Skip to main content
Log in

Family influences, school behaviors, and risk for the later development of an eating disorder

  • Published:
Journal of Youth and Adolescence Aims and scope Submit manuscript

Abstract

Interviews were conducted with parents of 136 female and 45 male adolescents categorized into risk groups for the later development of an eating disorder. The family and school concomitants of risk status in females were demonstrated to be different from that in males. Risk group female adolescents rated family cohesion, parent-adolescent communication processes, and overall family satisfaction more negatively than the comparison group. Mothers of moderate risk group females reported lower family cohesion than the comparison group; there were no group differences for adolescent females in fathers' ratings of family measures. However, no group differences were found on any of the family measures between male risk and comparison males. For both females and males, there were no significant group differences in family history of eating and mood disorders, or alcohol dependence. Teacher ratings indicated relatively greater internalizing tendencies in the high-risk female group.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Achenbach, T. M. (1991).Manual for the Teacher's Report Form and 1991 Profile. University of Vermont Department of Psychiatry, Burlington, VT.

    Google Scholar 

  • Biederman, J., Rivinus, T., Kemper, K., Hamilton, D., MacFadyen, J., and Harmatz, J. (1985). Depressive disorders in relatives of anorexia nervosa patients with and without a current episode of nonbipolar major depression.Am. J. Psychiat. 142: 1495–1496.

    PubMed  Google Scholar 

  • Bulik, C. M. (1987). Drug and alcohol abuse by bulimic women and their families.Am. J. Psychiat. 144: 1604–1606.

    PubMed  Google Scholar 

  • Calam, R., Waller, G., Slade, P., and Newton, T. (1990). Eating disorders and perceived relationships with parents.Int. J. Eating Disorders 9: 479–485.

    Google Scholar 

  • Fichter, M. M., and Noegel, R. (1990). Concordance for bulimia nervosa in twins.Int. J. Eating Disorders 9: 255–263.

    Google Scholar 

  • Gershon, E. S., Schreiber, J. L., Hamovit, J. R., Dibble, E. D., Kaye, W. H., Nurnberger, J. I., Andersen, A., and Ebert, M. H. (1984). Clinical findings in patients with anorexia nervosa and affective illness in their relatives.Am. J. Psychiat. 141: 1419–1422.

    PubMed  Google Scholar 

  • Halmi, K. A., Casper, R. C., Eckert, E. D., Goldberg, S. C., and Davis, J. M. (1979). Unique features associated with age on onset of anorexia nervosa.Psychiat. Res. 1: 209–215.

    Google Scholar 

  • Holland, A. J., Hall, A., Murray, R., Russell, G. F., and Crisp, A. H. (1984). Anorexia nervosa: A study in 34 twin pairs and one set of triplets: A genetic or psychological explanation.Br. J. Psychiat. 145: 414–419.

    Google Scholar 

  • Hsu, L. K. G., Chesler, B. E., and Santhouse, R. (1990). Bulimia nervosa in eleven sets of twins: A clinical report.Int. J. Eating Disorders 9: 275–282.

    Google Scholar 

  • Humphrey, L. L. (1986). Family relations in bulimic-anorexic and nondistressed families.Int. J. Eating Disorders 5: 223–232.

    Google Scholar 

  • Johnson, C., and Flach, A. (1985). Family characteristics of 105 patients with bulimia.Am. J. Psychiat. 142: 1321–1324.

    PubMed  Google Scholar 

  • Kassett, J. A., Gershon, E. S., Maxwell, M. E., Guroff, J. J., Kazuba, D. M., Smith, A. L., Brandt, H. A., and Jimerson, D. C. (1989). Psychiatric disorders in the first-degree relatives of probabds with bulimia nervosa.Am. J. Psychiat. 146: 1468–1471.

    PubMed  Google Scholar 

  • Leon, G. L., Carroll, K., Chernyk, B., and Finn, S. (1985). Binge eating and associated habit patterns within college student and identified bulimic populations.Int. J. Eating Disorders 4: 43–57.

    Google Scholar 

  • Leon, G. L., Fulkerson, J. F., Perry, C. L., and Cudeck, R. (1993). Personality and behavioral vulnerabilities associated with risk status for eating disorders in adolescent girls.J. Abnorm. Psychol. 102: 438–444.

    PubMed  Google Scholar 

  • Leon, G. L., Lucas, A. R., Colligan, R. C., Ferdinande, R. J., and Kamp, J. (1985). Sexual, body-image, and personality attitudes in anorexia nervosa.J. Abnorm. Child Psychol. 13: 245–258.

    PubMed  Google Scholar 

  • Olson, D. H., McCubbin, H. I., Barnes, H., Larsen, A., Muxen, M., and Wilson, M. (1985).Family Inventories (Rev. ed.). Family Social Science, University of Minnesota, St. Paul, Minnesota.

    Google Scholar 

  • Ordman, A. M., and Kirschenbaum, D. S. (1986). Bulimia: Assessment of eating, psychological adjustment, and familial characteristics.Int. J. Eating Disorders 5: 865–878.

    Google Scholar 

  • Polivy, J., Herman, C. P., and Howard, K. I. (1988). The restraint scale: Assessment of dieting. In Hersen, M., and Bellack, A. (eds.),Encyclopedia of Assessment Devices. Pergamon Press, New York.

    Google Scholar 

  • Ruderman, A. J. (1983). Obesity, anxiety, and food consumption,Addict. Behav. 8: 235–242.

    PubMed  Google Scholar 

  • Spitzer, R. L. Williams, J. B. W., and Gibbon, M. (1987).Structured clinical interview for DSM-III-R Patient Version. Biometrics Research Department. New York State Psychiatric Institute, New York.

    Google Scholar 

  • Stern, S. L., Dixon, K. N., Jones, D., Lake, M., Nemzer, E., and Sansone, R. (1989). Family environment in anorexia nervosa and bulimia.Int. J. Eating Disorders 8: 25–31.

    Google Scholar 

  • Strober, M. (1981). The significance of bulimia in juvenile anorexia nervosa: An exploration of possible etiologic factors.Int. J. Eating Disorders 1: 28–43.

    Google Scholar 

  • Strober, M., Lampert, C., Morrell, W., Burroughs, J., and Jacobs, C. (1990). A. controlled family study of anorexia nervosa: Evidence of familial aggregation and lack of shared transmission with affective disorders.Int. J. Eating Disorders 9: 239–253.

    Google Scholar 

  • Waller, G., Slade, P., and Calam, R. (1990). Family adaptability and cohesion: Relation to eating attitudes and disorders.Int. J. Eating Disorders 9: 225–228.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This investigation was supported by NICHD Grant Number 1R01-HD24700 awarded to Gloria R. Leon.

Received Ph.D. from University at Maryla. Research interests include precursors of eating disorders and stress and coping in extreme environments. To whom correspondence should be addressed.

Received M.A. from San Diego State University. Research interests include precursors of eating disorders, substance abuse, and personality.

Received Ph.D. from Stanford University. Research interests include psychosocial aspects of health promotion and disease prevention.

Received B.A. from University of Maine. Research interests life span development and family issues.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Leon, G.R., Fulkerson, J.A., Perry, C.L. et al. Family influences, school behaviors, and risk for the later development of an eating disorder. J Youth Adolescence 23, 499–515 (1994). https://doi.org/10.1007/BF01537733

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01537733

Keywords

Navigation