A new social-family model for eating disorders: A European multicentre project using a case-control design

Krug, Isabel, Fuller-Tyszkiewicz, Matthew, Anderluh, Marija, Bellodi, Laura, Bagnoli, Silivia, Collier, David, Fernandez-Aranda, Fernando, Karwautz, Andreas, Mitchell, Sarah, Nacmias, Benedetta, Ricca, Valdo, Sorbi, Sandro, Tchanuria, Kate, Wagner, Gudrun, Treasure, Janet and Micali, Nadia 2015, A new social-family model for eating disorders: A European multicentre project using a case-control design, Appetite, vol. 95, pp. 544-553, doi: 10.1016/j.appet.2015.08.014.

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Title A new social-family model for eating disorders: A European multicentre project using a case-control design
Author(s) Krug, Isabel
Fuller-Tyszkiewicz, MatthewORCID iD for Fuller-Tyszkiewicz, Matthew orcid.org/0000-0003-1145-6057
Anderluh, Marija
Bellodi, Laura
Bagnoli, Silivia
Collier, David
Fernandez-Aranda, Fernando
Karwautz, Andreas
Mitchell, Sarah
Nacmias, Benedetta
Ricca, Valdo
Sorbi, Sandro
Tchanuria, Kate
Wagner, Gudrun
Treasure, Janet
Micali, Nadia
Journal name Appetite
Volume number 95
Start page 544
End page 553
Total pages 10
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015-08-18
ISSN 1095-8304
Keyword(s) Anorexia
Body dissatisfaction
Eating disorders
Pathway models
Summary 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.
Language eng
DOI 10.1016/j.appet.2015.08.014
Field of Research 170199 Psychology not elsewhere classified
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30078290

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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