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Psychosocial Well-being of Siblings of Adolescents with Anorexia Nervosa
Objective Anorexia nervosa (AN) is often first diagnosed in the adolescent years. The treatment with the greatest evidence during this time is family‐based treatment (FBT). In FBT, siblings are expected to attend treatment sessions; however, sibling well‐being during this time has not been well rese...
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Published in: | European eating disorders review 2016-11, Vol.24 (6), p.438-445 |
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container_title | European eating disorders review |
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creator | van Langenberg, Tanja Sawyer, Susan M. Le Grange, Daniel Hughes, Elizabeth K. |
description | Objective
Anorexia nervosa (AN) is often first diagnosed in the adolescent years. The treatment with the greatest evidence during this time is family‐based treatment (FBT). In FBT, siblings are expected to attend treatment sessions; however, sibling well‐being during this time has not been well researched. This study aimed to explore sibling well‐being when the ill child was initially diagnosed with AN and after FBT had been completed.
Method
Eighty‐five parents and 55 siblings of adolescents with AN completed the Strengths and Difficulties Questionnaire at diagnosis. In addition, 88 parents and 46 siblings completed the Strengths and Difficulties Questionnaire after finishing treatment.
Results
Mothers and fathers reported siblings to have lower levels of conduct problems in comparison with population norms. Mothers also reported lower levels of prosocial behaviours. Siblings reported higher levels of emotional difficulties and hyperactivity in comparison with their peers. There were no differences in reported psychosocial well‐being of siblings between diagnosis and following FBT.
Conclusions
Siblings of adolescents with AN have poorer psychosocial adjustment than their peers, both before and after FBT. Clinicians and parents are encouraged to be aware of sibling difficulties and seek additional support if required. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association. |
doi_str_mv | 10.1002/erv.2469 |
format | article |
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Anorexia nervosa (AN) is often first diagnosed in the adolescent years. The treatment with the greatest evidence during this time is family‐based treatment (FBT). In FBT, siblings are expected to attend treatment sessions; however, sibling well‐being during this time has not been well researched. This study aimed to explore sibling well‐being when the ill child was initially diagnosed with AN and after FBT had been completed.
Method
Eighty‐five parents and 55 siblings of adolescents with AN completed the Strengths and Difficulties Questionnaire at diagnosis. In addition, 88 parents and 46 siblings completed the Strengths and Difficulties Questionnaire after finishing treatment.
Results
Mothers and fathers reported siblings to have lower levels of conduct problems in comparison with population norms. Mothers also reported lower levels of prosocial behaviours. Siblings reported higher levels of emotional difficulties and hyperactivity in comparison with their peers. There were no differences in reported psychosocial well‐being of siblings between diagnosis and following FBT.
Conclusions
Siblings of adolescents with AN have poorer psychosocial adjustment than their peers, both before and after FBT. Clinicians and parents are encouraged to be aware of sibling difficulties and seek additional support if required. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.</description><identifier>ISSN: 1072-4133</identifier><identifier>EISSN: 1099-0968</identifier><identifier>DOI: 10.1002/erv.2469</identifier><identifier>PMID: 27501269</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Anorexia ; anorexia nervosa ; Anorexia Nervosa - psychology ; Child ; Child psychology ; Eating ; eating disorders ; Emotions ; family-based treatment ; Fathers ; Female ; Humans ; Male ; Mothers - psychology ; Parents - psychology ; Psychology, Adolescent ; psychosocial well-being ; Siblings ; Siblings - psychology</subject><ispartof>European eating disorders review, 2016-11, Vol.24 (6), p.438-445</ispartof><rights>Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.</rights><rights>Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4219-d39824b21969de0b2d97ee199bf323941ce338d574123cc33c3807be274a7bb33</citedby><cites>FETCH-LOGICAL-c4219-d39824b21969de0b2d97ee199bf323941ce338d574123cc33c3807be274a7bb33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27501269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Langenberg, Tanja</creatorcontrib><creatorcontrib>Sawyer, Susan M.</creatorcontrib><creatorcontrib>Le Grange, Daniel</creatorcontrib><creatorcontrib>Hughes, Elizabeth K.</creatorcontrib><title>Psychosocial Well-being of Siblings of Adolescents with Anorexia Nervosa</title><title>European eating disorders review</title><addtitle>Eur. Eat. Disorders Rev</addtitle><description>Objective
Anorexia nervosa (AN) is often first diagnosed in the adolescent years. The treatment with the greatest evidence during this time is family‐based treatment (FBT). In FBT, siblings are expected to attend treatment sessions; however, sibling well‐being during this time has not been well researched. This study aimed to explore sibling well‐being when the ill child was initially diagnosed with AN and after FBT had been completed.
Method
Eighty‐five parents and 55 siblings of adolescents with AN completed the Strengths and Difficulties Questionnaire at diagnosis. In addition, 88 parents and 46 siblings completed the Strengths and Difficulties Questionnaire after finishing treatment.
Results
Mothers and fathers reported siblings to have lower levels of conduct problems in comparison with population norms. Mothers also reported lower levels of prosocial behaviours. Siblings reported higher levels of emotional difficulties and hyperactivity in comparison with their peers. There were no differences in reported psychosocial well‐being of siblings between diagnosis and following FBT.
Conclusions
Siblings of adolescents with AN have poorer psychosocial adjustment than their peers, both before and after FBT. Clinicians and parents are encouraged to be aware of sibling difficulties and seek additional support if required. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.</description><subject>Adolescent</subject><subject>Anorexia</subject><subject>anorexia nervosa</subject><subject>Anorexia Nervosa - psychology</subject><subject>Child</subject><subject>Child psychology</subject><subject>Eating</subject><subject>eating disorders</subject><subject>Emotions</subject><subject>family-based treatment</subject><subject>Fathers</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mothers - psychology</subject><subject>Parents - psychology</subject><subject>Psychology, Adolescent</subject><subject>psychosocial well-being</subject><subject>Siblings</subject><subject>Siblings - psychology</subject><issn>1072-4133</issn><issn>1099-0968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1kE1PGzEQhq2qqHy0Un9BtVIvvSy1Pd71-hhFFJACRFDgaK29k2LqrMFOSPLv8YqUSkic_Mp69MzMS8hXRg8ZpfwnxqdDLmr1gewxqlRJVd18HLLkpWAAu2Q_pXtK83_VfCK7XFaU8VrtkZNp2ti7kIJ1rS9u0fvSoOv_FGFWXDnjc0xDHnXBY7LYL1Kxcou7YtSHiGvXFud5eEjtZ7Iza33CL9v3gFz_Ovo9PiknF8en49GktIIzVXagGi5MjrXqkBreKYnIlDIz4KAEswjQdJUUjIO1ABYaKg1yKVppDMAB-fHifYjhcYlpoecu7-V922NYJs0aqOqGgmQZ_f4GvQ_L2OftBoqDpLyR_4U2hpQizvRDdPM2bjSjemhX5wP10G5Gv22FSzPH7hX8V2cGyhdg5Txu3hXpo8ubrXDLu7TA9Svfxr-6liArfXt-rM-mE3Y2FWMt4BnktpBn</recordid><startdate>201611</startdate><enddate>201611</enddate><creator>van Langenberg, Tanja</creator><creator>Sawyer, Susan M.</creator><creator>Le Grange, Daniel</creator><creator>Hughes, Elizabeth K.</creator><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons, Limited</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201611</creationdate><title>Psychosocial Well-being of Siblings of Adolescents with Anorexia Nervosa</title><author>van Langenberg, Tanja ; Sawyer, Susan M. ; Le Grange, Daniel ; Hughes, Elizabeth K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4219-d39824b21969de0b2d97ee199bf323941ce338d574123cc33c3807be274a7bb33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Anorexia</topic><topic>anorexia nervosa</topic><topic>Anorexia Nervosa - psychology</topic><topic>Child</topic><topic>Child psychology</topic><topic>Eating</topic><topic>eating disorders</topic><topic>Emotions</topic><topic>family-based treatment</topic><topic>Fathers</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mothers - psychology</topic><topic>Parents - psychology</topic><topic>Psychology, Adolescent</topic><topic>psychosocial well-being</topic><topic>Siblings</topic><topic>Siblings - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Langenberg, Tanja</creatorcontrib><creatorcontrib>Sawyer, Susan M.</creatorcontrib><creatorcontrib>Le Grange, Daniel</creatorcontrib><creatorcontrib>Hughes, Elizabeth K.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European eating disorders review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Langenberg, Tanja</au><au>Sawyer, Susan M.</au><au>Le Grange, Daniel</au><au>Hughes, Elizabeth K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychosocial Well-being of Siblings of Adolescents with Anorexia Nervosa</atitle><jtitle>European eating disorders review</jtitle><addtitle>Eur. Eat. Disorders Rev</addtitle><date>2016-11</date><risdate>2016</risdate><volume>24</volume><issue>6</issue><spage>438</spage><epage>445</epage><pages>438-445</pages><issn>1072-4133</issn><eissn>1099-0968</eissn><abstract>Objective
Anorexia nervosa (AN) is often first diagnosed in the adolescent years. The treatment with the greatest evidence during this time is family‐based treatment (FBT). In FBT, siblings are expected to attend treatment sessions; however, sibling well‐being during this time has not been well researched. This study aimed to explore sibling well‐being when the ill child was initially diagnosed with AN and after FBT had been completed.
Method
Eighty‐five parents and 55 siblings of adolescents with AN completed the Strengths and Difficulties Questionnaire at diagnosis. In addition, 88 parents and 46 siblings completed the Strengths and Difficulties Questionnaire after finishing treatment.
Results
Mothers and fathers reported siblings to have lower levels of conduct problems in comparison with population norms. Mothers also reported lower levels of prosocial behaviours. Siblings reported higher levels of emotional difficulties and hyperactivity in comparison with their peers. There were no differences in reported psychosocial well‐being of siblings between diagnosis and following FBT.
Conclusions
Siblings of adolescents with AN have poorer psychosocial adjustment than their peers, both before and after FBT. Clinicians and parents are encouraged to be aware of sibling difficulties and seek additional support if required. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>27501269</pmid><doi>10.1002/erv.2469</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Anorexia anorexia nervosa Anorexia Nervosa - psychology Child Child psychology Eating eating disorders Emotions family-based treatment Fathers Female Humans Male Mothers - psychology Parents - psychology Psychology, Adolescent psychosocial well-being Siblings Siblings - psychology |
title | Psychosocial Well-being of Siblings of Adolescents with Anorexia Nervosa |
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