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Family environment of eating disordered patients with and without self-injurious behaviors

Published online by Cambridge University Press:  16 April 2020

Laurence Claes ,
Walter Vandereycken  and
Hans Vertommen
Laurence Claes*
Affiliation:
Department of Psychology, Catholic University of Leuven, Leuven, Belgium
Walter Vandereycken
Affiliation:
Department of Psychology, Catholic University of Leuven, Leuven, Belgium
Hans Vertommen
Affiliation:
Department of Psychology, Catholic University of Leuven, Leuven, Belgium
*
*Corresponding author. Department of Psychology, K.U.L., Tiensestraat 102, 3000 Leuven, Belgium. Email address: laurence.claes@psy.kuleuven.ac.be
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Abstract

Objective.

– The family environment is known to be an important contributor to the course of psychiatric disorders. In this study, we examined the family context of eating disordered (ED) patients with and without self-injurious behaviors (SIB).

Method.

– A Dutch adaptation of the Family Environment Scale ‘Sci Eng 57(9-B):1997;5927’ was completed by 131 ED patients of whom 47% showed at least one form of SIB (e.g., cutting, burning, hair pulling, etc.).

Results

– Results showed a significant difference in family environment between patients with and without SIB. The family environment of self-injuring ED patients was less cohesive, expressive and socially oriented, and more conflictual and disorganized than the family environment of those without SIB. No significant differences in perceived family environment were found with respect to the number or form of SIB and the subtype of ED. Neither did we find a significant interaction effect between ED subtype and presence/absence of SIB.

Keywords

Eating disordersSelf-injurious behaviorFamily environment
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 8 , December 2004 , pp. 494 - 498
Copyright
Copyright © European Psychiatric Association 2004

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References

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington (DC): APA; 1994.Google Scholar
Boyd, CPGullone, ENeedleman, GLBurt, T.The Family Environment Scale: reliability and normative data for an adolescent sample. Fam Process 1997;36:369–73.CrossRefGoogle ScholarPubMed
Carroll, JShaffer, CSpensley, JAbramowitz, SI.Family experiences of self-mutilating patients. Am J Psychiatry 1980;137:852–3.Google ScholarPubMed
Claes, LVandereycken, WVertommen, H.Self-injurious behaviors in eating-disordered patients. Eat Behav 2001;2:263–72.CrossRefGoogle ScholarPubMed
Claes, LVandereycken, WVertommen, H.Impulsive and compulsive traits in eating disordered patients compared with controls. Pers Individ Dif 2002;32:707–14.CrossRefGoogle Scholar
Fallon, BASadik, CSaoud, JBGarfinkel, RS.Childhood abuse family environment and outcome in bulimia nervosa. J Clin Psychiatry 1994; 55:424–8.Google ScholarPubMed
Favaro, ASantonastaso, P.Impulsive and compulsive self-injurious behavior in bulimia bervosa: prevalence and psychological correlates. J Nerv Ment Dis 1998;186:157–65.CrossRefGoogle ScholarPubMed
Felker, KRStivers, C.The relationship of gender and family environment to eating disorder risk in adolescents. Adolescence 1994;29: 821–34.Google ScholarPubMed
Finney, JMoos, RMewborn, R.Post-treatment experiences and treatment outcome of alcoholic patients six months and two years after hospitalization. J Consult Clin Psychol 1990;48:17–29.CrossRefGoogle Scholar
Green, RGKelevzon, MSVosler, NR.The Beavers-Timberlawn Model of family competence and the circumplex model of family adaptability and cohesion: separate but equal? Fam Process 1985;24: 385–98.Google ScholarPubMed
Halvorsen, JG. Self-report family assessment instruments: an evaluative review. Fam Pract Res J 1991;11:21–55.Google ScholarPubMed
Jansma, JBMde Coole, RL. GKS-II: Gezinsklimaatschaal-Handleiding. Lisse: Swets & Zeitlinger; 1995.Google Scholar
Johnson, CFlach, A.Family characteristics of 105 patients with bulimia. Am J Psychiatry 1985;142:1321–4.Google ScholarPubMed
Kent, JSClopton, JR.Bulimic women’s perceptions of their family relationships. J Clin Psychol 1992;48:281–92.3.0.CO;2-O>CrossRefGoogle ScholarPubMed
Klump, KLBulik, CMPollice, CHalmi, KAFichter, MMBerrettini, WH, et al. Temperament and character in women with anorexia nervosa. J Nerv Ment Dis 2000;188:559–67.CrossRefGoogle ScholarPubMed
Mood, AMGraybill, FABoes, DC.Introduction to the theory of statistics. 3rd ed. Singapore: McGraw-Hill; 1974.Google Scholar
Moos, RMoos, B.The Family Environment Scale Manual. Palo Alto: Consulting Psychologists Press; 1986.Google Scholar
Offner, D.Eating disorders: family environment and outcome. Dissertation abstracts international: section B. Sci Eng 1997;57(9-B):5927.Google Scholar
Roosa, MWBeals, J.Measurement issues in family assessment: the case of the Family Environment Scale. Fam Process 1990;29:191–8.Google ScholarPubMed
Roosa, MWBeals, J.A final comment on the case of the Family Environment Scale. Fam Process 1990;29:209–11.CrossRefGoogle Scholar
Simpson, CAPorter, GL.Self-mutilation in children and adolescents. Bull Menninger Clin 1981;45:428–38.Google ScholarPubMed
Spiegel, DWissler, T.Family environment as a predictor of psychiatric rehospitalization. Am J Psychiatry 1986;143:56–60.Google ScholarPubMed
Strober, M.The significance of bulimia in juvenile anorexia nervosa. Int J Eat Disord 1981;1:28–43.3.0.CO;2-9>CrossRefGoogle Scholar
Thieneman, MSteiner, H.Family environment of eating disordered and depressed adolescents. Int J Eat Disord 1993;14:43–8.3.0.CO;2-7>CrossRefGoogle Scholar
Vandereycken, W.The Eating Disorders Evaluation Scale. Eat Disorders. J Treat Prevent 1993;1:115–22.Google Scholar
Vandereycken, W.Families of patients with eating disorders. In: Fair-burn, CGBrownell, KD, editors. Eating disorders and obesity a comprehensive handbook. New York-London: Guilford Press; 2002. p. 215–20.Google Scholar
Vanderlinden, JVandereycken, W.Trauma dissociation and impulse dyscontrol in eating disorders. New York: Brunner/Mazel; 1997.Google Scholar
Welch, SLFairnburn, CG.Impulsivity or comorbidity in bulimia nervosa: a controlled study of deliberate self-harm and alcohol and drug misuse in a community sample. Br J Psychiatry 1986;169:451–8.CrossRefGoogle Scholar
Westen, DHarnden-Fischer, J.Personality profiles in eating disorders: rethinking the distinction between axis I and axis II. Am J Psychiatry 2001;158:547–62.CrossRefGoogle ScholarPubMed
Wolfradt, UVeith, CJany, CFrank, D.Depersonalisation und Automutilation Eine empirische Studie (Depersonalization and self-mutilation: An empirical study). Zeitschrift für Klinische Psychologie Psychiatrie und Psychotherapie 2002;50:75–90.Google Scholar
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