Abnormal Psychosocial Situations
and Eating Disorders in Adolescents
Source: Journal of the American Academy of Child and Adolescent
Psychiatry (July 1996), volume 35(7), pages 921-927.
Summary: OBJECTIVE: To assess the relationship between abnormal
psychosocial situations and eating disorders in adolescents.
METHOD: Twenty girls with eating disorders, 20 girls with major
psychiatric conditions, and 20 healthy controls took part in the study. They
were interviewed using a semi-structured interview designed by the World Health
Organization to diagnose the psychosocial situations included in the
International Classification of Disease Axis 5 classification for child and
adolescent psychiatry. All subjects were also given the Eating Attitudes Test.
RESULTS: Many life events and psychosocial adversities differentiated
significantly between the patients and controls. Inappropriate parental
pressure was specific only for the subjects with eating disorders compared with
the other psychiatric patients. In addition, Eating Attitudes Test scores
correlated significantly with hostility toward child, sibling disability,
parental overprotection, inappropriate parental pressures, and negative changes
in family relationships.
CONCLUSION: These results support the growing literature on the
interrelationship between disordered family relationships and eating disorders.
They point the way for developing treatment programs dealing with these issues.
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