Evidence map›Paper›PMID 41455113›Full record

ArticleEuropean eating disorders review : the journal of the Eating Disorders Association2026

Parental and Peer Relationships and Their Impact on Symptom Severity in Adolescent Patients With Anorexia Nervosa.

Armita Tschitsaz, Andrea M Schumacher, Stefan Lerch, Andrea Wyssen, Marialuisa Cavelti, Ines Mürner-Lavanchy, Julian Koenig, Michael Kaess, Franziska Schlensog-Schuster

Abstract read
In one paragraph

Article in European eating disorders review : the journal of the Eating Disorders Association, 2026. 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. 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 · 2026
    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

9 authors.

Armita TschitsazUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0009-0009-4578-4949
Andrea M SchumacherUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0009-0005-0508-3583
Stefan LerchUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-9578-6864
Andrea WyssenUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-0836-9817
Marialuisa CaveltiUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-4726-396X
Ines Mürner-LavanchyUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-1127-3509
Julian KoenigDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0003-1009-9625
Michael KaessUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-0031-7764
Franziska Schlensog-SchusterUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-8033-6537

Funding

Swiss National Science Foundation PZ00P1_193279University of Bern
6 · The paper itself

Abstract

objectivePerceived parental relationship characteristics, such as maternal overprotection, rejection or neglect, and peer victimisation, are suggested to be more common in patients with anorexia nervosa (AN) than in healthy controls. This study compares parental and peer relationships in adolescent patients with AN to those in a clinical control group (CC; a matched group of patients with other mental disorders) and investigates their association with AN severity.

methodSelf-reported parental and peer relationships were compared between adolescents with AN (n = 43) and CC (n = 127), matched for age, sex and global functioning. Multiple linear and logistic regression were used to analyse the association between parental and peer relationships and AN severity.

resultsThe AN group exhibited a more positive overall evaluation of parental relationships (b = 18.34, p = 0.002), particularly with fathers (b = 5.30, p = 0.028), fewer parental discrepancies (b = -7.67, p = 0.013), less peer victimisation (OR = 0.43, p = 0.030) and perpetration (OR = 0.26, p = 0.006) than the CC group. No significant associations were identified between these relationships and AN severity.

conclusionsIn contrast to previous studies comparing social relationships in patients with AN and healthy controls, our findings suggest that increased positive parental and peer relationships may serve as a resource, irrespective of symptom severity.

Indexed as

Anorexia NervosaInterpersonal RelationsParent-Child RelationsPeer GroupAdolescentFemaleHumansMaleSeverity of Illness Indexadolescenceanorexia nervosabullyingeating disordermaternal relationshipparental discrepancypeer victimisationperpetration

Identifiers

PMID41455113
PMCPMC13048737

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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.