title: The Role of Non-Suicidal Self-Injury and Binge-Eating/Purging Behaviours in Family Functioning in Eating Disorders.
abstract: This study aimed to investigate family functioning of restrictive and binge-eating/purging eating disordered adolescents with or without non-suicidal self-injury (NSSI), as perceived by the patients and their parents (mothers and fathers). In total, 123 patients (between 14 and 24 years), 98 mothers and 79 fathers completed the Family Assessment Device. Patients completed the Self-Injury Questionnaire-Treatment Related and the Symptom Checklist 90-Revised. No main effects were found of restrictive versus binge-eating/purging behaviour nor of presence/absence of NSSI. For the parents, a significant interaction between binge-eating/purging behaviour and NSSI emerged: Mothers and fathers reported worse family functioning in the binge-eating/purging group in presence of NSSI, whereas mothers reported worse family functioning in the restrictive group without NSSI. Parental perception of family functioning is affected by the combined presence of binge-eating/purging behaviour and NSSI. This finding should be taken into account when treating families living with eating disorders.
authors.affiliation: Eating Disorders Unit, Psychiatric Hospital Alexianen Tienen, Belgium.|Faculty of Psychology and Educational Sciences, University of Leuven, Belgium.|Department of Psychiatry and Medical Psychology, Ghent University, Belgium.
authors.forename: Lies
authors.initials: L
authors.lastname: Depestele
authors.affiliation: Faculty of Psychology and Educational Sciences, University of Leuven, Belgium.|Faculty of Medicine and Health Sciences (CAPRI), University of Antwerp, Belgium.
authors.forename: Laurence
authors.initials: L
authors.lastname: Claes
authors.affiliation: Eating Disorders Unit, Psychiatric Hospital Alexianen Tienen, Belgium.|Department of Clinical & Life Span Psychology, Vrije Universiteit Brussel, Belgium.
authors.forename: Eva
authors.initials: E
authors.lastname: Dierckx
authors.affiliation: Faculty of Psychology and Educational Sciences, University of Leuven, Belgium.|Department of Clinical & Life Span Psychology, Vrije Universiteit Brussel, Belgium.
authors.forename: Imke
authors.initials: I
authors.lastname: Baetens
authors.affiliation: Eating Disorders Unit, Psychiatric Hospital Alexianen Tienen, Belgium.
authors.forename: Katrien
authors.initials: K
authors.lastname: Schoevaerts
authors.affiliation: Department of Psychiatry and Medical Psychology, Ghent University, Belgium.
authors.forename: Gilbert M D
authors.initials: GM
authors.lastname: Lemmens
mesh_terms: D000293:Adolescent; D000328:Adult; D056912:Binge-Eating Disorder / Q000150:complications / Q000523:psychology*; D002032:Bulimia / Q000150:complications / Q000523:psychology*; D052018:Bulimia Nervosa / Q000150:complications / Q000523:psychology*; D001068:Feeding and Eating Disorders; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents; D010465:Perception; D011569:Psychiatric Status Rating Scales; D016728:Self-Injurious Behavior / Q000150:complications / Q000523:psychology*; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: eating disorders; family functioning; non-suicidal self-injury