title: Perceptions of family relationships in adolescents with anorexia nervosa and their unaffected sisters.
abstract: The family relationships of patients with anorexia nervosa (AN) have been extensively studied over recent years. However, using case-control designs with unrelated controls is subject to various cultural and familial biases. Studying subjective differential perceptions of family relationships in sister-pairs discordant for the disorder may overcome some of these limitations. The aim of the present study was therefore, to investigate subjective perceptions of family environments in a clinically ill sample of female adolescent patients with acute AN and in their healthy sisters using the Subjective Family Image Test. We found significantly lower perceived individual autonomy and higher perceived cohesion in patients compared with their sisters but no difference in perceived emotional connectedness. Lower perceived individual autonomy of the ill children resulted mainly from their relationships with mothers but also in part from their relationships with fathers. This observed pattern might contribute to the maintenance of the disorder and should be addressed in individual and family interventions.
authors.affiliation: University Clinic of Neuropsychiatry of Childhood and Adolescence, University of Vienna Medical School, Eating Disorders Unit, Währinger Gürtel 18-20, 1090 Vienna, Austria. andreas.karwautz@univie.ac.at
authors.forename: Andreas
authors.initials: A
authors.lastname: Karwautz
authors.forename: Gerald
authors.initials: G
authors.lastname: Nobis
authors.forename: Maria
authors.initials: M
authors.lastname: Haidvogl
authors.forename: Gudrun
authors.initials: G
authors.lastname: Wagner
authors.forename: Andrea
authors.initials: A
authors.lastname: Hafferl-Gattermayer
authors.forename: Cicek
authors.initials: C
authors.lastname: Wöber-Bingöl
authors.forename: Max H
authors.initials: MH
authors.lastname: Friedrich
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000523:psychology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005190:Family / Q000523:psychology; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D010290:Parents; D012720:Severity of Illness Index; D012801:Sibling Relations; D012938:Social Perception