole family related to the eating disorder or some combination?

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Section: Discussionmentioning

confidence: 82%

What may underlie differing perceptions of family functioning between mothers and their adolescent daughters with eating disorders?

Dancyger

Fornari²,

Sunday³

2006

International Journal of Adolescent Medicine and Health

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“…The results of the FES and the PBI could also potentially index predisposing factors, although responses to these items could also be affected by later psychiatric status (Woodside et al, 1995). Reporting on family environment, the affected twins recalled their families as having more discord.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of monozygotic twins discordant for bulimia nervosa

Bulik

Wade

Kendler

2000

Int. J. Eat. Disord.

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“…The methods employed in this study have been described in Part I of this paper (Woodside et al, 1995). Briefly, a measure of family functioning, the Family Assessment Measure (FAM; Skinner, Steinhauer, & Santa-Barbara, 1983) was administered to families of individuals attending an intensive day hospital program for eating disorders.…”

Section: Methodsmentioning

confidence: 99%

Family interactions in bulimia nervosa II: Complex intrafamily comparisons and clinical significance

Woodside

Shekter-Wolfson

Garfinkel

et al. 1995

Int. J. Eat. Disord.

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This paper extends the analyses performed in part one to the area of complex intrafamily comparisons. Ratings by patients are consistently elevated compared to ratings by parents on all scales of the Family Assessment Measure (FAM), and there are significant interaction effects, which, when examined, suggest that patient scores improve while parental scores are relatively unchanged over the course of treatment in a day hospital. The clinical implications of these findings are discussed, and we attempt to clarify the role of the family therapist in the treatment of bulimia nervosa. © 1995 by John Wiley & Sons, Inc.

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Family interactions in bulimia nervosa I: Study design, comparisons to established population norms, and changes over the course of an intensive day hospital treatment program

Cited by 36 publications

References 25 publications

What may underlie differing perceptions of family functioning between mothers and their adolescent daughters with eating disorders?

What may underlie differing perceptions of family functioning between mothers and their adolescent daughters with eating disorders?

Characteristics of monozygotic twins discordant for bulimia nervosa

Family interactions in bulimia nervosa II: Complex intrafamily comparisons and clinical significance

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