Family characteristics of 105 patients with bulimia

Craig Johnson

162 citations0/0 files storedAmerican Journal of Psychiatry

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Child Nutrition and Feeding Issues

Abstract

The authors compared 105 patients who met DSM-III criteria for bulimia with 86 control subjects on measures of family environment and presence of eating disorders. Bulimic patients' perceptions of their families included low cohesiveness, a lack of emphasis on independent and assertive behavior, and a high level of conflict coupled with a low emphasis on open expression of feelings. Families of bulimic subjects had achievement expectations comparable to those of control families, but the former placed less emphasis on intellectual and recreational activities. The high disorganization of the families of bulimic subjects was associated with severity of symptoms.

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References

1974Eating disorders: Obesity, anorexia nervosa and the person within 1975Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four-year follow-up study of 41 patients 1983The incidence of bulimia in freshman college students 1983Family History Study of Anorexia Nervosa and Bulimia 1977Self-Starvation: From Individual to Family Therapy in the Treatment of Anorexia Nervosa 1981The significance of bulimia in juvenile anorexia nervosa: An exploration of possible etiologic factors 1986Handbook of Psychotherapy for Anorexia Nervosa and Bulimia 1982Anorexia nervosa and bulimia: The socio-cultural context

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1995Social, psychological and physical correlates of eating problems. A study of the general adolescent population in Norway 2001Psychoeducation for the families of patients with eating disorders and changes in expressed emotion: A preliminary study 1992Relationship between parental attachment and eating disorders in an inpatient and a college sample.1989Family interaction in eating disorder patients and normal controls

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