title: Mentalization and relationships with parents as predictors of eating disordered behavior.
abstract: Our study postulated that deficient mentalization abilities and maladaptive relationships with parents may be risk factors in the genesis of eating disorder (ED). The study examined 34 female inpatients with anorexia nervosa-binging/purging type and 35 matched non-ED controls. Data indicated that anorexia nervosa-binging/purging type patients presented significantly lower mentalization levels and reported significantly lower quality of current relationships with their parents, compared with non-ED controls. The combination of the mentalization and relationship quality variables showed an additive effect for some ED-related symptoms but not others. Moreover, high mentalization reduced ED symptomatology even if relationship quality with parents was deficient. Findings supported the role of low mentalization as a risk factor, and of high mentalization as a protective factor, in the formation of ED.
authors.affiliation: Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel. Lilyrot@yahoo.com
authors.forename: Lily
authors.initials: L
authors.lastname: Rothschild-Yakar
authors.forename: Rachel
authors.initials: R
authors.lastname: Levy-Shiff
authors.forename: Rachel
authors.initials: R
authors.lastname: Fridman-Balaban
authors.forename: Eitan
authors.initials: E
authors.lastname: Gur
authors.forename: Daniel
authors.initials: D
authors.lastname: Stein
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D009769:Object Attachment; D010287:Parent-Child Relations; D010343:Patient Admission; D018187:Personal Construct Theory; D010552:Personality Assessment; D012307:Risk Factors; D056345:Theory of Mind; D013851:Thinness / Q000523:psychology; D055815:Young Adult