Akkese M N, Keeler J L, Teh J Y, Treasure J, Himmerich H
Centre for Research in Eating and Weight Disorders (CREW), Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.
Department of Psychology, School of Mental Health & Psychological Sciences, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.
Int J Eat Disord. 2025 Feb;58(2):261-290. doi: 10.1002/eat.24333. Epub 2024 Nov 26.
Bulimia nervosa (BN) is a highly prevalent psychiatric disorder that has negative effects on the physical and psychological health of sufferers. Father-specific factors have been understudied in the context of BN. This systematic review aims to understand the psychosocial and psychopathological features of fathers of people with BN and their associations with the offspring's outcomes.
A literature search on APA PsycINFO, ISI Web of Science, PubMed, Google Scholar, ResearchGate, and Open Science Framework yielded 2421 studies. These papers were independently evaluated based on the eligibility criteria. 29 studies were included in this review. The Joanna Briggs Institute Critical Appraisal Tools were used for the assessment of the methodological quality of the eligible studies.
Across studies, no significant differences were found in perceptual body-size distortion, self-ideal discrepancy, eating-/weight-/body-related attitudes, several personality and ED traits, and general psychological functioning between fathers of the BN group and those of the comparison groups. However, significant differences were found in certain psychological aspects (e.g., impulse regulation) and ED-associated features (e.g., body dissatisfaction). Finally, significant relationships were found between the fathers' food attitudes, muscularity ratings, personality traits, and substance abuse and their offspring's risk of developing BN, greater body dissatisfaction, ED symptoms, and poor end-of-treatment outcome.
Although the existing literature does not seem to strongly suggest a particular paternal factor pertaining to BN, several father-specific variables may be associated with the offspring's BN symptomatology and related characteristics. Further research is necessary to clearly understand paternal features in the context of BN.
神经性贪食症（BN）是一种高度流行的精神障碍，对患者的身心健康有负面影响。在神经性贪食症的背景下，父亲特定因素的研究较少。本系统综述旨在了解神经性贪食症患者父亲的心理社会和精神病理特征及其与子女结局的关联。
在APA PsycINFO、ISI科学网、PubMed、谷歌学术、ResearchGate和开放科学框架上进行文献检索，共获得2421项研究。这些论文根据纳入标准进行独立评估。本综述纳入了29项研究。使用乔安娜·布里格斯研究所批判性评价工具对符合条件的研究的方法学质量进行评估。
在各项研究中，神经性贪食症组父亲与对照组父亲在感知身体大小扭曲、自我理想差异、饮食/体重/身体相关态度、几种人格和进食障碍特征以及一般心理功能方面均未发现显著差异。然而，在某些心理方面（如冲动调节）和进食障碍相关特征（如身体不满）方面发现了显著差异。最后，发现父亲的食物态度、肌肉发达程度评分、人格特质和药物滥用与他们子女患神经性贪食症的风险、更大的身体不满、进食障碍症状以及治疗结局不佳之间存在显著关系。
尽管现有文献似乎并未强烈表明存在与神经性贪食症相关的特定父亲因素，但几个父亲特定变量可能与子女的神经性贪食症症状及相关特征有关。有必要进行进一步研究以明确了解神经性贪食症背景下的父亲特征。
