TY - JOUR
T1 - A new social-family model for eating disorders
T2 - A European multicentre project using a case-control design
AU - Krug, Isabel
AU - Fuller-Tyszkiewicz, Matthew
AU - Anderluh, Marija
AU - Bellodi, Laura
AU - Bagnoli, Silvia
AU - Collier, David
AU - Fernandez-Aranda, Fernando
AU - Karwautz, Andreas
AU - Mitchell, Sarah
AU - Nacmias, Benedetta
AU - Ricca, Valdo
AU - Sorbi, Sandro
AU - Tchanuria, Kate
AU - Wagner, Gudrun
AU - Treasure, Janet
AU - Micali, Nadia
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Objective: To examine a new socio-family risk model of Eating Disorders (EDs) using path-analyses. Method: The sample comprised 1264 (ED patients = 653; Healthy Controls = 611) participants, recruited into a multicentre European project. Socio-family factors assessed included: perceived maternal and parental parenting styles, family, peer and media influences, and body dissatisfaction. Two types of path-analyses were run to assess the socio-family model: 1.) a multinomial logistic path-model including ED sub-types [Anorexia Nervosa-Restrictive (AN-R), AN-Binge-Purging (AN-BP), Bulimia Nervosa (BN) and EDNOS)] as the key polychotomous categorical outcome and 2.) a path-model assessing whether the socio-family model differed across ED sub-types and healthy controls using body dissatisfaction as the outcome variable. Results: The first path-analyses suggested that family and media (but not peers) were directly and indirectly associated (through body dissatisfaction) with all ED sub-types. There was a weak effect of perceived parenting directly on ED sub-types and indirectly through family influences and body dissatisfaction. For the second path-analyses, the socio-family model varied substantially across ED sub-types. Family and media influences were related to body dissatisfaction in the EDNOS and control sample, whereas perceived abusive parenting was related to AN-BP and BN. Discussion: This is the first study providing support for this new socio-family model, which differed across ED sub-types. This suggests that prevention and early intervention might need to be tailored to diagnosis-specific ED profiles.
AB - Objective: To examine a new socio-family risk model of Eating Disorders (EDs) using path-analyses. Method: The sample comprised 1264 (ED patients = 653; Healthy Controls = 611) participants, recruited into a multicentre European project. Socio-family factors assessed included: perceived maternal and parental parenting styles, family, peer and media influences, and body dissatisfaction. Two types of path-analyses were run to assess the socio-family model: 1.) a multinomial logistic path-model including ED sub-types [Anorexia Nervosa-Restrictive (AN-R), AN-Binge-Purging (AN-BP), Bulimia Nervosa (BN) and EDNOS)] as the key polychotomous categorical outcome and 2.) a path-model assessing whether the socio-family model differed across ED sub-types and healthy controls using body dissatisfaction as the outcome variable. Results: The first path-analyses suggested that family and media (but not peers) were directly and indirectly associated (through body dissatisfaction) with all ED sub-types. There was a weak effect of perceived parenting directly on ED sub-types and indirectly through family influences and body dissatisfaction. For the second path-analyses, the socio-family model varied substantially across ED sub-types. Family and media influences were related to body dissatisfaction in the EDNOS and control sample, whereas perceived abusive parenting was related to AN-BP and BN. Discussion: This is the first study providing support for this new socio-family model, which differed across ED sub-types. This suggests that prevention and early intervention might need to be tailored to diagnosis-specific ED profiles.
KW - Anorexia
KW - Body dissatisfaction
KW - Bulimia
KW - Eating disorders
KW - EDNOS
KW - Family
KW - Media
KW - Parenting
KW - Pathway models
KW - Peers
UR - http://www.scopus.com/inward/record.url?scp=84940510477&partnerID=8YFLogxK
U2 - 10.1016/j.appet.2015.08.014
DO - 10.1016/j.appet.2015.08.014
M3 - Article
AN - SCOPUS:84940510477
SN - 0195-6663
VL - 95
SP - 544
EP - 553
JO - Appetite
JF - Appetite
M1 - 2668
ER -