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：

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对饮食失调和家庭功能的系统回顾


本次综述的目的是解决四个问题：1）不同饮食失调（ED）诊断的患者的家庭功能或家庭环境是否存在差异？ 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与 ED 症状有关吗？ 4) 家庭功能或家庭环境是否会因 ED 治疗而改变？ 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，但那些发现的研究通常发现，有暴饮暴食/通便症状的人的家庭功能比患有限制性神经性厌食症亚型的人更差。研究发现，家庭成员对家庭功能的看法存在差异，患者普遍报告家庭功能比父母更差。家庭功能较差通常与 ED 症状恶化有关。治疗方法的多样性和对结果的不同评估使得我们不清楚家庭功能是否会随着 ED 治疗而持续改善。需要对家庭功能和 ED 进行更多研究，特别是在男性等未充分研究的群体中，以及那些诊断为神经性厌食症或神经性贪食症以外的 ED 的人。