King's College London

Research portal

Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa: A Retrospective Study in Sister Pairs Discordant for an Eating Disorder

Research output: Contribution to journalArticle

Standard

Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa : A Retrospective Study in Sister Pairs Discordant for an Eating Disorder. / Huemer, Julia; Haidvogl, Maria; Mattejat, Fritz; Wagner, Gudrun; Nobis, Gerald; Fernandez-Aranda, Fernando; Collier, David A; Treasure, Janet L; Karwautz, Andreas F K.

In: ZEITSCHRIFT FUR KINDER UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE, Vol. 40, No. 1, 2012, p. 61-68.

Research output: Contribution to journalArticle

Harvard

Huemer, J, Haidvogl, M, Mattejat, F, Wagner, G, Nobis, G, Fernandez-Aranda, F, Collier, DA, Treasure, JL & Karwautz, AFK 2012, 'Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa: A Retrospective Study in Sister Pairs Discordant for an Eating Disorder', ZEITSCHRIFT FUR KINDER UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE, vol. 40, no. 1, pp. 61-68. https://doi.org/10.1024/1422-4917/a000150

APA

Huemer, J., Haidvogl, M., Mattejat, F., Wagner, G., Nobis, G., Fernandez-Aranda, F., ... Karwautz, A. F. K. (2012). Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa: A Retrospective Study in Sister Pairs Discordant for an Eating Disorder. ZEITSCHRIFT FUR KINDER UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE, 40(1), 61-68. https://doi.org/10.1024/1422-4917/a000150

Vancouver

Huemer J, Haidvogl M, Mattejat F, Wagner G, Nobis G, Fernandez-Aranda F et al. Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa: A Retrospective Study in Sister Pairs Discordant for an Eating Disorder. ZEITSCHRIFT FUR KINDER UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE. 2012;40(1):61-68. https://doi.org/10.1024/1422-4917/a000150

Author

Huemer, Julia ; Haidvogl, Maria ; Mattejat, Fritz ; Wagner, Gudrun ; Nobis, Gerald ; Fernandez-Aranda, Fernando ; Collier, David A ; Treasure, Janet L ; Karwautz, Andreas F K. / Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa : A Retrospective Study in Sister Pairs Discordant for an Eating Disorder. In: ZEITSCHRIFT FUR KINDER UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE. 2012 ; Vol. 40, No. 1. pp. 61-68.

Bibtex Download

@article{9736c43c9d1f44fd81d84e909086205f,
title = "Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa: A Retrospective Study in Sister Pairs Discordant for an Eating Disorder",
abstract = "Objective: This study examines retrospective correlates of nonshared family environment prior to onset of disease, by means of multiple familial informants, among anorexia and bulimia nervosa patients. Methods: A total of 332 participants was included (anorexia nervosa, restrictive type (AN-R): n = 41 plus families); bulimic patients (anorexia nervosa, binge-purging type; bulimia nervosa: n = 59 plus families). The EATAET Lifetime Diagnostic Interview was used to establish the diagnosis; the Subjective Family Image Test was used to derive emotional connectedness (EC) and individual autonomy (IA). Results: Bulimic and AN-R patients perceived significantly lower EC prior to onset of disease compared to their healthy sisters. Bulimic patients perceived significantly lower EC prior to onset of disease compared to AN-R patients and compared to their mothers and fathers. A low family sum - sister pairs sum comparison - of EC had a significant influence on the risk of developing bulimia nervosa. Contrary to expectations, AN-R patients did not perceive significantly lower levels of IA compared to their sisters, prior to onset of disease. Findings of low IA in currently ill AN-R patients may represent a disease consequence, not a risk factor. Conclusions: Developmental child psychiatrists should direct their attention to disturbances of EC, which may be present prior to the onset of the disease.",
keywords = "Adolescent, Adult, Anorexia Nervosa, Bulimia Nervosa, Family Relations, Female, Humans, Internal-External Control, Interview, Psychological, Judgment, Middle Aged, Object Attachment, Parenting, Personal Autonomy, Retrospective Studies, Risk Factors, Siblings, Young Adult",
author = "Julia Huemer and Maria Haidvogl and Fritz Mattejat and Gudrun Wagner and Gerald Nobis and Fernando Fernandez-Aranda and Collier, {David A} and Treasure, {Janet L} and Karwautz, {Andreas F K}",
year = "2012",
doi = "10.1024/1422-4917/a000150",
language = "English",
volume = "40",
pages = "61--68",
journal = "ZEITSCHRIFT FUR KINDER UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE",
issn = "1422-4917",
publisher = "Verlag Hans Huber",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa

T2 - A Retrospective Study in Sister Pairs Discordant for an Eating Disorder

AU - Huemer, Julia

AU - Haidvogl, Maria

AU - Mattejat, Fritz

AU - Wagner, Gudrun

AU - Nobis, Gerald

AU - Fernandez-Aranda, Fernando

AU - Collier, David A

AU - Treasure, Janet L

AU - Karwautz, Andreas F K

PY - 2012

Y1 - 2012

N2 - Objective: This study examines retrospective correlates of nonshared family environment prior to onset of disease, by means of multiple familial informants, among anorexia and bulimia nervosa patients. Methods: A total of 332 participants was included (anorexia nervosa, restrictive type (AN-R): n = 41 plus families); bulimic patients (anorexia nervosa, binge-purging type; bulimia nervosa: n = 59 plus families). The EATAET Lifetime Diagnostic Interview was used to establish the diagnosis; the Subjective Family Image Test was used to derive emotional connectedness (EC) and individual autonomy (IA). Results: Bulimic and AN-R patients perceived significantly lower EC prior to onset of disease compared to their healthy sisters. Bulimic patients perceived significantly lower EC prior to onset of disease compared to AN-R patients and compared to their mothers and fathers. A low family sum - sister pairs sum comparison - of EC had a significant influence on the risk of developing bulimia nervosa. Contrary to expectations, AN-R patients did not perceive significantly lower levels of IA compared to their sisters, prior to onset of disease. Findings of low IA in currently ill AN-R patients may represent a disease consequence, not a risk factor. Conclusions: Developmental child psychiatrists should direct their attention to disturbances of EC, which may be present prior to the onset of the disease.

AB - Objective: This study examines retrospective correlates of nonshared family environment prior to onset of disease, by means of multiple familial informants, among anorexia and bulimia nervosa patients. Methods: A total of 332 participants was included (anorexia nervosa, restrictive type (AN-R): n = 41 plus families); bulimic patients (anorexia nervosa, binge-purging type; bulimia nervosa: n = 59 plus families). The EATAET Lifetime Diagnostic Interview was used to establish the diagnosis; the Subjective Family Image Test was used to derive emotional connectedness (EC) and individual autonomy (IA). Results: Bulimic and AN-R patients perceived significantly lower EC prior to onset of disease compared to their healthy sisters. Bulimic patients perceived significantly lower EC prior to onset of disease compared to AN-R patients and compared to their mothers and fathers. A low family sum - sister pairs sum comparison - of EC had a significant influence on the risk of developing bulimia nervosa. Contrary to expectations, AN-R patients did not perceive significantly lower levels of IA compared to their sisters, prior to onset of disease. Findings of low IA in currently ill AN-R patients may represent a disease consequence, not a risk factor. Conclusions: Developmental child psychiatrists should direct their attention to disturbances of EC, which may be present prior to the onset of the disease.

KW - Adolescent

KW - Adult

KW - Anorexia Nervosa

KW - Bulimia Nervosa

KW - Family Relations

KW - Female

KW - Humans

KW - Internal-External Control

KW - Interview, Psychological

KW - Judgment

KW - Middle Aged

KW - Object Attachment

KW - Parenting

KW - Personal Autonomy

KW - Retrospective Studies

KW - Risk Factors

KW - Siblings

KW - Young Adult

U2 - 10.1024/1422-4917/a000150

DO - 10.1024/1422-4917/a000150

M3 - Article

C2 - 22161943

VL - 40

SP - 61

EP - 68

JO - ZEITSCHRIFT FUR KINDER UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE

JF - ZEITSCHRIFT FUR KINDER UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE

SN - 1422-4917

IS - 1

ER -

View graph of relations

© 2018 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454