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A systematic review of eating disorders and family functioning
Clinical Psychology Review ( IF 13.7 ) Pub Date : 2024-06-24 , DOI: 10.1016/j.cpr.2024.102462
Renee D Rienecke 1 , Xanthe Trotter 2 , Paul E Jenkins 2
Affiliation  

The purpose of the current review was to address four questions: 1) Are there differences in family functioning or family environment among patients with different eating disorder (ED) diagnoses? 2) Are there differences in the perception of family functioning or family environment among different family members? 3) Is family functioning or family environment related to ED symptomatology? 4) Does family functioning or family environment change as a result of ED treatment? and 4a) If so, does this impact ED treatment outcome? Although most studies found no differences among ED diagnostic groups, those that did generally found worse family functioning among those with binge/purge symptoms than among those with the restricting subtype of anorexia nervosa. Differences in perceptions of family functioning among family members were found, with patients generally reporting worse functioning than their parents. Worse family functioning was generally found to be related to worse ED symptoms. The variety of treatment approaches and different assessments of outcome made it somewhat unclear whether family functioning consistently improves with ED treatment. More research is needed on family functioning and EDs, particularly in understudied groups such as males, and those with ED diagnoses other than anorexia nervosa or bulimia nervosa.

中文翻译:


饮食失调和家庭功能的系统评价



本综述的目的是解决四个问题:1) 不同饮食失调 (ED) 诊断的患者在家庭功能或家庭环境中是否存在差异?2) 不同家庭成员对家庭功能或家庭环境的认知是否存在差异?3) 家庭功能或家庭环境是否与 ED 症状有关?4) ED 治疗是否会改变家庭功能或家庭环境?4a) 如果是这样,这会影响 ED 治疗结果吗?尽管大多数研究发现 ED 诊断组之间没有差异,但那些发现有暴饮暴食/清除症状的人的家庭功能通常比具有限制性神经性厌食症亚型的人更差。发现家庭成员对家庭功能的看法存在差异,患者通常报告功能比父母差。通常发现较差的家庭功能与较差的 ED 症状有关。治疗方法的多样性和不同的结局评估使得 ED 治疗是否持续改善家庭功能有些不清楚。需要对家庭功能和 ED 进行更多研究,特别是在研究不足的群体中,例如男性,以及那些被诊断为 ED 而不是神经性厌食症或神经性贪食症的人。
更新日期:2024-06-24
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