title: Psychiatric Disorders and Personality Styles in Mothers of Female Adolescent Patients with Eating Disorders.
abstract: OBJECTIVE
  To provide further insight into the presently poorly understood role of familial psychopathology in the development of eating disorders (ED).
  
  
  METHODS
  The present study assesses psychiatric and personality disorders listed on Axis I and II of the DSM-IV in 27 mothers of adolescent patients with anorexia (AN mothers) and 14 bulimia nervosa (BN mothers) as well as 22 mentally healthy girls (CG mothers) on a categorical level. Furthermore, we conducted a dimensional diagnostic regarding personality styles and personality traits.
  
  
  RESULTS
  AN and BN mothers showed increased rates of Axis I disorders, especially affective, substance use, and anxiety disorders. Differences on Axis II did not reach statistical significance. However, BN mothers showed higher occurrences of paranoid, negativistic, and schizotypal personality styles compared to the other groups. BN mothers further showed higher occurrences than CG mothers of the personality traits excitability, aggressiveness, physical complaints, openness, and emotionality. AN mothers differed significantly from CG mothers on the scale demands.
  
  
  CONCLUSIONS
  Increased occurrence of psychopathology on both categorical and dimensional levels in mothers of patients with AN and BN supports the assumption of a familial accumulation of psychopathology in ED. Longitudinal studies and genetic analyses should clarify a possible cause-effect relationship and interactions between familial dynamics and adolescent ED.
authors.affiliation: 1 Institute for Health and Behaviour, University of Luxembourg.
authors.forename: Silke
authors.initials: S
authors.lastname: Rost
authors.affiliation: 2 Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité-University Medicine Berlin, Germany.
authors.forename: Viola
authors.initials: V
authors.lastname: Kappel
authors.affiliation: 2 Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité-University Medicine Berlin, Germany.
authors.forename: Harriet
authors.initials: H
authors.lastname: Salbach
authors.affiliation: 2 Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité-University Medicine Berlin, Germany.
authors.forename: Nora
authors.initials: N
authors.lastname: Schneider
authors.affiliation: 2 Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité-University Medicine Berlin, Germany.
authors.forename: Ernst
authors.initials: E
authors.lastname: Pfeiffer
authors.affiliation: 2 Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité-University Medicine Berlin, Germany.
authors.forename: Ulrike
authors.initials: U
authors.lastname: Lehmkuhl
authors.affiliation: 2 Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité-University Medicine Berlin, Germany.
authors.forename: Sibylle
authors.initials: S
authors.lastname: Winter
authors.affiliation: 3 Department of Audiology and Phoniatrics, Charité-University Medicine Berlin, Germany.
authors.forename: Lea
authors.initials: L
authors.lastname: Sarrar
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D052018:Bulimia Nervosa / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D002605:Character; D016241:Child of Impaired Parents / Q000523:psychology* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D009035:Mothers / Q000523:psychology* / Q000706:statistics & numerical data; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology
keywords: adolescent patients; eating disorders; mothers; psychiatric disorders personality styles.