Perceived and observed family functioning in adolescents affected by restrictive eating disorders
Published date | 01 April 2022 |
Author | Martina Maria Mensi,Michela Criscuolo,Eleonora Vai,Chiara Rogantini,Marika Orlandi,Elena Ballante,Valeria Zanna,Silvia Mazzoni,Umberto Balottin,Renato Borgatti |
Date | 01 April 2022 |
DOI | http://doi.org/10.1111/fare.12611 |
RESEARCH
Perceived and observed family functioning in
adolescents affected by restrictive eating disorders
Martina Maria Mensi
1,2
|Michela Criscuolo
3
|Eleonora Vai
1
|
Chiara Rogantini
2
|Marika Orlandi
1
|Elena Ballante
4,5
|
Valeria Zanna
6
|Silvia Mazzoni
7
|Umberto Balottin
1,2
|
Renato Borgatti
1,2
1
Child Neurology and Psychiatry Unit, IRCCS
Mondino Foundation, Pavia, Italy
2
Child Neurology and Psychiatry Unit,
Department of Brain and Behavioral Sciences,
University of Pavia, Pavia, Italy
3
Anorexia Nervosa and Eating Disorders,
Neuropsychiatry Unit, Department of
Neuroscience, IRCCS Children Hospital
Bambino Gesù, Rome, Italy
4
Department of Mathematics, University of
Pavia, Pavia, Italy
5
BioData Science Center, IRCCS Mondino
Foundation, Pavia, Italy
6
Child Department of Neuroscience—
Neurology and Psychiatry Unit, IRCCS
Children Hospital Bambino Gesù, Rome, Italy
7
Faculty of Medicine and Psychology,
Sapienza University, Rome, Italy
Correspondence
Martina Maria Mensi, Child Neurology and
Psychiatry Unit, IRCCS Mondino
Foundation, via Mondino 2, 27100 Pavia,
Italy.
Email: martina.mensi@mondino.it
Funding information
Ministero della Salute, Grant/Award Number:
RC 2020
Abstract
Objective: We used the self-reported questionnaire
FACES-IV (Family Adaptability and Cohesion Evalua-
tion Scale–IV) to depict the presence of a typical family-
functioning profile in families with a daughter affected by
a restrictive eating disorder. We compared mothers’and
fathers’perceptions about their family with each other’s
and with the clinician’s observations. Furthermore, we
compared these results with a rigorous standardized evalu-
ation of family functioning, the Lausanne Trilogue Play—
clinical version (LTPc).
Background: Many studies have emphasized the role of
family factors in the development and maintenance of eat-
ing disorders. Previous work using the LTPc have under-
scored that families with a member who is affected by
anorexia nervosa show dysfunctional dynamics compared
with control families. However, the FACES-IV question-
naire showed different results.
Method: We enrolled 40 female adolescents (M=14.7
years, SD =1.5) suffering from restrictive eating disorders
and their parents. Each parent filled in the FACES-IV and
participated with their daughter in the videotaped LTPc
observation.
Results: We found balanced functioning and good agree-
ment between parents on the FACES-IV. However, the
LTPc results indicates that parents’perception differs from
standardized evaluation.
Received: 23 September 2020Revised: 13 July 2021Accepted: 9 August 2021
DOI: 10.1111/fare.12611
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use,
distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
© 2021 The Authors. Family Relations published by Wiley Periodicals LLC on behalf of National Council on Family Relations.
724 Family Relations. 2022;71:724–736.wileyonlinelibrary.com/journal/fare
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