Predictors of family functioning in carers of individuals with anorexia nervosa.
OBJECTIVE
The objective of the present study was to determine influences on caregiver distress and family functioning in AN using the stress process model.


METHODS
Using a cross-sectional design, self-report measures were disseminated to 63 family members of inpatients with long-term AN. Outcome measures included the Family Assessment Device and the General Health Questionnaire.


RESULTS
Multiple regression analysis of family functioning resulted in a model predicting 38% of the variance. Burden, conflict regarding AN and the caregiving role, attitudes and actions of other family members toward the person with AN, family stigma, and social support were predictive of family functioning. In contrast, caregiver psychological distress was poorly predicted by the independent variables, with only 11% of the variance explained.


CONCLUSIONS
These findings demonstrate the utility of the stress process model for predicting family functioning in this population, and suggest potential targets of intervention for clinicians working with caregivers.
Dimitropoulos
Gina
G
Inpatient Eating Disorders Program, University Health Network, Toronto, Ontario, Canada. gina.dimitropoulos@uhn.on.ca
Carter
Jacqueline
J
Schachter
Reva
R
Woodside
D Blake
DB
D000328:Adult; D000368:Aged; D000856:Anorexia Nervosa / Q000453:epidemiology* / Q000523:psychology*; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data*; D005190:Family / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012931:Social Environment; D011795:Surveys and Questionnaires; D055815:Young Adult