title: Family climate and recovery in adolescent onset eating disorders: a prospective study.
abstract: OBJECTIVE
  This prospective study investigated the self-assessed family climate of adolescent patients and their parents during treatment of and recovery from eating disorders.
  
  
  METHODS
  One hundred two girls aged 13-17 years with eating disorders, answered the self-report Family Climate Scale (FCS) and Eating Disorders Inventory for Children at initial assessment and after 18 and 36 months. The FCS was also answered by their parents at the same time points.
  
  
  RESULTS
  Self-assessed family climate and eating disorder symptoms were similar for recovered (R) and nonrecovered (NR) adolescents at initial assessment and at 18 months. At 36 months, FCS Closeness was higher for R, and FCS Distance was lower for R compared with NR. Parents of R adolescents had higher scores on FCS Closeness and lower scores on FCS Chaos compared with parents of NR adolescents at the 36-month follow-up.
  
  
  CONCLUSIONS
  Self-reported family climate was associated with recovery. Changes in eating disorder symptoms preceded changes in family climate.
authors.affiliation: Child and Adolescent Psychiatry, Department of Clinical Sciences, Umeå University, Sweden. karin.nilsson@psychiat.umu.se
authors.forename: Karin
authors.initials: K
authors.lastname: Nilsson
authors.forename: Ingemar
authors.initials: I
authors.lastname: Engström
authors.forename: Bruno
authors.initials: B
authors.lastname: Hägglöf
mesh_terms: D000293:Adolescent; D000328:Adult; D005195:Family Relations; D001068:Feeding and Eating Disorders / Q000503:physiopathology / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011594:Psychometrics / Q000295:instrumentation; D020127:Recovery of Function; D057566:Self Report; D011795:Surveys and Questionnaires