Comorbidity of bulimia and substance abuse: perceptions of family of origin

Int J Eat Disord. 1993 Jan;13(1):49-56. doi: 10.1002/1098-108x(199301)13:1<49::aid-eat2260130107>3.0.co;2-a.

Abstract

Clinical characteristics and perceptions of family of origin were examined in 16 bulimic women with comorbid alcohol abuse or dependence, 17 women with bulimia alone, and 30 normal controls. Family Environment Scale self-report and Family Environment Q-sort analysis of taped semi-structured interviews about family environment revealed that while there were no differences across groups in global family environment items, differences existed in specific parental characteristics. Fathers of bulimic women (with or without alcohol abuse or dependence) were perceived as being significantly more seductive than fathers of normal controls. Bulimic women (with or without alcohol abuse or dependence) tended to view their mothers as more neurotic and to have experienced less enjoyment in their maternal role. Mothers of bulimic women with alcohol abuse tended to place the greatest emphasis on weight, exercise, and appearance.

MeSH terms

  • Adult
  • Alcoholism / epidemiology
  • Alcoholism / psychology*
  • Bulimia / epidemiology
  • Bulimia / psychology*
  • Child of Impaired Parents / psychology*
  • Comorbidity
  • Female
  • Humans
  • Parent-Child Relations*
  • Personality Inventory
  • Q-Sort
  • Social Environment