title: Family interactions predict intraindividual symptom variation for adolescents with bulimia.
abstract: OBJECTIVE
  Following family systems and stress theories, this study considered predictors of symptom variation experienced by adolescents with bulimia.
  
  
  METHODS
  Using experience sampling methodology, 20 girls clinically diagnosed with bulimia nervosa completed questionnaires about hassles and bulimic symptoms for 1 week, eight times daily, whenever they were contacted by pager. Perceived family environment was defined by the Family Environment Scale and the Conflict Behavior Questionnaire.
  
  
  RESULTS
  Regression analyses found that potent family hassles were positive predictors of bulimic symptoms later that day for girls who perceived their family as having high levels of conflict or low levels of emotional expressiveness. This was not found when girls perceived their family environment as more normal.
  
  
  CONCLUSIONS
  Within the context of a perceived dysfunctional family environment, potent family hassles can predict interindividual and intraindividual bulimic symptom variation for adolescent girls.
authors.affiliation: Pacific Graduate School of Psychology, Palo Alto, California, USA. dmokon@highstream.net
authors.forename: Deborah M
authors.initials: DM
authors.lastname: Okon
authors.forename: Anita L
authors.initials: AL
authors.lastname: Greene
authors.forename: Jane Ellen
authors.initials: JE
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D002032:Bulimia / Q000523:psychology*; D003220:Conflict, Psychological; D019260:Expressed Emotion; D005195:Family Relations; D005260:Female; D006801:Humans; D008499:Medical Records; D009034:Mother-Child Relations; D012044:Regression Analysis