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Setting the scene for eating disorders: childhood care, classification and course of illness.
Psychol Med. 1993 Aug; 23(3):663-72.PM

Abstract

The aim of this study was to determine whether the childhood experiences of patients with anorexia nervosa and bulimia nervosa differ and affect the course of the illness. A semistructured interview developed by Harris et al. (1986) was used to assess the childhood family environment of 64 patients with restricting anorexia nervosa (RAN), 23 patients with bulimic anorexia nervosa (BAN), 37 bulimic patients with a history of anorexia nervosa (BN/HistAN) and 79 patients with normal weight bulimia nervosa (BN). There were no significant differences between groups in terms of parental mental disorder, low parental control or childhood sexual abuse. BN patients had had significantly more family arrangements and had experienced more parental indifference, excessive parental control, physical abuse, and violence against other family members than RAN patients with the BAN and BN/HistAN group being intermediate. There was a trend for BN-patients to have had more intra-familial discord than the other groups. Different aspects of adversity tended to cluster in the same patients and 65% of the bulimic group had experienced two or more types of childhood adversity. These results suggest that childhood experiences contribute to the form of eating disorder which later develops.

Authors+Show Affiliations

Institute of Psychiatry, London.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8234573

Citation

Schmidt, U, et al. "Setting the Scene for Eating Disorders: Childhood Care, Classification and Course of Illness." Psychological Medicine, vol. 23, no. 3, 1993, pp. 663-72.
Schmidt U, Tiller J, Treasure J. Setting the scene for eating disorders: childhood care, classification and course of illness. Psychol Med. 1993;23(3):663-72.
Schmidt, U., Tiller, J., & Treasure, J. (1993). Setting the scene for eating disorders: childhood care, classification and course of illness. Psychological Medicine, 23(3), 663-72.
Schmidt U, Tiller J, Treasure J. Setting the Scene for Eating Disorders: Childhood Care, Classification and Course of Illness. Psychol Med. 1993;23(3):663-72. PubMed PMID: 8234573.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Setting the scene for eating disorders: childhood care, classification and course of illness. AU - Schmidt,U, AU - Tiller,J, AU - Treasure,J, PY - 1993/8/1/pubmed PY - 1993/8/1/medline PY - 1993/8/1/entrez SP - 663 EP - 72 JF - Psychological medicine JO - Psychol Med VL - 23 IS - 3 N2 - The aim of this study was to determine whether the childhood experiences of patients with anorexia nervosa and bulimia nervosa differ and affect the course of the illness. A semistructured interview developed by Harris et al. (1986) was used to assess the childhood family environment of 64 patients with restricting anorexia nervosa (RAN), 23 patients with bulimic anorexia nervosa (BAN), 37 bulimic patients with a history of anorexia nervosa (BN/HistAN) and 79 patients with normal weight bulimia nervosa (BN). There were no significant differences between groups in terms of parental mental disorder, low parental control or childhood sexual abuse. BN patients had had significantly more family arrangements and had experienced more parental indifference, excessive parental control, physical abuse, and violence against other family members than RAN patients with the BAN and BN/HistAN group being intermediate. There was a trend for BN-patients to have had more intra-familial discord than the other groups. Different aspects of adversity tended to cluster in the same patients and 65% of the bulimic group had experienced two or more types of childhood adversity. These results suggest that childhood experiences contribute to the form of eating disorder which later develops. SN - 0033-2917 UR - https://www.unboundmedicine.com/medline/citation/8234573/Setting_the_scene_for_eating_disorders:_childhood_care_classification_and_course_of_illness_ L2 - https://medlineplus.gov/childsexualabuse.html DB - PRIME DP - Unbound Medicine ER -