Hostname: page-component-848d4c4894-x5gtn Total loading time: 0 Render date: 2024-06-09T19:26:39.639Z Has data issue: false hasContentIssue false

Ambiente familiar de pacientes con trastorno de la conducta alimentaria con y sin comportamientos autolesivos

Published online by Cambridge University Press:  12 May 2020

Laurence Claes
Affiliation:
Departamento de Psicología, Universidad Católica de Leuven, Leuven, Bélgica.
Walter Vandereycken
Affiliation:
Departamento de Psicología, Universidad Católica de Leuven, Leuven, Bélgica.
Hans Vertommen
Affiliation:
Departamento de Psicología, Universidad Católica de Leuven, Leuven, Bélgica.
Get access

Resumen

Objetivo.

Se sabe que el ambiente familiar es un factor importante parcialmente responsable del curso de los trastornos psiquiátricos. En este estudio, examinamos el contexto familiar de pacientes con trastorno de la conducta alimentaria (TCA) con y sin comportamientos autolesivos (CAL).

Método.

Ciento treinta y un pacientes con TCA cumplimentaron una adaptación holandesa de la Escala de Ambiente Familiar ‘Sci Eng 57 (9-B): 1997;5927’. El 47% de ellas mostró al menos una forma de CAL (p. ej., cortarse, quemarse, tirarse de los cabellos, etc.).

Resultados.

Los resultados mostraron una diferencia significativa en el ambiente familiar entre las pacientes con y sin CAL. El ambiente familiar de las pacientes con TCA que se autolesionaban era menos cohesivo, expresivo y socialmente orientado, y más conflictivo y desorganizado que el ambiente familiar de las pacientes sin CAL. No se encontraron diferencias significativas en el ambiente familiar percibido con respecto al número o la forma de CAL y el subtipo de TCA. Tampoco hallamos un efecto de interacción significativo entre el subtipo de TCA y la presencia/ausencia de CAL.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Claes L, Vandereycken W, Vertommen H. Family environment of eating disordered patients with and without self-injurious behaviors. Eur Psychiatry 2004;19:494-498.

References

Bibliografía

[1] American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington (DC): APA; 1994.Google Scholar
[2]Boyd, CPGullone, ENeedleman, GLBurt, T. The Family Environment Scale: reliability and normative data for an adolescent sample. Fam Process 1997; 36: 369-73.CrossRefGoogle ScholarPubMed
[3]Carroll, JShaffer, CSpensley, JAbramowitz, SI. Family experiences of self-mutilating patients. Am J Psychiatry 1980; 137: 852-3.Google ScholarPubMed
[4]Claes, LVandereycken, WVertommen, H. Self-injurious behaviors in eating-disordered patients. Eat Behav 2001; 2: 263-72.CrossRefGoogle ScholarPubMed
[5]Claes, LVandereycken, WVertommen, H. Impulsive and compulsive traits in eating disordered patients compared with Controls. Pers Individ Dif 2002; 32: 707-14.CrossRefGoogle Scholar
[6]Fallon, BASadik, CSaoud, JBGarfinkel, RS. Childhood abuse family environment and outcome in bulimia nervosa. J Clin Psychiatry 1994; 55: 424-8.Google ScholarPubMed
[7]Favaro, ASantonastaso, P. Impulsive and compulsive self-injurious behavior in bulimia nervosa: prevalence and psychological correlates. J Nerv Ment Dis 1998; 186: 157-65.CrossRefGoogle ScholarPubMed
[8]Felker, KRStivers, C. The relationship of gender and family environment to eating disorder risk in adolescents. Adolescente 1994; 29: 821-34.Google ScholarPubMed
[9]Finney, JMoos, RMewborn, R. Post-treatment experiences and treatment outcome of alcoholic patients six months and two years after hospitalization. J Consult Clin Psychol 1990; 48: 1729.CrossRefGoogle Scholar
[10]Green, RGKelevzon, MSVosler, NR. The Beavers-Timberlawn Model of family competence and the circumplex model of family adaptability and cohesion: separate but equal? Fam Process 1985; 24: 385-98.CrossRefGoogle ScholarPubMed
[11]Halvorsen, JG. Self-report family assessment instruments: an evaluative review. Fam Pract Res J 1991; 11: 2155.Google ScholarPubMed
[12]Jansma, JBMde Coole, RL. GKS-II: Gezinsklimaatschaal-Handleiding. Lisse: Swets & Zeitlinger; 1995.Google Scholar
[13]Johnson, CFlach, A. Family characteristics of 105 patients with bulimia. Am J Psychiatry 1985; 142: 1321-4.Google ScholarPubMed
[14]Kent, JSClopton, JR. Bulimic women's perceptions of their family relationships. J Clin Psychol 1992; 48: 281-92.3.0.CO;2-O>CrossRefGoogle ScholarPubMed
[15]Klump, KLBulik, CMPollice, CHalmi, KAFichter, MMBerrettini, WH, et al. Temperament and character in women with anorexia nervosa. J Nerv Ment Dis 2000; 188: 559-67.CrossRefGoogle ScholarPubMed
[16]Mood, AMGraybill, FABoes, DC. Introduction to the theory of statistics. 3rd ed. Singapore: McGraw-Hill; 1974.Google Scholar
[17]Moos, RMoos, B. The Family Environment Scale Manual. Palo Alto: Consulting Psychologists Press; 1986.Google Scholar
[18]Offner, D. Eating disorders: family environment and outcome. Dissertation abstracts international: section B. Sci Eng 1997;57(9-B):5927.Google Scholar
[19]Roosa, MWBeals, J. Measurement issues in family assessment: the case of the Family Environment Scale. Fam Process 1990; 29: 191-8.CrossRefGoogle ScholarPubMed
[20]Roosa, MWBeals, J. A final comment on the case of the Family Environment Scale. Fam Process 1990; 29: 209-11.CrossRefGoogle Scholar
[21]Simpson, CAPorter, GL. Self-mutilation in children and adolescents. Bull Menninger Clin 1981; 45: 428-38.Google ScholarPubMed
[22]Spiegel, DWissler, T. Family environment as a predictor of psychiatric rehospitalization. Am J Psychiatry 1986; 143: 5660.Google ScholarPubMed
[23]Strober, M. The significance of bulimia in juvenile anorexia nervosa. Int J Eat Disord 1981; 1: 2843.3.0.CO;2-9>CrossRefGoogle Scholar
[24]Thieneman, MSteiner, H. Family environment of eating disordered and depressed adolescents. Int J Eat Disord 1993; 14: 43-8.3.0.CO;2-7>CrossRefGoogle Scholar
[25]Vanderoycken, W. The Eating Disorders Evaluation Scale. Eat Disorders. J Treat Prevent 1993; 1: 115-22.CrossRefGoogle Scholar
[26]Vanderoycken, W. Families of patients with eating disorders. In: Fairburn, CGBrownell, KD, editors. Eating disorders and obesity a comprehensive handbook. New York-London: Guilford Press; 2002. p. 215-20.Google Scholar
[27]Vanderlinden, JVanderoycken, W. Trauma dissociation and impulse dyscontrol in eating disorders. New York: Brunner/Mazel; 1997.Google Scholar
[28]Welch, SLFairnbum, CG. Impulsivity or comorbidity in bulimia nervosa: a controlled study of deliberate self-harm and alcohol and drug misarse in a community sample. Br J Psychiatry 1986; 169: 451-8.CrossRefGoogle Scholar
[29]Westen, DHarnden-Fischer, J. Personality profiles in eating disorders: rethinking the distinction between axis I and axis II. Am J Psychiatry 2001; 158: 547-62.CrossRefGoogle ScholarPubMed
[30]Wolfradt, UVeith, CJany, CFrank, D. Depersonalisation und Automutilation Eine empirische Studie (Depersonalization and self mutilation: An empirical study). Zeitschnft für Klinische Psychologie Psychiatrie und Psychotherapie 2002; 50: 7590.Google Scholar