Analysis of the familiar psychopathology as a therapeutic tool

  1. María Dolores Gómez-Castillo
  2. Ana Torres-Ortuño
  3. Pilar Galindo-Piñana
  4. Alicia López-Durán
Journal:
Anales de psicología

ISSN: 0212-9728 1695-2294

Year of publication: 2017

Volume: 33

Issue: 3

Pages: 597-604

Type: Article

DOI: 10.6018/ANALESPS.33.3.256871 DIALNET GOOGLE SCHOLAR

More publications in: Anales de psicología

Abstract

The objective of this study is to find out the degree of psychopathology which patients with an eating disorder present (ED) and to which degree this is accompanied by the presence of psychopathology in mothers and fathers of patients. Three groups of patients with Anorexia Nervosa (AN), Bulimia Nervosa (BN), and eating disorders not otherwise specified (EDNOS) and a control group were selected. Each group had 30 participants (and mothers and fathers). A socio-demographic questionnaire and the SCL-90-R were applied. This scale measured nine dimensions of psychopathology in patients, mothers and fathers. An ANOVA of partially repeated measures with two factors was applied to each dimension of SCL- 90-R. Multiple comparisons between groups within each of the repeated measures were carried out with Sidak test. Patients in three clinical groups obtained significant differences in all psychopathological variables compared with the control group, except in phobic anxiety. These clinical results were accompanied by some degree of psychopathology in mothers but not fathers. The presence of high levels of psychopathology in the three groups of patients and mothers has therapeutic implications that indicate the need for psychological intervention in patients and their mothers.

Bibliographic References

  • American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC: American Psychiatric Association.
  • Beato-Fernández, L., & Rodríguez-Cano, T. (2005).Gender differences regarding psychopathological, family and social characteristics in adolescents with abnormal eating behavior. Eating Behaviors, 6(4), 337-344. Doi: 10.1016/j.eatheh.2005.02.002
  • Berbel, E., Sepúlveda, A. R., Graell, M., Andrés, P., Carrobles, J. A., & Morandé, G. (2010).Valoración del estado de salud y psicopatología de los familiares en el trastorno del comportamiento alimentario: diferencias entre cuidadores principales y secundarios. Revista de Psicopatología y Psicología Clínica, 15(3), 179-192.
  • Binford, R. B., Mussell, M. P., Crosby, R. D., Peterson, C. B., Crow, S. J., & Mitchell, J. E. (2007). Coping strategies in bulimia nervosa treatment: Impact on outcome in group cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73, 1089-1096. Doi: 10.1037/0022-006X.73.6.1089
  • Blinder, B. J., Cumella, E. J., & Sanathara, V. A. (2006). Psychiatric comorbidities of female inpatients with eating disorder. Psychosomatic Medicine, 68(3), 454-462. Doi: 10.1097/01.psy.0000221254.77675.f5
  • Braun, D. L., Sunday, S. R., & Halmi, K. A. (1994). Psychiatric comorbidity in patients with eating disorders. Psychological Medicine, 24, 859-867.Doi: 10.1017/S0033291700028956
  • Carretero-García, A., Sánchez-Planell, L., Rusiñol-Estragués, J., Raich-Escursell, R. M., & Sánchez-Carracedo, D. (2009).Relevancia de factores de riesgo, psicopatología alimentaria, insatisfacción corporal y funcionamiento psicológico en paciente con Trastornos de la Conducta Alimentaria. Clínica y Salud, 20(2), 145-157.
  • Casper, R. C. (1990). Personality features of women with good outcome from restricting anorexia nervosa. Psychosomatic Medicine, 52, 156-170.
  • Cavallini, M. C., Bertelli, S., Chiapparino, D., Riboldi, S., & Bellodi, L. (2000). Complex segregation analysis of obsessive-compulsive disorder in 141 families of eating disorder probands, with and without obsessive-compulsive disorder. American Journal of Medical Genetics, 96(3), 384-391.Doi: 10.1002/1096-8628(20000612)96:3<384::AID-AJMG28>3.0.CO;2-P
  • Cockell, S. J., Zaitsoff, S. L., & Geller, J. (2007). Maintaining change following eating disorder treatment. Professional Psychology: Research and Practice, 35, 527-534. Doi: dx.doi.org/10.1037/0735-7028.35.5.527
  • Dalle-Grave, R. (2011). Eating disorders: progress and challenges. European Journal of Internal Medicine, 15(5), 405-425. Doi: 10.1016/j.ejim.2010.12.010
  • Duvvuri, V., Bailer, U. F., & Kaye, W. H. (2010). Altered serotonin function in anorexia and bulimia nervosa. In C. P. Müller & B. L. Jacobs (Eds.), Handbook of Behavioral Neurobiology of Serotonin (pp. 715-729). NewYork: AcademicPress.
  • Echeburúa, E., & Marañon, I. (2001). Comorbilidad de las alteraciones de la conducta alimentaria con los trastornos de la personalidad. Psicología Conductual, 9, 531-525.
  • Favaro, A., Caregaro, L., Tenconi, E., Bosello, R., & Santonastaso, P. (2009).Time trends in age at onset of anorexia nervosa and bulimia nervosa. Journal of Clinical Psychiatry, 70, 1715-1721. Doi: 10.4088/JCP.09m05176blu
  • Fitzsimmonsa, E. E., & Bardone, A. M. (2011). Coping and social support as potential moderators of the relation between anxiety and eating disorder symptomatology. Eating Behaviors, 12(1), 21-28. Doi: 10.1016/j.eatbeth.2010.09.002
  • Garfinkel, P. E., Lin, E., Goering, C., Spegg, C., Goldbloom, D., Kennedy, S., . . . Woodside, D. B. (1995). Bulimia nervosa in a Canadian community sample: prevalence and comparison of subgroups. American Journal of Psychiatry, 152, 1052-1058.
  • Godart, N. T., Flament, M. F., Perdereau, F., & Jeammet, P. (2002). Comorbidity between eating disorders and anxiety disorders: a review. The International Journal of Eating Disorders, 32(3), 253-270.
  • González de Rivera, J. (2002). Manual del cuestionario de 90 Síntomas (SCL-90-R). Madrid: TEA Ediciones.
  • Goodwin, H., Haycraft, E., Willis, A. M., & Meyer, C. (2011). Compulsive exercise: The role of personality, psychological morbidity, and disordered eating. International Journal of Eating Disorders, 44, 655-660. Doi: 10.1002/eat.20902
  • Gorwood, P., Kipman, A., & Foulong, C. (2003). The human genetics of anorexia nervosa. European Journal of Pharmacology, 480(1-3), 163-170. Doi:10.1016/j.ejphar.2003.08.103
  • Grilo, C. M., Levy, K. N., Becker, D. F.,Edell, W. S., & McGlashan, T. H. (1996). Comorbidity of DSM-III-R axis I and II disorders among female inpatients with eating disorders. Psychiatric Services, 47, 426-429. Doi: 10.1176/ps.47.4.426
  • Herzog, W., Kronmüeller, K. T., Hartmann, M., Bergmann, G., & Kroeger, F. (2000). Family perception of interpersonal behavior as a predictor in eating disorders: A prospective six-year follow-up study. Family Process, 39(3), 359-374. Doi: 10.1111/j.1545-5300.2000.39307.x
  • Halmi, K. A., Tozzi, F., Thomton, L. M., Crow, S., Fichter, M. M., Kaplan, A. S., . . . Bulik, C. M. (2005). The relation among perfectionism, obsessive-compulsive personality disorder in individuals with eating disorders. International Journal of Eating Disorders, 38(4), 371-374. Doi: 10.1002/eat.20190
  • Hoek, H. W. (2006). Incidence, prevalence and mortality of anorexia nervosa and other eating disorders. Current Opinion in Psychiatry, 19, 389-394. Doi: 10.1097/01.yco.0000228759.95237.78
  • Hoek, H. W., & Van Hoeken, D. (2003). Review of the prevalence and incidence of eating disorders. International Journal of Eating Disorders, 34, 383-396. Doi: 10.1002/eat.10222
  • Humphreys, J. D., Clopton, J. R., & Reich, D. A. (2007). Disordered eating behavior and obsessive compulsive symptoms in college students: Cognitive and affective similarities. Eating Disorders: The Journal of Treatment and Prevention, 15, 247-259. Doi: 10.1080/10640260701323508
  • Kaye, W., Lilenfeld, L., Berrettini, W., Stroberr, M., Devlin, B., Klumo, K., . . . McConaha, C. (2000). A search for susceptibility loci for anorexia nervosa: Methods and sample descriptions. Biological Psychiatry, 47, 794-803. Doi: 10.1016/S0006-3223(99)00240-1
  • Kessler, H., Schwarze, M., Filipic, S., Traue, H. C., & von Wietersheim, J. (2006). Alexithymia and facial emotion recognition in patients with eating disorders. International Journal of Eating Disorders, 39(3), 245-251.Doi: 10.1002/eat.20228
  • Kluck, A. (2010). Family influence on disordered eating: The role of body image dissatisfaction. Body Image, 7(1), 8-14. Doi: 10.1016/j.bodyim.2009.09.009
  • Lara, D., & Akiskal, H. (2006). Toward an integrative model of the spectrum of mood, behavioral and personality disorders based on fear and anger traits: II. Implications for neurobiology, genetics and psychopharmacological treatment. Journal of Affective Disorder, 94(13), 89-103. Doi: 10.1016/j.jad2006.02.025
  • Lee, Y., & Lin, P. Y. (2010). Association between serotonin transporter gene polymorphism and eating disorders: A meta-analytic study. International Journal of Eating Disorders, 43(6), 498-504. Doi: 10.1002/eat.20732
  • Lenoir, M., & Silber, T. (2006). Anorexia nerviosa en niños y adolescentes. Criterios diagnósticos, historia, epidemiología, etiología, fisiopatología, morbilidad y mortalidad. Archivos Argentinos de Pedriatría, 104(3), 253-260.
  • Lilenfeld, L. R. R., Stein, D., Bulik, C. M., Strober, M., Plotnicov, K., Pollice, C., . . . Kaye, W. H. (2000). Personality traits among currently eating disordered, recovered and never ill first-degree female relatives of bulimic and control women. Psychological Medicine, 30, 1399-1410. Doi: 10.1017/s0033291799002792
  • Lilenfeld, L. R. R., Wonderlich, S., Riso, L. P., Crosby, R., & Mitchell, J. (2006). Eating disorders and personality: A methodological and empirical review. Clinical Psychology Review, 26, 299-320. Doi:10.1016/j.cpr.2005.10.003
  • Mazzeo, S. E., & Bulik, C. M. (2009). Environmental and genetic risk factors for eating disorders: What the clinician needs to know. Child and Adolescent Psychiatric Clinics of North America, 18, 67-82. Doi:10.1016/j.chc.2008.07.003
  • Mills, J. S., & Miller, J. (2007). Experimental effects of negative weight-related feedback and the importance of peers’ perceptions of weight. Body Image, 4, 309–316. Doi: 10.1016/j.bodyim.2007.04.004
  • Milos, G., Spindler, A., Ruggiero, G., Klaghofer, R., & Schnyner, U. (2002). Comorbidity of obsessive-compulsive disorders and duration of eating disorders. International Journal of Eating Disorders, 31, 284-289.
  • Mond, J. M., & Calogero, R. M. (2009). Excessive exercise in eating disorder patients and in healthy women. Australian and New Zealand Journal of Psychiatry, 43, 227-234. Doi: 10.1080/00048670802653323
  • Neziroglu, F., Khemlani-Patel, S., & Veale, D. (2008). Social learning theory and cognitive behavioral models of body dysmorphic disorders. Body Image, 5, 28-38. Doi:10.1016/j.bodyim.2008.01.002
  • Ochoa, I., Espina, A., & Ortego, M. (2006). Un estudio sobre personalidad, ansiedad y depresión en padres de pacientes con un trastorno alimentario. Clínica y Salud, 17, 151-170.
  • Ortiz, M. A., Sánchez-Moral, V., Ciccotelli, H., & Del Barrio, V. (2003). Listado de síntomas SCL-90-R: Análisis de su comportamiento en una muestra clínica. Acción Psicológica, 2(2), 149-161. Doi: 20.5944/ap.2.2.528
  • Pallister, E., & Waller, G. (2008). Anxiety in the eating disorders: understanding the overlap. Clinical Psychology Review, 28(3), 366-386. Doi: 10.1016/j.cpr.2007.07.001
  • Palmer, B. (2008). Epidemiology, diagnosing, and assessing eating disorder. Psychiatric, 7(4), 143-146. Doi: 10.1016/j.mppsy.2008.02.005
  • Perera-Figueredo, M. J. (2002). Características familiares en los trastornos de la alimentación: Anorexia y bulimia nerviosa. Tesis doctoral no publicada. Universidad del País Vasco.
  • Petrie, T. A., Greenleaf, C., Reel, J., & Carter, J. (2009). Personality and psychological factors as predictors of disordered eating among female collegiate athletes. Eating Disorders: Journal of Treatment and Prevention, 17, 302-321. Doi: 10.1080/10640260902991160.
  • Piran, N., Kennedy, S., Garfinkel, P. E., & Owens, M. (1985). Affective disturbance in eating disorders. The Journal of Nervous and Mental Disease, 173(7), 395-400. Doi: 10.1097/00005053-198507000-00002
  • Reba-Harrelson, L., Von Holle, A., Hamer, R., Torgersen, L., Reichborn-Kjennerud, T., & Bulik, C. (2010). Patterns of maternal feeding and child eating associated with eating disorders in the norwegian mother and child cohort study (MoBa). Eating Behaviors, 11, 54-61. Doi: 10.1016/j.eatbeh.2009.09.004
  • Robinson, M. D., Pearce, E. A., Engel, S. G., & Wonderlich, S. A. (2009). Cognitive control moderates relation between impulsivity and bulimic symptoms. Cognitive Therapy and Research, 33(4), 356-367. Doi: 10.1007/s10608-008-9192-z
  • Rodríguez-Lazo, M., Hernández-Camacho, J. D., Bolaños-Ríos, P., Ruíz-Prieto, I., & Jáuregui-Lobera, I. (2015). Alimentación familiar y percepción de riesgo en trastornos de la conducta alimentaria. Nutrición Hospitalaria, 32(4), 1786-1795. Doi: 10.3305%2Fnh.2015.32.4.9635
  • Rojo-Moreno, L., Arribas, P., Plumed, J., Gimeno, N., García-Blanco, A., & Vaz-Leal, F. (2015). Prevalence and comorbidity ofeating disorders among a community simple of adolescents: 2-year follow-up. Psychiatry Research, 227(1), 52-57. Doi: 10.1016/j.psychres.2015.02.015
  • Santiago, M. J., Bolaños, P., & Jáuregui I. (2010). Anemias nutricionales en los trastornos de la conducta alimentaria. Revista Española de Nutrición Comunitaria, 16(4), 187-193.
  • Spindler A., & Milos G. (2007). Links between eating disorder symptom severity and psychiatric comorbidity. Eating Behaviors, 8(3), 364-373.
  • Stein, O., Kaye, W. H., Matsunaga, H., Orbach, I., Har-Even, D., Frank, G., . . . Rao, R. (2002). Eating-related concerns, mood, and personality traits in recovered bulimia nervosa subjects: A replication study. International Journal of Eating Disorders, 32(2), 225-229. Doi: 10.1002/eat.10025
  • Stice, E., Becker, C.B., & Yokum, S. (2013). Eating disorder prevention: Current evidence-based and future directions. International Journal Eating Disorders, 46, 478-485. Doi: 10.1002/eat22105
  • Striegle-Moore, R. H., & Bulik, C. M. (2007). Risk factors for eating disorders. American Psychologist, 62(3), 181-198.Doi: 10.1037/0003-066X.62.3.181
  • Swanson, S. A., Crow, S. J., Le Grange, D., Swendsen, J., & Merihanga, K. R. (2006). Prevalence and correlates of eating disorders in adolescents: Results from the national comorbidity survey replication adolescents supplement. Archives of General Psychiatry, 68(7), 714-723. Doi: 10.1001/archgenpsychiatry.2011.22
  • Tyrka, A. R., Waldron, I., Graber, J. A., & Brooks-Gunn, J. (2002). Prospective predictors of the onset of anorexic and bulimic syndromes. International Journal of Eating Disorders, 32, 282-290. Doi: 10.1002/eat.10094
  • van Son, G. E., van Hoeken, D., Bartelds, A. I., van Furth, E. F., & Hoek, H. W. (2006). Time trends in the incidence of eating disorders a primary care study in the Netherlands. International Journal of Eating Disorders, 39(7), 565-569. Doi: 10.1002/eat.20316
  • Viken, R. J., Treat, T. A., Nosofsky, R. M., McFall, R. M., & Palmeri, T. J. (2002). Modeling individual differences in perceptual and attentional processes related to bulimic symptoms. Journal of Abnormal Psychology, 111, 598-609. Doi: 10.1037/0021-843X.111.4.598
  • Vandereycken, W., Castro, J., & Vanderlinden, J. (1991).Anorexia y Bulimia: la familia en su génesis y tratamiento. Barcelona: Martínez-Roca.
  • Zandian, M., Ioakimidis, I., Bergh, C., & Södersten, P. (2007). Cause and treatment of anorexia nervosa. Physiology and Behavior, 92, 283-290.Doi: 10.1016/j.physbeh.2007.05.052