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A comparison of characteristics in the families of patients with anorexia nervosa and normal controls

  • Paul E. Garfinkel (a1), David M. Garner (a1), Julia Rose (a1), Padraig L. Darby (a1), J. S. Brandes (a1), Jacinta O'Hanlon (a1) and Noel Walsh (a1)...

Synopsis

The present study compared families of patients with anorexia nervosa with families of non-anorexic adolescent daughters of a similar social class. All anorexics and adolescent comparison girls and their parents were studied using a variety of psychometric measures. Body size estimation and physical anhedonia were also measured. Family characteristics were assessed using the Family Assessment Measure (FAM). Contrary to the hypotheses, no abnormalities were found in terms of parental attitudes to weight control or dieting. The mothers of anorexics displayed no increase in psychopathology on any of the measures. The fathers scored very similarly to controls but with higher degrees of conscientiousness. Neither fathers nor mothers displayed abnormalities of their own body size estimates or body satisfaction. On the FAM the anorexic families reported an increased pathology on several sub-scales. It is not possible to say whether these disturbances are part of the pathogenesis or are sequelae to the illness.

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Corresponding author

11Address for correspondence: Dr Paul E. Garfinkel, Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario M5G 1L7, Canada.

References

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Askevold, F. & Heiberg, A. (1979). Anorexia nervosa-two cases in discordant MZ twins. Psychotherapy and Psychosomatics 32, 223228.
Beck, A. T. (1975). Depression Inventory. Center for Cognitive Therapy: Philadelphia.
Ben-Tovim, D. I., Hunter, M. & Crisp, A. H. (1977). Discrimination and evaluation of shape and size in anorexia nervosa: an exploratory study. Research Communications in Psychology, Psychiatry and Behavior 2, 241267.
Berscheid, E., Walster, E. & Hohrnstedt, G. (1973). The happy American body: A Survey Report. Psychology Today 11, 119131.
Beumont, P. J. V. (1977). Further categorization of patients with anorexia nervosa. Australian and New Zealand Journal of Psychiatry 11, 223226.
Bruch, H. (1973). Eating Disorders: Obesity, Anorexia Nervosa, and the Person Within. Basic Books: New York.
Cantwell, D. P., Sturzenberger, S., Burroughs, J., Salkin, B. & Green, J. K. (1977). Anorexia nervosa: an affective disorder? Archives of General Psychiatry 34, 10871093.
Casper, R. C., Eckert, E. D., Halmi, K. A., Goldberg, S. C. & Davis, J. M. (1980). Bulimia: its incidence and clinical importance in patients with anorexia nervosa. Archives of General Psychiatry 37, 10301034.
Cattell, R. B. (1956). Validation and intensification of the sixteen personality factor questionnaire. Journal of Clincal Psychology 12, 205214.
Chapman, L. J., Chapman, J. P. & Raulin, M. L. (1976). Scales for physical and social anhedonia. Journal of Abnormal Psychology 85, 374382.
Crisp, A. H. (1970). Premorbid factors in adult disorders of weight, with particular reference to primary anorexia nervosa (weight phobia). A literature review. Journal of Psychosomatic Research 14, 122.
Crisp, A. H., Harding, B. & McGuinness, B. (1974). Anorexia nervosa. Psychoneurotic characteristics of parents: relationship to prognosis. A quantitative study. Journal of Psychosomatic Research 18, 167173.
Crisp, A. H., Palmer, R. I. & Kalucy, R. S. (1976). How common is anorexia nervosa? A prevalence study. British Journal of Psychiatry 218, 549554.
Dally, P. J. (1969). Anorexia Nervosa. Heinemann Medical Books: London.
Derogatis, L., Lipman, R. & Rickels, K. (1974). The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory, Behavioural Science 19, 115.
Eysenck, S. B. G. & Eysenck, H. J. (1975). Manual of the Eysenck Personality Questionnaire. Hodder & Stoughton: London.
Garfinkel, P. E. & Garner, D. M. (1982). Anorexia Nervosa: A Multidimensional Perspective. Brunner/Mazel: New York.
Garfinkel, P. E. & Garner, D. M. (1983). Bulimia in anorexia nervosa. In Binge Eating: Theory Research and Treatment (ed. Hawkins, R. C., Fremouw, W. and Clement, P. F.). Springer: New York (in the press).
Garfinkel, P. E., Moldofsky, H. & Garner, D. M. (1980). Heterogeneity of anorexia nervosa: bulimia as a distinct subgroup. Archives of General Psychiatry 37, 10361040.
Garner, D. M. & Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine 9, 17.
Garner, D. M. & Garfinkel, P. E. (1980). Socio-cultural factors in the development of anorexia nervosa. Psychological Medicine 10, 647656.
Garner, D. M. & Garfinkel, P. E. (1981). Body image in anorexia nervosa: Measurement, theory and clinical implications. International Journal of Psychiatry in Medicine 11, 263284.
Garner, D. M., Garfinkel, P. E., Stancer, H. C. & Moldofsky, H. (1976). Body image disturbances in anorexia nervosa and obesity. Psychosomatic Medicine 38, 327337.
Garner, D. M., Garfinkel, P. E. & Moldofsky, H. (1978). Perceptual experiences in anorexia nervosa and obesity. Canadian Psychiatric Association Journal 23, 249263.
Hall, A. (1978). Family structure and relationships of 50 female anorexia nervosa patients. Australian and New Zealand Journal of Psychiatry 12, 263268.
Halmi, K. A., Struss, A. & Goldberg, S. C. (1978). An investigation of weights in the parents of anorexia nervosa patients. Journal of Nervous and Mental Disease 166, 358361.
Herman, C. P. & Polivy, J. (1975). Anxiety, restraint and eating behavior. Journal of Personality 84, 666672.
Kalucy, R. S., Crisp, A. H. & Harding, B. (1977). A study of 56 families with anorexia nervosa. British Journal of Medical Psychology 50, 381395.
Minuchin, S., Rosman, B. L. & Baker, L. (1978). Psychosomatic Families: Anorexia Nervosa in Context. Harvard University Press: Cambridge, Mass.
Morgan, H. G. & Russell, G. F. M. (1975). Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four-year study of 41 patients. Psychological Medicine 5, 355372.
Piazza, E., Piazza, N. & Rollins, N. (1980). Anorexia nervosa: controversial aspects of therapy. Comprehensive Psychiatry 21, 177189.
Reid, D. E. & Ware, E. E. (1973). Multidimensionality of internal versus external control: addition of a third dimension and non-distinction of self versus others. Canadian Journal of Behavioral Sciences 6, 131142.
Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs 80 (1, Whole no. 609).
Selvini-Palazzoli, M. P. (1974). Self-starvation. Chaucer Publishing Co.: London.
Skinner, H. A., Steinhauser, P. D. & Santa-Barbara, J. (1983). The Family Assessment Measure. Canadian Journal of Community Mental Health (in the press).
Strober, M. (1981). The significance of bulimia in juvenile anorexia nervosa. International Journal of Eating Disorders 1, 2843.
Theander, S. (1970). Anorexia nervosa: a psychiatric investigation of 94 female cases. Acta Psychiatrica Scandanavia (Suppl.) 214, 1194.
Winokur, A., March, V. & Mendels, J. (1980). Primary affective disorder in the relatives of patients with anorexia nervosa. American Journal of Psychiatry 137, 695698.
Yager, J. (1982). Family issues in the pathogenesis of anorexia nervosa. Psychosomatic Medicine 44, 4360.

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