Parents’ and daughters’ perception of family aspects associated with the onset of an eating disorder / Percepción de padres e hijas acerca de los aspectos familiares asociados con el inicio de un trastorno alimentario

Abstract

The purpose of this study was to identify and comprehend the family aspects associated to the development of an eating disorder (ED), from the point of view of parents with daughters diagnosed with an ED and women diagnosed with an ED. It is a qualitative study where a semi structured interview was used that gathered information about familial support, emotional expression, familial cohesion, problem solving, stressful life events and life cycle transitions, criticism about eating, body shape and weight. The sample comprised nine participants: five parents with daughters diagnosed with an ED, and four women with an ED. A content analysis derived two categories: Difficulties in rearing practices, and Parent's negative attitudes towards daughters eating, shape and weight. Parents showed difficulty with rearing practices during their daughter's childhood and adolescence that hindered the identification of the beginning of the ED. Parents also demonstrated affect by expressing approbation words when their daughters were slim and skipped this same expression for those who weren't. Both aspects were related to the development of an ED. In conclusion, it is highlighted the importance of considering familial aspects in the prevention of ED. show that parents have limited skills for addressing problems or conflicts, implement rigid, unpredictable norms and tend to be demanding, unaffectionate and establish ambivalent bonds (Mateos-Agut et al., 2014;Ward, Ramsaid & Treasure, 2000). These are also families that exert parental control that prevents decision-making, individualization and autonomy in their children.Adolescents with eating disorder symptoms perceive their parents as controlling rather than as supportive figures who encourage family union (Berge, Loth, Hanson, Croll & Neumark-Sztainer, 2011;Brown & Geller, 2006;Dring, 2015;Lampis, Agus & Cacciarru, 2013;Loth et al., 2009), particularly in response to traumatic events such as a serious illness, the death of a family member or sexual abuse (Tagay, Schlottbohm, Reyes-Rodríguez, Repic & Snef, 2014). Dúo, López, Pastor and Sepúlveda (2014) state that promoting dependence in their daughters, parental conflict (in which the daughter is trapped by divided loyalties), conflict avoidance and parents' lack of involvement in ResumenEl objetivo de este trabajo fue identificar y comprender los aspectos familiares (AF) asociados al desarrollo de un trastorno de la conducta alimentaria (TCA), a partir de la percepción de padres con hijas diagnosticadas con TCA y de mujeres con diagnóstico de TCA. Este estudio cualitativo, con base a una entrevista semi-estructurada, abordó temas como: apoyo familiar, expresión de emociones, cohesión familiar, solución de problemas, situaciones de vida estresantes y de transición en el ciclo vital de la familia, burlas y comentarios negativos hacia la alimentación, la forma y el peso corporal. La muestra constó de nueve participantes: cinco padres de hijas diagnosticadas con TCA y cuatro mujeres con diagnóstico de TCA. El análisis de co...

Risk Eating Behavior, Family Functioning, Parental Practices and Parenting Styles Dyad Mother-Children/Conductas alimentarias de riesgo, funcionamiento familiar, prácticas maternales, y estilos de crianza en la díada madre-hijo

“…En relación con las prácticas asociadas a la aparición de los TAIA/CAR, se han identificado algunos factores vinculados, entre los que se encuentran: a) Dificultad por parte de los padres para dar soporte en situaciones de crisis, b) Dificultad para la expresión emocional y afectiva, c) Problemas para establecer confianza entre padres e hijos, d) Poca capacidad de resolución de problemas y d) Prácticas parentales sobre la alimentación (Bautista-Díaz et al, 2020;Rivera et al, 2018). Dentro de las prácticas parentales sobre la alimentación que incrementan la probabilidad de desarrollar algún TAIA/CAR, se encuentran aquellas asociadas con la capacidad de respuesta, el control del niño, el uso de comida como recompensa y la participación (específicamente en las prácticas de alimentación, como usar comida para calmar, presionar, etc.…”