Evidence map›Paper›PMID 41287111›Full record

ReviewJournal of eating disorders2025

Family functioning and eating disorders in Chinese populations: a systematic review and meta-synthesis.

Xu Han, Mei-Chun Cheung, Jacqueline Corcoran

Abstract readReview
In one paragraph

Review in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Xu HanDepartment of Social Work, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China. xuhan@link.cuhk.edu.hk.ORCID http://orcid.org/0000-0001-5753-1409
Mei-Chun CheungDepartment of Social Work, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-0210-0772
Jacqueline CorcoranSchool of Social Policy and Practice, University of Pennsylvania, Philadelphia, USA.ORCID http://orcid.org/0000-0001-5334-4323

Funding

the Seed Funding Support for Thesis Research 2023-24 5502679
6 · The paper itself

Abstract

objectiveFamilial factors play crucial roles in the development of eating disorders and related psychopathology. However, the generalizability of findings from Western studies on familial influences to Chinese populations remains questionable. This review systematically examines the relationship between family functioning, conceptualized within the family process model, and the development of eating disorders in Chinese patients.

methodsEmpirical studies were systematically reviewed on the basis of family process theory. The quantitative data were integrated and synthesized with qualitative data using a convergent integrated approach. A thematic analysis was conducted using NVivo 12. This review adhered to the Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 Checklist and was registered with PROSPERO.

resultsFifty studies (13 quantitative and 37 qualitative or case studies) highlighted six themes: (1) family values; (2) family tasks: individuality; (3) family communication: conflict avoidance and affective involvement; (4) parental roles; (5) parental control; and (6) specific behaviours (e.g., unhealthy feeding practices and negative family body talk). These factors may play a role in the development of eating disorders and provide insight into the dynamics within Chinese families.

conclusionFilial piety and gender preferences characterize cultural contexts in patients', families', and professionals' narratives. While individuality and eating-related behaviours appear in both Chinese and Western contexts, notable differences exist. Avoidant family communication, emotional disengagement, parental control, and strong academic focus were identified, but parental roles and divisions showed no consistent patterns. Quantitative findings only partially support the qualitative descriptions.

Indexed as

ChineseCultural factorsEating disordersFamily functioning

Identifiers

PMID41287111
PMCPMC12641987

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.