title: [The role of the family in childhood and adolescent binge eating - a systematic review].
abstract: OBJECTIVE
  While family factors in childhood and adolescent anorexia nervosa and bulimia nervosa are well documented and have often been reviewed in the past, less is known about these influences on binge eating without compensatory behavior. This systematic review describes family factors in the development and maintenance of binge eating.
  
  
  METHODS
  A systematic literature search was conducted for studies on associations between binge eating, loss of control eating, and family outcomes.
  
  
  RESULTS
  Consistent evidence was found for cross-sectional associations between binge eating and insecure attachment of the child, lower family functioning, and lower parental involvement; for parental unemployment and parental depression as retrospective correlates; and for fewer family meals and more critical comments about weight or shape by parents as variable risk factors. In contrast, rather inconsistent findings referred to the influence of family structures, parental eating disorders, dieting, and their knowledge about child's eating behavior. Gender differences were identified in association with family relationships and weight stigmatization.
  
  
  CONCLUSIONS
  As with other eating disorders in youth, the results suggest the importance of familial factors in binge eating. Consequently, family assessment and family-based interventions might be helpful in the treatment of childhood and adolescent binge eating. More research should clarify inconsistent findings using prospective designs.
authors.affiliation: Integriertes Forschungs- und Behandlungszentrum (IFB) AdipositasErkrankungen, Universitätsmedizin Leipzig.
authors.forename: Anne
authors.initials: A
authors.lastname: Tetzlaff
authors.affiliation: Integriertes Forschungs- und Behandlungszentrum (IFB) AdipositasErkrankungen, Universitätsmedizin Leipzig.
authors.forename: Anja
authors.initials: A
authors.lastname: Hilbert
mesh_terms: D000293:Adolescent; D056912:Binge-Eating Disorder / Q000175:diagnosis* / Q000523:psychology*; D002648:Child; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D054541:Family Conflict / Q000523:psychology*; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D016487:Parenting / Q000523:psychology*; D019962:Reactive Attachment Disorder / Q000175:diagnosis / Q000523:psychology*; D012307:Risk Factors; D014478:Unemployment / Q000523:psychology
keywords: Essanfall; Familie; Jugend; Kindheit; adolescence; binge eating; childhood; family; loss of control eating