Caring for a sibling with anorexia nervosa: a qualitative study.
OBJECTIVE
Few studies have explored eating disorders from the perspective of non-affected siblings. The aim of this investigation was to explore the unique experiences and challenges of siblings of women with anorexia nervosa (AN).


METHODS
Twelve semi-structured qualitative interviews were conducted with sibling participants to ascertain their perspective of caring for a sister with chronic AN.


RESULTS
Qualitative analyses gleaned six themes: (1) the sibling role as protector and mediator; (2) familial factors that influence and reinforce these sibling roles; (3) consequences and benefits of AN to non-affected sibling; (4) coping strategies; (5) current and future intentions of caregiving and (6) professional and informal support.


CONCLUSIONS
The findings from this qualitative study provide a window into the perceptions, feelings, and roles of siblings of women afflicted with AN. An intervention guided by the elicited themes may facilitate family functioning that is more adaptive for both siblings.
Dimitropoulos
Gina
G
Inpatient Eating Disorders Program, Department of Psychiatry, University Health Network, Toronto, Canada. gina.dimitropoulos@uhn.on.ca
Klopfer
Kristina
K
Lazar
Lorena
L
Schacter
Reva
R
D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology* / Q000628:therapy; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D010290:Parents; D012801:Sibling Relations; D035781:Siblings / Q000523:psychology