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Family functioning and life events in the outcome of adolescent anorexia nervosa
- Authors:
- NORTH Clive, GOWERS Simon, BYRAM Victoria
- Journal article citation:
- British Journal of Psychiatry, 171, December 1997, pp.545-549.
- Publisher:
- Cambridge University Press
Investigates the outcome of anorexia nervosa in adolescents in relation to precipitating life events and changes in family functioning over time. Thirty-five adolescents with anorexia nervosa and their mothers were administered measures of life events and family functioning at initial assessment and 1 and 2 year follow-up, when outcome was assessed. Results found that over half of patients had a good outcome. Patients from initially well-functioning families or those with precipitating life events improved more in the first year, than those with dysfunctional families or without events. Concludes that approximately half of a series of early onset cases of anorexia nervosa can be expected to recover within 2 years. Healthy family functioning and presence of a precipitating life event predict good short-term outcome. Discusses the relationships between subjects' perceptions of family functioning and their recovery from anorexia nervosa.
Family functioning in adolescent anorexia nervosa
- Authors:
- NORTH Clive, GOWERS Simon, BYRAM Victoria
- Journal article citation:
- British Journal of Psychiatry, 167(5), November 1995, pp.673-678.
- Publisher:
- Cambridge University Press
Difficulties in family functioning have been noted since early descriptions of anorexia nervosa and may be of importance aetiologically. Previously studies have a number of methodological problems. Concludes that family functioning in anorexic families is normal by self-report but not by an objective measure. Anorexic families in the purging subgroup appear most dysfunctional.