Salient Stressors for Mothers of Children and Adolescents With Anorexia Nervosa

Keitel, Merle A.; Parisi, Melinda; Whitney, Jessica L.; Stack, Lauren F.

doi:10.1080/10640266.2010.511937

Cited by 9 publications

(12 citation statements)

References 14 publications

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“…Despite reporting that having a target with ED habits negatively affected their cognitions, behaviors, and emotions, participants generally had low levels of positive coping and reported some concerning methods of coping. These findings are consistent with previous research indicating that parents experienced maladaptive coping or deterioration of coping skills in response to the emotional stress of caring for a child with an ED (Keitel et al, ; Kyriacou, Treasure, & Schmidt, ). Participants disclosed engaging in self‐harm behaviors and experimenting with restrictive dieting, bingeing/purging, and other compensatory behaviors to cope.…”

Section: Discussionsupporting

confidence: 91%

“…In fact, the majority of participants sought support from peers to cope with their feelings about having a target with ED behaviors. Participants identified several themes related to their friendships/relationships with their targets that were previously noted by the targets’ family members, including making personal sacrifices, using poor coping strategies, feeling socially isolated, and keeping the targets’ ED a secret (Hillege et al, ; Keitel et al, ). These participants also identified themes that appear to be unique to the college student population, such as engaging in conforming behavior and confronting the target.…”

Section: Discussionmentioning

confidence: 99%

“…In examining the effects of EDs on families, researchers have found that adolescents’ EDs can cause clinically significant distress in parents and lead to disruptions in family dynamics (Hillege, Beale, & McMaster, ; Keitel, Parisi, Whitney, & Stack, ; Leonidas & Santos, ). For example, Whitney, Haigh, Weinman, and Treasure () found that, in a sample of parents who had an adolescent with an ED, 40% experienced distress.…”

mentioning

confidence: 99%

“…For example, Whitney, Haigh, Weinman, and Treasure () found that, in a sample of parents who had an adolescent with an ED, 40% experienced distress. Family fracturing, decreased coping ability, sibling distress, personal sacrifice, and social isolation contribute to families’ distress (Hillege et al, ; Keitel et al, ). In addition, Leonidas and Santos () found that, in the majority (58%) of the studies they reviewed, feelings of conflict, loss, guilt, and sacrifice were characteristic of relationships within families whose teens were diagnosed with an ED.…”

mentioning

confidence: 99%

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The Impact of Disordered Eating Behavior on College Relationships: A Qualitative Study

Paul

Pazienza

Maestro

et al. 2018

J of College Counseling

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The authors explored how college students’ disordered eating behaviors affect their peers. Participants were 8 undergraduate students from a northeastern university with a peer who currently or previously engaged in eating disorder (ED) behaviors. Results from a consensual qualitative analysis provided preliminary evidence that students’ EDs negatively affect peers. Outreach and interventions such as cognitive behavior therapy could be used to assist peers of students with EDs. Researchers should investigate the impact of students’ ED behaviors on peers’ health and academic performance.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The Impact of Disordered Eating Behavior on College Relationships: A Qualitative Study

Paul

Pazienza

Maestro

et al. 2018

J of College Counseling

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“…However, until recently, few published studies have examined the caregiving experiences in EDs among child and adolescent samples (Keitel, Parisi, Whitney, & Stack, 2010;Zabala, Macdonald, & Treasure, 2009). …”

Section: Introductionmentioning

confidence: 99%

The relationship between dysfunctional family patterns and symptom severity among adolescent patients with eating disorders: A gender-specific approach

et al. 2015

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Parents' illness representations of their child with anorexia nervosa: A systematic review of qualitative studies using the common‐sense model

Marchetti,

Sawrikar

2023

Intl J Eating Disorders

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ObjectiveResearch indicates that parents experience distress while caring for a child with anorexia nervosa. Applying the Common Sense Model of Self‐Regulation (CSM), a framework to describe responses to illness may help to understand the antecedents of parental distress, which could inform how to support parents in treatment. The aim of this systematic review was to synthesize outcomes from qualitative research in relation to parents' experiences of caring for a child with anorexia nervosa using the CSM.MethodSystematic search of four electronic databases (psychINFO, MEDLINE, EMBASE, ProQuest Dissertation, and Theses Database) alongside a two‐way screening process was used to identify eligible studies. Qualitative themes were synthesized using a “best fit” framework analysis and reported according to CSM dimensions of cognitive and emotional illness representations.ResultsA total of 32 studies published between 1970 and 2023 were eligible for inclusion for review. Parents perceived their child's anorexia nervosa as a major health threat observable by illness representations that anorexia nervosa was uncontrollable, incomprehensible, chronic, and associated with negative consequences. The themes also suggested parents take responsibility for causing anorexia nervosa. These illness representations were linked with emotional representations of fear, anxiety, shame, guilt, loneliness, and depression.ConclusionsThe findings provide evidence of the utility of using the CSM to understand the antecedents of parents' distress and negative impacts of caring for a child with anorexia nervosa. Recommendations for future research and clinical practice are discussed emphasizing the need to understand parents' perceptions of their child's illness to putatively maximize treatment benefits for families.Public SignificanceThis review emphasizes the salience of understanding parents distress while caring for a child with anorexia nervosa. The findings present opportunities to best support parents in treatment, with a focus on addressing their cognitive and emotional representations of their child's illness. A multicomponent treatment regimen may be required to support parents if they present with illness representations that negatively affect their well‐being and ability to cope with distress.

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Salient Stressors for Mothers of Children and Adolescents With Anorexia Nervosa

Cited by 9 publications

References 14 publications

The Impact of Disordered Eating Behavior on College Relationships: A Qualitative Study

The Impact of Disordered Eating Behavior on College Relationships: A Qualitative Study

The relationship between dysfunctional family patterns and symptom severity among adolescent patients with eating disorders: A gender-specific approach

Parents' illness representations of their child with anorexia nervosa: A systematic review of qualitative studies using the common‐sense model

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