Testing a dual-process family model in understanding the development of eating pathology: a structural equation modeling analysis

The International Journal of Eating Disorders
F LeungHoward Steiger

Abstract

The present study tested a dual-process family model in understanding the relationships among dysfunctional family relationships, family preoccupation with weight and appearance, and body- and self-esteem problems in the development of eating and psychiatric symptoms. Subjects, 918 adolescent girls from eight high schools, completed measures assessing familial factors, body- and self-esteem problems, and eating and general psychiatric symptoms. Structural equation analyses suggested that family environment contributed to the development of eating and psychiatric symptoms through two interrelated pathways. On one hand, family preoccupation with weight and appearance had direct effects on body dissatisfaction and eating symptoms. Body dissatisfaction had direct effects on self-esteem deficit and eating symptoms, and indirect effects mediated by self-esteem deficit on eating and psychiatric symptoms. On the other hand, general family dysfunction had direct effect on negative self-esteem, and indirect effects through negative self-esteem on eating and psychiatric symptoms. Findings are discussed in relation to the possible mechanisms by which dysfunctional family relationships and family preoccupation with weight may predispose gir...Continue Reading

Citations

Oct 19, 2002·The International Journal of Eating Disorders·Helena FonsecaMichael D Resnick
Nov 28, 2002·Eating and Weight Disorders : EWD·B K Engelsen
Aug 10, 2006·International Journal of Adolescent Medicine and Health·Willo WisotskyWilliam Wisotsky
Feb 6, 2017·Body Image·Courtney B RogersAmy T Galloway
Aug 7, 2007·European Eating Disorders Review : the Journal of the Eating Disorders Association·Carmen SenraFreedom Y K Leung
Feb 13, 2007·Comprehensive Psychiatry·Dieter BenninghovenGünter Jantschek
Dec 25, 2013·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Anne Tetzlaff, Anja Hilbert
Mar 31, 2005·Journal of Family Psychology : JFP : Journal of the Division of Family Psychology of the American Psychological Association (Division 43)·David B HenryDeborah Gorman-Smith
Nov 6, 1998·Statistical Methods in Medical Research·B S Everitt, S Landau

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