Family structure and eating behavior disorders.
BACKGROUND
The modern way of life, characterized by the cult of individualism, discredited authority, and a proliferation of points of view about reality, has modified family structure. This social structure imbues families and the way that its members become ill, in such a way that eating behavior disorders (EDs) have become a typically postmodern way of becoming ill.


METHODS
The aim is to understand the systemic structure and vulnerability of families by comparing 108 families with members who have ED to 108 families without pathology. A questionnaire administered by an interview with trained personnel was used.


RESULTS
Families with ED have a different structure from the families in the control group. They have more psychiatric history and poor coping skills. The family hierarchy is not clearly defined and the leadership is diffuse, with strict and unpredictable rules, more intergenerational coalitions, and fewer alliances. The relationship between the parents is distant or confrontational, and their attitudes towards their children are complacent and selfish, with ambivalent and unaffectionate bonds. In the case of mothers, this is manifested by separation anxiety and dyadic dependence. Their expectations concerning their offspring are either very demanding and unrealistic, or indifferent, and there is less control of their behavior, in addition to poor organization of the family meals.


CONCLUSIONS
The structural differences between the two groups of families seem to be important for the occurrence and maintenance of EDs, although they may not be the only cause. The results suggest strategies for clinical intervention in EDs.
Servicio de Psiquiatría, Hospital Universitario de Burgos.
Manuel
M
Mateos-Agut
Universidad de Burgos.
Isabel
I
García-Alonso
Servicio de Psiquiatría, Hospital Universitario de Burgos.
Jesús J
JJ
De la Gándara-Martín
Licenciada en Psicología.
María I
MI
Vegas-Miguel
Licenciada en Psicología.
Carlota
C
Sebastián-Vega
Servicio de Psiquiatría, Hospital Universitario de Burgos.
Beatriz
B
Sanz-Cid
Servicio de Psiquiatría, Hospital Universitario de Burgos.
Ana
A
Martínez-Villares
Servicio de Psiquiatría, Hospital Universitario de Burgos.
Esther
E
Martín-Martínez
D000293:Adolescent; D005191:Family Characteristics; D005195:Family Relations; D019959:Feeding and Eating Disorders of Childhood / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D055815:Young Adult