Dancyger Ida, Fornari Victor, Sunday Suzanne
North Shore University Hospital, New York University School of Medicine Manhasset, NY, USA.
Int J Adolesc Med Health. 2006 Apr-Jun;18(2):281-6. doi: 10.1515/ijamh.2006.18.2.281.
Daughters with eating disorders (ED) were found to perceive family functioning more negatively than their mothers. This study examined variables that may underlie these differences in a subgroup of adolescent girls and their mothers from the original study.
Participants were 77 mother-adolescent daughter dyads. Daughters met current DSM-IV criteria for Anorexia Nervosa, Bulimia Nervosa or ED Not Otherwise Specified. Daughters and mothers completed the Family Assessment Device (FAD), which measures perceptions of family functioning with seven subscales. Daughters also completed the Eating Disorders Inventory (EDI). Backward elimination stepwise regressions were conducted on difference scores between mothers and daughters for each FAD subscale. Daughter's EDI subscales (except Bulimia) were entered as possible predictors.
Interpersonal Distrust was the only predictor of the differences between daughters and mothers on Problem Solving, Communication, Affective Responsiveness and General Functioning, accounting for 24%, 14%, 10% and 23% of the variance, respectively.
Differences in viewpoints between mothers and daughters regarding the family environment may be understood in terms of the daughters' level of distrust of people in general and their overall feelings of inadequacy. Addressing these psychological difficulties may have powerful implications both for individual and family treatment in the recovery from an eating disorder. Could this be part of the dynamic that led to the eating disorder, a result of the stress on the whole family related to the eating disorder or some combination?
患有饮食失调症（ED）的女儿们被发现比她们的母亲对家庭功能的看法更为负面。本研究在原始研究中的一个青少年女孩及其母亲亚组中，考察了可能导致这些差异的变量。
参与者为77对母女二元组。女儿符合当前《精神疾病诊断与统计手册》第四版中神经性厌食症、神经性贪食症或未另行规定的饮食失调症的标准。女儿和母亲完成了家庭评估量表（FAD），该量表通过七个分量表来测量对家庭功能的看法。女儿还完成了饮食失调量表（EDI）。对每个FAD分量表上母亲和女儿的差异分数进行了向后逐步回归分析。女儿的EDI分量表（除暴食分量表外）作为可能的预测变量纳入分析。
人际不信任是女儿和母亲在解决问题、沟通、情感反应和总体功能方面差异的唯一预测因素，分别解释了24%、14%、10%和23%的方差。
母女在家庭环境观点上的差异，或许可以从女儿对一般人的不信任程度及其整体的不足感方面来理解。解决这些心理困难可能对饮食失调康复中的个体和家庭治疗都具有重大意义。这会是导致饮食失调的动态过程的一部分吗？是与饮食失调相关的整个家庭压力的结果，还是二者的某种结合？
