ArticleJournal of eating disorders2022
Family, friends, and feelings: the role of relationships to parents and peers and alexithymia in adolescents with anorexia nervosa.
Article in Journal of eating disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 17 citations in OpenAlex.
- Self-Esteem and Repetitive Negative Thinking as Mediators of the Association Between Bullying and Disordered Eating.Journal of clinical psychology · 2026Article
- Exploring orthorexia nervosa risk in high school and university students: associations with perceived social support, body esteem, and diet quality.Eating and weight disorders : EWD · 2026Article
- Parental and Peer Relationships and Their Impact on Symptom Severity in Adolescent Patients With Anorexia Nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Perceived parental rejection and mental health in Italian early adolescents: the mediating role of alexithymia.Frontiers in psychology · 2026Article
- Exploring the relationship between peer attachment, and disordered eating behaviours and body dissatisfaction in adolescence: a systematic review.Journal of eating disorders · 2025Review
- Parent-daughter emotional dyssynchrony correlates with personality and psychopathology in adolescents with anorexia nervosa.Eating and weight disorders : EWD · 2025Article
- Early intervention for adolescents with anorexia nervosa: Pilot evaluation of an outpatient group therapy prior to inpatient treatment.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- Parental rejection and generalized anxiety disorder in early adolescents: the mediating role of alexithymia.Frontiers in psychology · 2025Article
- The effect of perceived parental rejection on depression in high school students: the chain mediating role of rumination and alexithymia.Frontiers in psychology · 2025Article
- Adaptation of mental health first aid guidelines for eating disorders for Iran.BMC psychiatry · 2024Article
- The importance of improving cognitive flexibility in adolescents with anorexia nervosa: The case for cognitive remediation therapy.The International journal of eating disorders · 2024Review
- Attention Biases for Eating Disorder-Related Stimuli Versus Social Stimuli in Adolescents with Anorexia Nervosa - An Eye-Tracking Study.Research on child and adolescent psychopathology · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnorexia nervosa (AN) is associated with impairments in socio-emotional functioning, including difficulties in interpersonal relationships as well as alexithymia (difficulties identifying and describing one's emotions). Although the onset of the disorder is mostly in adolescence, a developmental period in which interpersonal relationships to parents as well as peers undergo major changes, only few studies have investigated the quality of interpersonal relationships in adolescent AN patients. Furthermore, the mechanisms linking poor relationship quality to eating disorder psychopathology are not yet clarified, albeit some research suggests that alexithymia might play a pivotal role. The aims of the present study were investigating the quality of interpersonal relationships to parents and peers in adolescents with AN compared to healthy adolescents as well as exploring the mediating role of alexithymia in the association between relationship quality and eating disorder symptoms.
methodsSelf-report questionnaires were used to assess relationship quality (Inventory of Parent and Peer Attachment) and alexithymia (Toronto Alexithymia Scale) in 12-18 year old female adolescents with AN (n = 35) in comparison to healthy adolescents (n = 40).
resultsAdolescents with AN reported lower relationship quality to both of their parents and to peers compared to healthy controls. Relationship quality scores were negatively correlated to alexithymia as well as eating disorder symptoms. Alexithymia fully meditated the association between eating disorder symptoms and relationship quality to parents and partially mediated the association between eating disorder symptoms and relationship quality to peers.
conclusionThe results indicate difficulties in interpersonal relationships among adolescents with AN and emphasize the role of peer relationships for adolescents' eating disorder psychopathology. Alexithymia seems to play an important role in explaining the link between quality of relationships and eating disorder psychopathology. Results suggest that treatment should not only focus on family relationships but also address relationships to peers as well as adolescents' competence in identifying and dealing with their emotions.
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