Top

Gepubliceerd in:

05-06-2020 | Original Paper

How do Families of Adolescents with Anorexia Nervosa Coordinate Parenting?

Auteurs: Michela Criscuolo, Fiorenzo Laghi, Silvia Mazzoni, Maria C. Castiglioni, Stefano Vicari, Valeria Zanna

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 9/2020

Abstract

Current guidelines for the treatment of anorexia nervosa (AN) in children and adolescents underline the central role of parents’ involvement for positive therapy outcomes. However, little is known about the influence of cooperation between the parental couple on family functioning and the maintenance of food symptoms in the anorexic child. This exploratory study reports preliminary data on coparenting and family functioning in families of adolescents with AN and their associations with food symptoms, in terms of body mass index (BMI). The sample consisted of 24 families of adolescents with AN, who had been admitted to a specialized tertiary level children’s hospital. Family coordination was evaluating using the Lausanne Trilogue Play (LTP) and coparenting style was measured using the Coparenting and Family Rating System (CFRS). Significant differences were found for different LTP functions (Friedman’s chi-square = 52.188; p < 0.001) and phases (Friedman’s chi-square = 10.277; p < 0.05). Families showed low coordination (66.7%) and a prevalence of dysfunctional co-parenting styles, including child-at-center (41.2%) and excluding (35.3%) styles. Families’ ability to participate in the third phase of the LTP was positively associated with BMI (rho = 0.558, p < 0.01). The coparenting relationship impacts the maintenance of eating pathology, though this association requires further investigation. Moreover, in line with clinical observations, the results show a prevalence of unexpressed parental conflict in the study sample. The LTP seems to be a more accurate observational tool for this kind of family dynamic than the CFRS, because it includes covert competitive and conflictual behaviors.

vorige artikel Family Experiences Prior to the Initiation of Care for First-Episode Psychosis: A Meta-Synthesis of Qualitative Studies

volgende artikel Exploring Ethnic Differences in Caregiver Perceptions of the Quality of Children’s Mental Health Care

Abbate Daga, G., Quaranta, M., Notaro, C., Urani, F., Amianto, F., & Fassino, S. (2011). Terapia familiare e disturbi del comportamento alimentare nelle giovani pazienti: Stato dell’arte. Giornale Italiano di Psicopatologia, 17, 40–47.

American Psychiatric Association. (2006). Treatment of patients with eating disorders, 3rd edition. American Journal of Psychiatry, 163(7), 4–54. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/eatingdisorders.pdf.

Baiocco, R., Cacioppo, M., & Craparo, G. (2012). Funzionamento familiare e comunicazione in famiglie con ragazze con anoressia nervosa: Percezioni a confronto [Family functioning and communication in families with girls with anorexia nervosa: a comparison of perceptions]. Psichiatria e Psicoterapia, 31(4), 231–243.

Balottin, L., Mannarini, S., Mensi, M. M., Chiappedi, M., & Gatta, M. (2017). Triadic interactions in families of adolescents with anorexia nervosa and families of adolescents with internalizing disorders. Frontiers in Psychology, 7, 1–13. https://doi.org/10.3389/fpsyg.2016.02046.CrossRef

Balottin, L., Mannarini, S., Mensi, M. M., Chiappedi, M., & Balottin, U. (2018). Are family relations connected to the quality of the outcome in adolescent anorexia nervosa? An observational study with the Lausanne Trilogue Play. Clinical Psychology & Psychotherapy, 25(6), 785–796. https://doi.org/10.1002/cpp.2314.CrossRef

Carneiro, C., Corboz-Warnery, A., & Fivaz-Depeursinge, E. (2006). The prenatal Lausanne Trilogue Play: A new observational assessment tool of the prenatal co-parenting alliance. Infant Mental Health Journal, 27(2), 207–228. https://doi.org/10.1002/imhj.20089.CrossRefPubMed

Casper, R. (1981). Family relationships in anorexia nervosa (Reply). Journal of Pediatrics, 99, 830–831.CrossRef

Casper, R. C., & Troiani, M. (2001). Family functioning in anorexia nervosa differs by subtype. International Journal of Eating Disorders, 30(3), 338–342. https://doi.org/10.1037/0893-3200.17.1.65.CrossRefPubMed

Cederblad, M., Gustafsson, P.A., & Lundin, B. (1987). CRS-turbo. Manual and rating-scales. Reports, Linkoping: Linkoping Department of Child and Adolescent Psychiatry, Report 7.

Cook-Darzens, S., Doyen, C., Falissard, B., & Mouren, M. C. (2005). Self-perceived family functioning in 40 French families of anorexic adolescents: Implications for therapy. European Eating Disorders Review, 13(4), 223–236. https://doi.org/10.1002/erv.628.CrossRef

Dancyger, I., Fornari, V., Scionti, L., Wisotsky, W., & Sunday, S. (2005). Do daughters with eating disorders agree with their parents’ perception of family functioning? Comprehensive Psychiatry, 46(2), 135–139. https://doi.org/10.1016/j.comppsych.2004.07.024.CrossRefPubMed

Depestele, L., Claes, L., & Lemmens, G. M. D. (2015). Promotion of an autonomy-supportive parental style in a multi-family group for eating-disordered adolescents. Journal of Family Therapy, 37, 24–40. https://doi.org/10.1111/1467-6427.12047.CrossRef

Eisler, I. (2005). The empirical and theoretical base of family therapy and multiple family day therapy for adolescent anorexia nervosa. Journal of Family Therapy, 27, 104–131. https://doi.org/10.1111/j.1467-6427.2005.00303.x.CrossRef

Favez, N., Frascarolo, F., Scaiola, C. L., & Corboz-Warnery, A. (2013). Prenatal representations of family in parents and coparental interactions as predictors of triadic interactions during infancy. Infant Mental Health Journal, 34(1), 25–36. https://doi.org/10.1002/imhj.21372.CrossRef

Favez, N., Lopes, F., Bernard, M., Frascarolo, F., Scaiola, C. L., Corboz Warnery, A., & Fivaz Depeursinge, E. (2012). The development of family alliance from pregnancy to toddlerhood and child outcomes at 5 years. Family Process, 51(4), 542–556. https://doi.org/10.1111/j.1545-5300.2012.01419.x.CrossRefPubMed

Feinberg, M. E., Kan, M. L., & Hetherington, E. M. (2007). The longitudinal influence of coparenting conflict on parental negativity and adolescent maladjustment. Journal of Marriage and Family, 69(3), 687–702. https://doi.org/10.1111/j.1741-3737.2007.00400.x.CrossRefPubMed

Fivaz-Depeursinge, E., & Corboz-Warnery, A. (1999). The primary triangle. New York: Basic Books.

Fivaz-Depeursinge, E., & Philipp, D. A. (2014). The baby and the couple: Understanding and treating young families. London and New York: Routledge.CrossRef

Florsheim, P., Sumida, E., McCann, C., Winstanley, M., Fukui, R., Seefeldt, T., & Moore, D. (2003). The transition to parenthood among young African American and Latino couples: Relational predictors of risk for parental dysfunction. Journal of Family Psychology, 17(1), 65–79. https://doi.org/10.1037/0893-3200.17.1.65.CrossRefPubMed

Garfinkel, P., & Garner, D. (1983). Anorexia nervosa: A multidimensional perspective. New York, NY: Brunner/Mazel.

Garner, D., Garfinkel, P., & O’Shaughnessy, M. (1985). The validity of the distinction between bulimia with and without anorexia nervosa. American Journal of Psychiatry, 142, 581–587. https://doi.org/10.1176/ajp.142.5.581.CrossRefPubMed

Gatta, M., Sisti, M., Sudati, L., Miscioscia, M., & Simonelli, A. (2016). The Lausanne Trilogue Play within the outcome evaluation in infant mental health: a preliminary report. Research in Psychotherapy, 19(1), 19–30. https://doi.org/10.4081/ripppo.2016.198.CrossRef

Gatta, M., Sudati, L., Sisti, M., Miscioscia, M., Calloni, V., & Simonelli, A. (2017). Il ruolo delle interazioni familiari nell’espressione del disagio psichico in adolescenza: uno studio preliminare. Psicologia Clinica dello Sviluppo, 3, 397–418. https://doi.org/10.1449/88500.CrossRef

Hansson, K. (1989). Familjediagnostiska modeller [Family diagnostic models]. In: M. Cederblad & K. Hansson, Familjeterapi [Family therapy]. Psykisk Halsa; Suppl 30.

Holtom-Viesel, A., & Allan, S. (2014). A systematic review of the literature on family functioning across all eating disorder diagnoses in comparison to control families. Clinical Psychology Review, 34(1), 29–43. https://doi.org/10.1016/j.cpr.2013.10.005.CrossRefPubMed

Katz, L. F., & Gottman, J. M. (1996). Spillover effects of marital conflict: in search of parenting and coparenting mechanisms. In J. P. McHale & P. A. Cowan (Eds.), Understanding how family-level dynamics affect children’s development: studies of two parent families. San Francisco: Jossey-Bass.

Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., Williamson, D., & Ryan, N. (1997). Schedule for Affective Disorders and Schizophrenia for school-age children-Present and Lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child & Adolescent Psychiatry, 36(7), 980–988. https://doi.org/10.1097/00004583-199707000-00021.CrossRef

Kerig, P. K. (2005). Introduction: contributions of the investigation of boundary dissolution to the understanding of developmental psychopathology and family process. Journal of Emotional Abuse, 5(2–3), 1–4. https://doi.org/10.1300/J135v05n02_02.CrossRef

Kog, E., & Vandereycken, W. (1989). Family interaction in eating disorder patients and normal controls. International Journal of Eating Disorders, 8(1), 11–23. https://doi.org/10.1002/1098-108X(198901)8:13.0.CO;2-1.CrossRef

Laghi, F., Pompili, S., Zanna, V., Castiglioni, M. C., Criscuolo, M., Chianello, I., & Baiocco, R. (2017). How adolescents with anorexia nervosa and their parents perceive the family functioning? Journal of Health Psychology, 22(2), 197–207. https://doi.org/10.1177/1359105315597055.CrossRefPubMed

Le Grange, D., Lock, J., Loeb, K., & Nicholls, S. (2010). Academy for eating disorders position paper: The role of the family in eating disorders. International Journal of Eating Disorders, 43(1), 1–5. https://doi.org/10.1002/eat.20751.CrossRefPubMed

Lock, J., & Le Grange, D. (2015). Treatment manual for anorexia nervosa. A family-based approach. 2nd edn London: The Guilford Press.

Lubrano Lavadera, A., Criscuolo, M., & Galante, L. C. (2016). Individual characteristics and relational dynamics of parental reject in high conflict divorce: a between groups comparison. Maltrattamento e Abuso all’Infanzia, 3, 79–100. https://doi.org/10.3280/MAL2016-003005.CrossRef

Lubrano Lavadera, A., Laghi, F., & Malagoli Togliatti, M. (2011). Assessing family coordination in divorced families. The American Journal of Family Therapy, 39(4), 277–291. https://doi.org/10.1080/01926187.2010.539479.CrossRef

Lubrano Lavadera, A., Mazzoni, S., Malagoli Togliatti, M., & San Martini, P. (2007). LTPc: attendibilità di un metodo osservazione diretta delle relazioni familiari. Rivista di studi familiari, 2(12), 29–50.

Malagoli Togliatti, M., & Mazzoni, S. (2006). Osservare, valutare e sostenere la relazione genitori-figli. Milano: Raffello Cortina Editore.

Margolin, G., Gordis, E. B., & John, R. S. (2001). Coparenting: A link between marital conflict and parenting in two-parent families. Journal of Family Psychology, 15(1), 3–21. https://doi.org/10.1037/0893-3200.15.1.3.CrossRefPubMed

Martin, M. J., Sturge-Apple, M. L., Davies, P. T., Romero, C. V., & Buckholz, A. (2017). A process model of the implications of spillover from coparenting conflicts into the parent-child attachment relationship in adolescence. Developmental Psychopathology, 29(2), 417–431. https://doi.org/10.1017/S0954579417000086.CrossRef

Mazzoni, S., & Lubrano Lavadera, A. (2013). Le Jeu Trilogique de Lausanne (LTP) en clinique: application dans le contexte d’interventions de soutien à la relation parents-enfants. In N. Favez, F. Frascarolo-Moutinot & H. Tissot (eds), Naître et grandir au sein de la triade. Le développement de l’alliance familiale (pp. 177–192). Louvain-la-Neuve, BG: De Boeck Supérieur Editeur.

Mazzoni, S., Veronesi, C., Vismara, L., Laghi, F., & Philipp, D. (2018). Family coordination in families who have a child with Autism Spectrum Disorder. Journal of Child and Family Studies, 27, 3107–3116. https://doi.org/10.1007/s10826-018-1191-4.CrossRef

McConnell, M. C., & Kerig, P. K. (2002). Assessing coparenting in families of school-age children: validation of the coparenting and family rating system. Canadian Journal of Behavioural Science, 34(1), 44–58. https://doi.org/10.1037/h0087154.CrossRef

McDermott, B. M., Batik, M., Roberts, L., & Gibbon, P. (2002). Parent and child report of family functioning in a clinical child and adolescent eating disorders sample. Australian and New Zealand Journal of Psychiatry, 36(4), 509–514. https://doi.org/10.1046/j.1440-1614.2002.01043.x.CrossRefPubMed

McHale, J. P., Kazali, C., Rotman, T., Talbot, J., Carleton, M., & Lieberson, R. (2004). The transition to coparenthood: Parents’ prebirth expectations and early coparental adjustment at 3 months postpartum. Development and Psychopathology, 16(3), 711–733. https://doi.org/10.1017/S0954579404004742.CrossRefPubMed

McHale, J., Kuersten Hogan, R., & Lauretti, A. (2001). Evaluating coparenting and family level dynamics during infancy and early childhood: The coparenting and family rating system. In P. Kerig & K. Lindahl (Eds.), Family observational coding systems: resources for systemic research (pp. 151–170). Mahwah, NJ: Erlbaum.

McHale, J. (2007a). Charting the bumpy road of coparenthood: understanding the challenges of family life. Washington, DC: Zero to Three.

McHale, J. (2007b). When infants grow up in multiperson relationship systems. Infant-Mental Health Journal, 28, 370–392. https://doi.org/10.1002/imhj.20142.CrossRefPubMedPubMedCentral

Minuchin, S. (1974). Families & family therapy. Oxford, England: Harvard U. Press.

Minuchin, S., Rosman, B. L., & Baker, L. (1978). Psychosomatic families. Anorexia nervosa in context. Cambridge: Harvard University Press.

National Institute for Clinical Excellence. (2004). Eating disorders. Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. Clinical Guidelines, 9, 1–36. https://www.ncbi.nlm.nih.gov/books/NBK49304/.

North, C., Gowers, S., & Byram, V. (1995). Family functioning in adolescent anorexia nervosa. British Journal of Psychiatry, 167, 673–678. https://doi.org/10.1007/BF03325038.CrossRefPubMed

Onnis, L., Barbara, E., Bernardini, M., Caggese, A., Di Giacomo, S., Giambartolomei, A., & Vietri, A. (2012). Family relations and eating disorders. The effectiveness of an integrated approach in the treatment of anorexia and bulimia in teenagers: results of a case-control systemic research. Eating and Weight Disorders, 17(1), 36–48. https://doi.org/10.1007/BF03325326.CrossRef

Pasold, T. L., Boateng, B. A., & Portilla, M. G. (2010). The use of a parent support group in the outpatient treatment of children and adolescents with eating disorders. Eating Disorders, 18, 318–332. https://doi.org/10.1080/10640266.2010.490121.CrossRefPubMed

Riina, E. M., & Mchale, S. M. (2014). Bidirectional influences between dimensions of coparenting and adolescent adjustment. Journal of Youth and Adolescence, 43(2), 257–269. https://doi.org/10.1007/s10964-013-9940-6.CrossRefPubMed

Selvini Palazzoli, M. (1981). L’Anoressia mentale. Dalla terapia individuale alla terapia familiare. Milano: Feltrinelli.

Simonelli, A., De Palo, F., & Bighin, M. (2014). From pregnancy to the 9th month: the development of early interactive-relational competencies of the child in the family context. Interdisciplinary Journal of Family Studies, 19(1), 110–130. https://doi.org/10.13140/2.1.4110.1442.CrossRef

Strober, M., & Humphrey, L. L. (1987). Familial contributions to the etiology and course of anorexia nervosa and bulimia. Journal of Consulting and Clinical Psychology, 55(5), 654–659. https://doi.org/10.1037/0022-006X.55.5.654.CrossRefPubMed

Swanson, S. A., Crow, S. J., Le Grange, D., Swendsen, J., & Merikangas, K. R. (2011). Prevalence and correlates of eating disorders in adolescents. Archives of General Psychiatry, 68(7), 714–723. https://doi.org/10.1001/archgenpsychiatry.2011.22.CrossRefPubMedPubMedCentral

Teubert, D., & Pinquart, M. (2010). The association between coparenting and child adjustment: a meta-analysis. Parenting: Science and Practice, 10, 286–307. https://doi.org/10.1080/15295192.2010.492040.CrossRef

Vidovic, V., Juresa, V., & Begovac, I. (2005). Perceived family cohesion, adaptability and communication in eating disorders. European Eating Disorders Review, 13, 19–28. https://doi.org/10.1002/erv.615.CrossRef

Wallin, U., & Hansson, K. (1999). Anorexia nervosa in teenagers: patterns of family function. Nordic Journal of Psychiatry, 53(1), 29–35. https://doi.org/10.1080/080394899426684.CrossRef

Zanna, V., Castiglioni, M. C., Criscuolo, M., Chianello, I., Elisei, M., Cinelli, & Vicari, S. (2017). Day- hospital multifocal integrated treatment for anorexia nervosa in adolescents: a one year follow up. Journal of Child and Family Studies, 26(5), 1460–1471. https://doi.org/10.1007/s10826-017-0666-z.CrossRef

Titel: How do Families of Adolescents with Anorexia Nervosa Coordinate Parenting?
Auteurs: Michela Criscuolo
Fiorenzo Laghi
Silvia Mazzoni
Maria C. Castiglioni
Stefano Vicari
Valeria Zanna
Publicatiedatum: 05-06-2020
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 9/2020
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-020-01740-2

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 9/2020

Psychometric Evaluation of the Big Five Questionnaire for Children (BFQ-C): A Rasch Model Approach

Parental Support, Health, and Cyberbullying among Adolescents with Intellectual and Developmental Disabilities

Family Experiences Prior to the Initiation of Care for First-Episode Psychosis: A Meta-Synthesis of Qualitative Studies

Relationships Among Callous-Unemotional Traits, Future Orientation, Optimism, and Self-Esteem in Justice-Involved Adolescents

The Infant Simulator Paradigm with Non-Parents: Attitudes, Physiology, and Observed Caregiving

Does the SafeCare Parenting Program Impact Caregiver Mental Health?