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Family and eating disorders. Empirical evidence
Author/s: Mimma Tafà, Luca Cerniglia, Silvia Cimino, Giulia Ballarotto 
Year:  2017 Issue: Language: Italian 
Pages:  20 Pg. 131-150 FullText PDF:  752 KB
DOI:  10.3280/PSOB2017-001010
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In this contribution, the authors present the results of a recent study conducted in families with an adolescent suffering from eating disorders (Tafà et al., 2016) to underline empirical evidence relevant to those who work with families. In particular, to three groups of families with clinical adolescents affected by Anorexia Nervosa (N=50), Bulimia Nervosa (N=50) and Binge Eating Disorder (N=50) according to DSM-5 criteria, were administered two self-report questionnaires: Family Adaptability and Cohesion Evaluation Scale (FACES IV) (Olson, 2011) to assess family functioning and Symptom Check-List (SCL-90-R) (Derogatis, 1994), to measure psychological symptoms and psychological distress. The results showed that anorexic family members describe a worst family functioning.
Keywords: Clinical Implications; Family Functioning; Eating Disorder; Adolescent; Parental Psychopathological Risk; Father.

  1. American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders – DSM-5. 5th Edition, Arlington: American Psychiatric Publishing
  2. Baiocco R., Cacioppo M., Laghi F., Tafà M. (2013) “Factorial and Construct Validity of FACES IV among Italian Adolescents”, Journal of Child and Family Studies, 21: 325-338.
  3. Ballarotto G., Bracaglia F., Cerniglia L., Mercurio V., Cimino S., Tafà M. (2016) Family profiles in eating disorders: family functioning and psychopathological risk. Poster presentato al Congresso Nazionale dell’Associazione Italiana di Psicologia, XVIII Congresso Nazionale della Sezione di Psicologia Clinica e Dinamica, Roma, 16-18 settembre
  4. Bearman S.K., Martinez E., Stice E., Presnell K. (2006) “The Skinny on Body Dissatisfaction: A Longitudinal Study of Adolescent Girls and Boys”, Journal of Youth and Adolescence, 35: 217-229.
  5. Berge J.M., Loth K., Hanson C., Croll-Lampert J., Neumark-Sztainer D. (2012) “Family life cycle transitions and the onset of eating disorders: a retrospective grounded theory approach”, Journal of clinical nursing, 21: 1355-1363.
  6. Bowen M. (1978) Family Therapy in Clinical Practice, Jason Aronson, London
  7. Bracaglia F., Cerniglia L., Cimino S., Chiarolanza C., Senczuk M., Tafà M. (2015) “Adolescent with eating disorders: family functioning and parental psychopathological risk”, Mediterranean Journal of Clinical Psychology, 3(2), suppl. 1B: 43-44
  8. Brooks-Gunn J. (1987) “Pubertal processes and girls’ psychological adaptation”, in: Lerner R., Foch T.T. (eds.), Biological-psychosocial interactions in early adolescence: A life-span perspective, Lawrence Erlbaum Associates, Hillsdale, NJ
  9. Ciao A.C., Accurso E.C., Fitzsimmons-Craft E.E., Lock J., Le Grange D. (2015) “Family functioning in two treatments for adolescent anorexia nervosa”, International Journal of Eating Disorders, 48: 81-90.
  10. Cigoli V. (2006) L’albero della discendenza. Clinica dei corpi familiari, FrancoAngeli, Milano
  11. Cigoli V., Tamanza G. (1998) “Come valutare la terapia familiare? Una proposta teorico-metodologica”, in: Di Nuovo S., Lo Verso G., Di Blasi M., Giannone F. (a cura di), Valutare le psicoterapie, FrancoAngeli, Milano
  12. Cromley T.R., Neumark-Sztainer D., Story M., Boutelle K. (2010) “Parent and family associations with weight-related behaviors and cognitions among overweight adolescents”, Journal of Adolescent Health, 47: 263-269.
  13. Crowther J.H., Kichler J.C., Sherwood N.E., Kuhnert M.E. (2015) “The role of familial factors in bulimia nervosa”, Eating disorders: The Journal of Treatment & Prevention, 10: 141-151., DOI: 10.1080/1064026029008170
  14. Cuzzolaro M., Di Gennaro A., Baldo E., Liotti G., Morton R., Russell F.M., Selvini Palazzoli M. (1988) “Anoressia mentale e bulimia”, Psicobiettivo, 8(2)
  15. Derogatis L.R. (1994) Symptom Checklist-90-Revised: Administration, scoring and procedures manual, National Computer Systems, Minneapolis (MN)
  16. Doba K., Nandrino J.L. (2010) “Is there a family typology of addictive behaviors? Critical review of the literature in the families of adolescents with eating disorders or with substance dependence”, Psychologie Francaise, 55: 355-371
  17. Eddy K.T., Tanofsky-Kraff M., Thompson-Brenner H., Herzog D.B., Brown T.A., Ludwig D.S. (2007) “Eating disorder pathology among overweight treatment-seeking youth: Clinical correlates and cross-sectional risk modeling”, Behaviour research and therapy, 45: 2360-2371
  18. Ferguson C., Muñoz M., Garza A., Galindo M. (2014) “Concurrent and Prospective Analyses of Peer, Television and Social Media Influences on Body Dissatisfaction, Eating Disorder Symptoms and Life Satisfaction in Adolescent Girls”, Journal of Youth & Adolescence, 43: 1-14
  19. Ferriter C., Ray L.A. (2011) “Binge eating and binge drinking: An integrative review”, Eating behaviors, 12: 99-107.
  20. Fivaz-Depeursinge E., Corboz-Warnery A. (1999) The Primary Triangle. San Francisco: Jossey-Bass (trad. it.: Il triangolo primario: le prime interazioni triadiche tra padre, madre e bambino, Raffaello Cortina, Milano, 2000)
  21. Grotevant H.D., Cooper C.R. (1983) Adolescent Development in the Family, Jossey-Bass Inc. Publishers, London
  22. Keel P.K., Brown T.A. (2010) “Update on course and outcome in eating disorders”, International Journal of Eating Disorders, 43: 195-204.
  23. Levine M.P. (1987) How Schools Can Help Combat Student Eating Disorders, National Education Association, Washington, DC
  24. Lock J., Le Grange D. (2012) Treatment Manual for Anorexia Nervosa (2nd ed.), Guilford Press, New York
  25. Malagoli Togliatti M., Ardone R. (1993) Adolescenti e Genitori, La Nuova Italia Scientifica, Roma
  26. McHale J.P. (2007) Charting the Bumpty Road of Coparenthood: Understanding the Challenger of Family Life, Zero to Three: National Center for Infants, Toddlers and Families (trad. it.: La sfida della cogenitorialità, Raffaello Cortina, Milano, 2010)
  27. Micali N., De Stavola B.L., Ploubidis G.B., Treasure J.L. (2014) “The Effects of Maternal Eating Disorders on OffspringChildhood and Early Adolescent Psychiatric Disorders”, International Journal of Eating Disorders, 47: 385-393
  28. Minuchin S. (1974) Families and family therapy, Harvard University Press, Boston
  29. Minuchin S., Fishman H.C. (1980) “Psychosomatic Family in child psychiatry”, Journal of the American Academy of Child Psychiatry, 18: 76-90
  30. Minuchin S., Reiter M.D., Borda C. (2014) L’arte della terapia della famiglia, Astrolabio, Roma
  31. Olson D.H. (2000) “Circumplex Model of Marital and Family Systems”, Journal of Family Therapy, 22: 144-167., DOI: 10.1111/1467-6427.0014
  32. Olson D.H. (2011) “Faces IV and the Circumflex Model: validation study”, Journal of Marital & Family Therapy, 3: 64-80.
  33. Olson D.H., Sprenkle D.H., Russell C. (1979) “Circumplex model of marital and family systems: I. Cohesion and adaptability dimensions, family types, and clinical applications”, Family Process, 18: 3-28
  34. Onnis L. (1988) Famiglia e malattia psicosomatica, Nis, Roma
  35. Onnis L. (1991) “Dal corpo al contesto: storia e percorsi dall’approccio sistemico alla malattia psicosomatica”, in: Malagoli Togliatti M., Telfener U. (a cura di), Dall’individuo al sistema, Bollati Boringhieri, Torino
  36. Onnis L. (2005) Il tempo sospeso. Anoressia e bulimia tra individuo, famiglia e società, FrancoAngeli, Milano
  37. Onnis L. (a cura di) (2010) Legami che creano, legami che curano, Bollati Boringhieri, Torino
  38. Onnis L., Mulè A.M., Vietri A. (2001) “Anoressia e bulimia: nuovi indirizzi nell’ottica sistemica”, Psicobiettivo, 21: 31-46
  39. Onnis L., Tafà M. (1998) “Quando gli spazi vuoti da riempire sono troppi: la storia di Elena, un’adolescente anoressica”, Psicobiettivo, 3: 79-97
  40. Prunas A., Sarno I., Preti E., Madeddu F., Perugini M. (2012) “Psychometric properties of the Italian version of the SCL-90-R: a study on a large community sample”, European Psychiatry, 27: 591-597.
  41. Ravi S., Forsberg S., Fitzpatric K., Lock J. (2009) “Is there a relationship between parental self-reported psychopathology and symptom severity in adolescents with anorexia nervosa?”, Eating Disorders, 17: 63-71., DOI: 10.1080/1064026080257012
  42. Scabini E., Cigoli V. (2006) Family identity: ties, symbols, and transitions, Erlbaum, Mahwah, NJ
  43. Scabini E., Galimberti C. (1995) “Adolescents and young adults: A transition in the family”, Journal of Adolescence, 18: 593-606
  44. Sellers R., Collishaw S., Rice F., Thapar A.K., Potter R., Mars B., Harold G.T., Smith D.J., Owen M.J., Craddock N., Thapar A. (2013) “Risk of psychopathology in adolescent offspring of mothers with psychopathology and recurrent depression”, The British Journal of Psychiatry, 202: 108-114.
  45. Selvini Palazzoli M. (1963) L’anoressia mentale, Feltrinelli, Milano
  46. Selvini Palazzoli M. (2006) L’anoressia mentale. Dalla terapia individuale alla terapia familiare, Raffaello Cortina, Milano
  47. Selvini Palazzoli M., Cirillo S., Selvini M., Sorrentino A.M. (1998) Ragazze anoressiche e bulimiche. La terapia familiare, Raffello Cortina, Milano
  48. Sherwood N.E., Crowther J.H., Wills L., Ben-Porath Y.S. (2000) “The perceived function of eating for bulimic, subclinical bulimic, and non-eating disordered women”, Behavior Therapy, 31: 777-793
  49. Smink F.R., van Hoeken D., Hoek H.W. (2012) “Epidemiology of eating disorders: incidence, prevalence and mortality rates”, Current Psychiatry Reports, 14: 406-414.
  50. Smink F.R., van Hoeken D., Hoek H.W. (2013) “Epidemiology, course, and outcome of eating disorders”, Current Opinion in Psychiatry, 26: 543-8.
  51. Smink F. R., van Hoeken D., Oldehinkel A.J., Hoek H.W. (2014) “Prevalence and severity of DSM-5 eating disorders in a community cohort of adolescents”, International Journal of Eating Disorders, 47: 610-619.
  52. Sroufe J.W. (1991) “Assessment of parent-adolescent relationships: Implications for adolescent development”, Journal of Family Psychology, 5: 21-45., DOI: 10.1037/0893-3200.5.1.2
  53. Steinhausen H.C. (2002) “The outcome of anorexia nervosa in the 20th century”, American Journal of Psychiatry, 159: 1284-1293
  54. Striegel-Moore R.H., Fairburn C.G., Wilfley D.E., Pike K.M., Dohm F.A., Kraemer H.C. (2005) “Toward an understanding of risk factors for binge-eating disorder in black and white women: a community-based case-control study”, Psychological Medicine, 35: 907-917
  55. Swanson S.A., Crow S.J., Le Grange D., Swendsen J., Merikangas K.R. (2011) “Prevalence and correlates of eating disorders in adolescents: Results from the national comorbidity survey replication adolescent supplement”, Archives of General Psychiatry, 68: 714-723.
  56. Tafà M. (2007) “Il Faces III”, in: Mazzoni S., Tafà M. (a cura di), L’intersoggettività nella famiglia. Procedure multimetodo per l’osservazione e la valutazione delle relazioni familiari, FrancoAngeli, Milano
  57. Tafà M. (2014) Appunti sulla genitorialità, Edizioni Psicologia, Roma
  58. Tafà M. (2016a) “Quando le parole non bastano: comunicazione analogica, la scultura, il silenzio, la metafora”, in: Tafà M. (a cura di), Conoscere la famiglia: strumenti clinici e di ricerca, Editrice Sapienza, Roma
  59. Tafà M. (2016b) “I pionieri: concetti teorici”, in: Tafà M. (a cura di), Conoscere la famiglia: strumenti clinici e di ricerca, Editrice Sapienza, Roma
  60. Tafà M., Baiocco R. (2009) “Addictive behaviour and family functioning during adolescence”, American Journal of Family Therapy, 37: 388-395., DOI: 10.1080/0192618090275474
  61. Tafà M., Cerniglia L., Cimino S., Ballarotto G., Bracaglia F., Bottone C. (2016) “Female adolescents with Eating Disorders, parental psychopathological risk and family functioning”, Journal of Child and Family Studies, in press
  62. Tetley A., Moghaddam N.G., Dawson D.L., Rennoldson M. (2014) “Parental bonding and eating disorders: a systematic review”, Eating Behavior, 15: 49-59.
  63. Visani E., Di Nuovo S., Loriedo C. (2014) Faces IV. Il Modello Circonflesso di Olson nella clinica e nella ricerca, FrancoAngeli, Milano
  64. Waller G.M., Slade P.D., Calam R. (1990) “Family adaptability and cohesion: Relation to eating attitudes and disorders”, International Journal of Eating Disorders, 9: 225-228
  65. Wisotsky W., Dancyger I., Fornari V., Katz J., Wisotsky W.L., Swencionis C. (2003) “The relationship between eating pathology and perceived family functioning in eating disorder patients in a day treatment program”, Eating Disorders, 11: 89-99
  66. Youniss J., Smollar J. (1985) Adolescent relations with mothers, fathers, and friends, The University of Chicago Press, Chicago

Mimma Tafà, Luca Cerniglia, Silvia Cimino, Giulia Ballarotto, Family and eating disorders. Empirical evidence in "PSICOBIETTIVO" 1/2017, pp. 131-150, DOI:10.3280/PSOB2017-001010


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