The role of family relationships in eating disorders in adolescents: a narrative review

Abstract: Background: Adolescents’eatingdisordershavebeenexploredthroughvariousconceptual andempiricalmodels. Onlyrecently,scientificliteratureinthisareahasmorespecificallyinvestigated theroleofrelationships,withparticularattentiontofamilyfunctioning. Objective: Thispaperreviews family relationships aspects of eating disorders in adolescence. Methods: A narrative literature review of relational issues in adolescents’ eating disorders was performed. Results: Empirical evidence of family relationships in adolescents’ eating disorders confirms the relevance of relational aspects in the development and maintenance of the pathology. In particular, the contribution of the relational-systemic approach is wide, suggesting the need to refer to the family context for a better understanding of adolescents’ sufferance. Additionally, the empirical contributions from the conceptual model of Developmental Psychopathology, highlighting the importance of risk and protection factors in family relationships, provides knowledge about the phenomenon of adolescents’ eating disorders in terms of complexity. Conclusions: An integrated relational model aimed to explore adolescents’ eating disorders is worthy of investigation to accomplish specific program of intervention

Psychopathological risk in parentally bereaved adolescents

For a child, the death of a parent is a traumatic experience and can give rise to several difficulties during the child’s development. International literature in this field has focused on clinical populations; evaluations of the psychological difficulties in adulthood have rarely been aimed at non-referred samples. The present study assessed the psychological functioning of a non-referred sample of adolescents, with consideration given to the impact of the loss of a caregiver during childhood on their psychological profiles. It also evaluated the association between the adolescents’ psychological profiles and possible psychopathological risk in the surviving parents. Three groups of subjects (N=96) were considered: adolescents who had suffered the loss before 3 years of age (Group A); adolescents who had experienced loss between 3 and 10 years of age (Group B); and adolescents who had experienced no loss (Group C). Psychological profiles, eating difficulties, and dissociative symptoms were evaluated during adolescence (14-16 years of age). Also assessed were the psychological profiles of the surviving caregivers. Group A had higher scores than Group B and C, indicating that there had not been an improvement in their psychological well-being. In addition, it was found that the psychological profiles of the surviving caregivers may have had an influence on the adolescents’ psychological difficulties. This result is important for prevention, and it could direct clinical work and early intervention in this specific field by taking into account the influence of the surviving parent

Studio empirico sul funzionamento familiare, indicatori di rischio psicopatologico genitoriale e comunicazione emotiva tra genitori e figlie in famiglie con adolescenti con disturbi del comportamento alimentare

Il progetto di tesi si inserisce nell’ambito degli studi e ricerche ad orientamento sistemico-relazionale, volti a comprendere il ruolo dei processi familiari nello sviluppo e nel mantenimento delle problematiche nei figli. Si tratta di uno studio su campioni clinici che si propone di analizzare il funzionamento familiare e i profili di funzionamento psicopatologico in famiglie con figlie con disturbi del comportamento alimentare, in cui l''indagine delle comunicazioni sulle emozioni tra genitori e figli rappresenta un elemento di approfondimento

Adolescents’ psychological functioning and unintentional injuries: motor vehicles and sports accidents

Adolescence represents a crucial period for psychological development. Adolescents have been shown more prone to injuries than adults have and they are frequently involved in motor vehicle and sports accident. Although adolescents’ injuries have been widely investigated in international literature, victims’ psychological profiles associated with different types of accidents have been scarcely addressed. The present study aimed to identify adolescents’ psychological functioning associated with different types of injuries among a population of Italian adolescents who visited an emergency department. Moreover, the present paper intended to compare psychological profiles of adolescents who have had road and sports accidents. The sample was composed by N= 60 adolescents who attended an emergency department in central Italy. Subjects completed self-report measures assessing emotional and behavioural functioning and the use of defence mechanisms. Both road and sport accidents were associated with adolescents’ maladaptive psychological functioning. Adolescents involved in motor vehicle accidents showed a problematic emotional and behavioural functioning in general and a massive use of defense strategies; their peers who had sport accidents also show various difficulties in internalizing and externalizing functioning. Several adolescents’ emotional-behavioural variables are associated with injuries rates. Risk taking behaviours and other victims’ psychological profiles should be considered to have an exhaustive picture of individual factors that can impair a healthy development

Developmental trajectories of body mass index and emotional-behavioral functioning of underweight children. A longitudinal study

Although several studies have addressed developmental trajectories from childhood to adolescence of internalizing/externalizing problems, limited attention has been given to underweight children. Two groups were recruited for this study from a community sample: underweight (Ug, N = 80, 50% female) and normal weight (NWg, N = 80, 50% female) to examine the developmental trajectories of body mass index and emotional-behavioral functioning of underweight children from the age two years, and their risk of eating disorder at early adolescence. The study was organized over four waves, each of three years. Pediatricians measured BMI, parents completed the Child Behavior Checklist (CBCL) and the Eating Disorders Inventory-Referral Form (EDI-3-RF). Our results showed that children in the two groups recorded different BMI trajectories over time. In NWg, male and female subjects started from a higher BMI at T1 than their peers. In Ug, internalizing and externalizing problems in males and females remained higher than their peers at all points of assessment. Males and females in Ug scored higher than those in NWg on EDI-3-RF total score. Our results indicate a need for effective physical and psychological assessment of underweight children in community samples to prevent psychological difficulties and eating disorders in adolescenc

Trajectories of aggressive and depressive symptoms in male and female overweight children. Do they share a common path or do they follow different routes?

The prevalence of childhood overweight is a major social and public health issue, and primary assessment should focus on early and middle childhood, because weight gain in these phases constitutes a strong predictor of subsequent negative outcomes. Studies on community samples have shown that growth curves may follow linear or non-linear trajectories from early to middle childhood, and can differ based on sex. Overweight children may exhibit a combination of physiological and psychosocial issues, and several studies have demonstrated an association between overweight and internalizing/externalizing behavior. Nevertheless, there is a dearth of longitudinal studies on depressive and aggressive symptoms in children with high BMI. This study adopted a growth curve modeling over three phases to: (1) describe BMI trajectories in two groups of children aged 2–8 (overweight and normal weight) from a community sample; (2) describe the developmental trajectories of children’s aggressive and depressive symptoms from 2 to 8 years of age. Results indicate higher BMI in 2-year-old girls, with males catching up with them by age 8. While overweight females’ BMIs were consistently high, males’ increased at 5 and 8 years. The mean scores for aggressive symptoms at T1 (2 years of age) were the same in all subjects, but a significant deviation occurred from T1 to T2 in both samples, in divergent directions. With regards to children’s depressive symptoms, the two groups had different starting points, with normal weight children scoring lower than overweight youths. Overweight females showed lower depressive scores than overweight males at T1, but they surpassed boys before T2, and showed more maladaptive symptoms at T3. This study solicits professionals working in pediatric settings to consider overweight children’s psychopathological risk, and to be aware that even when children’s BMI does not increase from 2 to 8 years, their psychopathological symptoms may grow in intensit

A 9-year longitudinal study on trajectories of aggressive and depressive symptoms in male and female children with overweight

Objectives: The aim of this four waves 9-year longitudinal study was to examine aggressive/depressive symptoms trajectories in a sample of N = 90 children with overweight and a matched group of children with normal weight (subjects balanced by sex and sociodemographic characteristics). Weight and height were measured by pediatricians to calculate body mass index (BMI). Aggressive/depressive symptoms were measured through the Child Behavior Check-List filled out by children’s parents. Multilevel modeling was used to obtain the best fitting curves describing the change over time in aggression and depression scores. These analyses were performed by sex and group. Results: Children with overweight showed a general increase of aggressive symptoms over time, with a peak at 8 years of age in males, whereas scores of the control group decreased over time both in males and in females. Female children with overweight showed increasing levels of depressive symptoms, with a peak at 8 years of age; children with normal weight, instead, showed low scores at all assessment points. The results highlight the importance of considering the developmental trajectories of aggression and depression in children of different weight status

Difficoltà alessitimiche e funzionamento familiare in adolescenza: uno studio sui cluster familiari

Alexithymia and family functioning in adolescence: a study on family clusters Several studies have stressed the importance of the ability to identify and describe emotions to psychological well-being in adolescence. However, fewer studies have investigated adolescents’ alexithymic difficulties in relation to family functioning. The aim of this study was to investigate the alexithymic difficulties of adolescents belonging to the general population, in relation to their family functioning, taking into account their psychopathological risk. The sample was composed of N=314 families with adolescents. Adolescents filled out some self-report questionnaires for the evaluation of alexithymic difficulties and psychopathological risk and mothers, fathers and adolescents filled out a questionnaire for the evaluation of family functioning. In order to verify the presence of different family functioning, authors have conducted a cluster analysis, which identified four distinct profiles of family functioning. Then, covariance analysis was conducted, which showed greater somatization and hostility in adolescents with families that show less cohesion and flexibilit