Is There a Family Profile of Addictive Behaviors? Family Functioning in Anorexia Nervosa and Drug Dependence Disorder

Doba, Karyn; Nandrino, Jean‐Louis; Dodin, Vicent; Antoine, Pascal

doi:10.1002/jclp.21977

Cited by 21 publications

(12 citation statements)

References 61 publications

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“…Therefore, this suggests that impairment in family functioning may be relatively low across this sample. This is somewhat inconsistent with previous research, which has generally found that families of adolescents with AN report greater family functioning impairment in multiple areas compared to community norms and non‐psychiatric controls . The lack of a non‐clinical comparison group in this study and the differences in measures used to assess family functioning across studies limit many direct comparisons to previous research.…”

Section: Discussioncontrasting

confidence: 81%

“…Family Functioning in Two Treatments for Adolescent Anorexia Nervosa Family functioning is an important but often neglected outcome in the treatment of eating disorders, given consistent reports from patients and their family members of impairment in one or more areas of family functioning compared to community norms [1][2][3] and to non-psychiatric controls. [4][5][6][7][8][9][10] Common areas of family functioning impairment include family cohesion and organization, family conflict, and emotional expression.…”

Section: Introductionmentioning

confidence: 99%

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Family functioning in two treatments for adolescent anorexia nervosa

Ciao

Accurso

Fitzsimmons‐Craft

et al. 2014

Intl J Eating Disorders

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Objective Family functioning impairment is widely reported in the eating disorders literature, yet few studies have examined the role of family functioning in treatment for adolescent anorexia nervosa (AN). This study examined family functioning in two treatments for adolescent AN from multiple family members’ perspectives. Method Participants were 121 adolescents with AN ages 12–18 from a randomized-controlled trial comparing family-based treatment (FBT) to individual adolescent-focused therapy (AFT). Multiple clinical characteristics were assessed at baseline. Family functioning from the perspective of the adolescent and both parents was assessed at baseline and after one year of treatment. Full remission from AN was defined as achieving both weight restoration and normalized eating disorder psychopathology. Results In general, families dealing with AN reported some baseline impairment in family functioning, but average ratings were only slightly elevated compared to published impaired functioning cutoffs. Adolescents’ perspectives on family functioning were the most impaired and were generally associated with poorer psychosocial functioning and greater clinical severity. Regardless of initial level of family functioning, improvements in several family functioning domains were uniquely related to full remission at the end of treatment in both FBT and AFT. However, FBT had a more positive impact on several specific aspects of family functioning compared to AFT. Discussion Families seeking treatment for adolescent AN report some difficulties in family functioning, with adolescents reporting the greatest impairment. While FBT may be effective in improving some specific aspects of family dynamics, remission from AN was associated with improved family dynamics, regardless of treatment type.

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Section: Discussioncontrasting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Family functioning in two treatments for adolescent anorexia nervosa

Ciao

Accurso

Fitzsimmons‐Craft

et al. 2014

Intl J Eating Disorders

View full text Add to dashboard Cite

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“…Considering that the fundamental assumption of the social cognitive model is that behavior is also influenced by external factors, it is also important for research to account for the types of external antecedents that may influence adolescent's SNSs use. Among the different types of external factors, studies have shown that parents play an important role in influencing the outcomes of addictive tendencies and problematic media behaviors in their adolescents and children (Doty & Dworkin, 2014;Valcke et al, 2010;Yu, Kim, & Hay, 2013); this is consistent with findings from developmental psychology, which show how parents' roles and functions are associated with the development of addictive tendencies during adolescence (Baumrind, 1991;Doba et al, 2014;Montgomery, Fisk, & Craig, 2008;Putnick et al, 2008 While there is a growing interest in understanding the role of parents and its link with problematic media use, one area that received significantly less attention is how parent-child relationship may be an antecedent of problematic SNSs use. This study proposes that relationship with parents may be as equally important as existing focus on external factors such as parental mediation.…”

Section: External Antecedents-relationship With Father and Mothersupporting

confidence: 78%

“…While the findings certainly contribute to the overall understanding of what are the antecedents of problematic media behaviors, compulsivity in media use is a complex phenomenon that is often a consequence of both individual and external factors (Andreassen & Pallesen, 2014). This is well documented in existing literature as studies have shown that external factors such as family structure and relationships are related to development of addictive behaviors (A. E. Barrett & Turner, 2006;Doba, Nandrino, Dodin, & Antoine, 2014;J. Xu et al, 2014;Yen, Yen, Chen, Chen, & Ko, 2007).…”

Section: Social Cognitive Modelmentioning

confidence: 80%

#Hooked? Extending the social cognitive model in examining the antecedents of problematic social network sites use among Singaporean adolescents and adults

Lee¹

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Cases of social network sites (SNSs) users potentially developing problematic SNSs use have revived scholarly interest in addictive media research in the last few years. As a nascent research area, there is a need for clear communication-centric theoretical paradigms and rigorous methods in guiding empirical inquiry in problematic SNSs use. The purpose of this thesis is to test and extend the social cognitive model of problematic media use in the context of SNSs and examine what are the external and individual-level antecedents of problematic SNSs use among Singaporean adolescents and adults. Chapter One identifies some of the gaps in existing problematic media use research, highlights the objectives of this thesis, and outlines how subsequent chapters attempt to bridge these existing gaps. Chapter Two defines SNSs, highlights their distinctiveness from other social media applications, and describes their prevalent use among adolescents and adults. Chapter Three contains the first study in this thesis-a critical review-which gives an overview of problematic media use research, identifies the strengths and weaknesses of existing theoretical frameworks used in problematic media use research, and argues why the social cognitive model has the most potential for theoretical development and extension in the field of communication. The chapter also presents the social cognitive model as the overarching framework that will guide rest of the studies. Chapter Four contains the second study in this thesis, which tests the viability of the social cognitive model in explaining problematic SNSs use on a sample of 293 secondary students aged 13 to 17 years in Singapore using covariance structure modeling. In the study, the results showed that adolescents' time spent on SNSs was a function of both deficient selfxi observation and deficient self-regulation. Second, self-reactive outcome expectations were positively associated with deficient self-observation and deficient self-reaction. Third, depression and loneliness were positively associated with self-reactive outcome expectations and deficient self-reaction. The overall analysis showed that the social cognitive model was a viable communication model in understanding problematic SNSs use as it had good psychometric properties and all the hypothesized paths were significant. Chapter Five-which is the third study-builds upon the findings of Chapter Four by postulating that problematic SNSs use is a three-dimensional factor comprising of excessive SNSs use, withdrawal symptoms, and negative outcomes, and extends the social cognitive model to include both external-(relationship with parents) and individual-level antecedents (i.e., depression, loneliness, dependence on SNSs for identity formation, and self-reactive outcome expectations). The model was tested on a large-scale nationally representative sample of adolescents aged between 13 and 17 (n = 4,920) recruited using multi-stage cluster and simple random sampling. The results supported the proposed three-dimension problematic ...

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“…Spangler commented the study of Steele et al [21] , and raised the question of paternal relevance for attachment development. Their findings indicate that mother's representation contributes to the adolescent's attachment representation.…”

Section: Introductionmentioning

confidence: 99%

The Anorectic Girl and Her Father - The Interpersonal and Intrapsychic Meaning to the Girl

Neuberg¹,

Andersson²

2017

ujp

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Background:Little is known about the role of the fathers of anorectic women. The aim of this study was to investigate the attachment state of mind in anorectic women and their fathers. In addition, two other groups of young women and their fathers were included. Methods: In total there were three groups consisting of women between 18-30 years with anorexia nervosa (AG), drug-dependency problems (DG) and students (SG) without significant problems. We also included the parents of all three groups. The diagnoses of anorexia nervosa and drug-dependency were made according to DSM-IV [1] and ICD-10 [2]. Several methods were used in the study. [3,4] The Adult Attachment Interview [5] was the focus of this report. Results: The analyses showed that the Anorectic women (AG) had more of a dismissing attachment state of mind, than those who were categorized as enmeshed or secure/autonomous. The attachment of the fathers showed more of a dismissing state of mind than of those categorized as with secure or enmeshed attachment. The subcategories showed that both among the anorectic women and the fathers the dismissing attachment state of mind with restriction of feelings was most represented. The dependent women (DG) had more of an unresolved/enmeshed attachment state of mind than those who were categorized as dismissing or secure/autonomous. The attachment of the fathers showed more of an unresolved/secure attachment state of mind than of those categorized as dismissing or enmeshed. The subcategories showed that enmeshed attachment state of mind of the dependent girls differed from fathers with the unresolved/secure attachment state of mind. Conclusion: This study illustrates the similarities and the differences of attachment styles among anorectic women and their fathers in comparison to the dependent women and their fathers. The insecure attachment is dominant in the two groups but differ in its expressions. The number of participants in the study was low and larger studies are needed to clarify the interpersonal and intra-psychic meaning to the anorectic woman.

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Is There a Family Profile of Addictive Behaviors? Family Functioning in Anorexia Nervosa and Drug Dependence Disorder

Abstract: The present study suggests that there are differing levels of severity of family disturbances among fathers, mothers, and patients in both anorexia nervosa and drug dependence disorder.

Cited by 21 publications

References 61 publications

Family functioning in two treatments for adolescent anorexia nervosa

Family functioning in two treatments for adolescent anorexia nervosa

#Hooked? Extending the social cognitive model in examining the antecedents of problematic social network sites use among Singaporean adolescents and adults

The Anorectic Girl and Her Father - The Interpersonal and Intrapsychic Meaning to the Girl

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