A new social-family model for eating disorders: A European multicentre project using a case-control design

Isabel Krug, Matthew Fuller-Tyszkiewicz, Marija Anderluh, Laura Bellodi, Silvia Bagnoli, David Collier, Fernando Fernandez-Aranda, Andreas Karwautz, Sarah Mitchell, Benedetta Nacmias, Valdo Ricca, Sandro Sorbi, Kate Tchanuria, Gudrun Wagner, Janet Treasure, Nadia Micali

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Objective: To examine a new socio-family risk model of Eating Disorders (EDs) using path-analyses. Method: The sample comprised 1264 (ED patients = 653; Healthy Controls = 611) participants, recruited into a multicentre European project. Socio-family factors assessed included: perceived maternal and parental parenting styles, family, peer and media influences, and body dissatisfaction. Two types of path-analyses were run to assess the socio-family model: 1.) a multinomial logistic path-model including ED sub-types [Anorexia Nervosa-Restrictive (AN-R), AN-Binge-Purging (AN-BP), Bulimia Nervosa (BN) and EDNOS)] as the key polychotomous categorical outcome and 2.) a path-model assessing whether the socio-family model differed across ED sub-types and healthy controls using body dissatisfaction as the outcome variable. Results: The first path-analyses suggested that family and media (but not peers) were directly and indirectly associated (through body dissatisfaction) with all ED sub-types. There was a weak effect of perceived parenting directly on ED sub-types and indirectly through family influences and body dissatisfaction. For the second path-analyses, the socio-family model varied substantially across ED sub-types. Family and media influences were related to body dissatisfaction in the EDNOS and control sample, whereas perceived abusive parenting was related to AN-BP and BN. Discussion: This is the first study providing support for this new socio-family model, which differed across ED sub-types. This suggests that prevention and early intervention might need to be tailored to diagnosis-specific ED profiles.

Original languageEnglish
Pages (from-to)544-553
Number of pages10
StatePublished - 1 Dec 2015
Externally publishedYes


  • Anorexia
  • Body dissatisfaction
  • Bulimia
  • Eating disorders
  • Family
  • Media
  • Parenting
  • Pathway models
  • Peers


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