Predictors of family functioning in carers of individuals with anorexia nervosa

Abstract

The objective of the present study was to determine influences on caregiver distress and family functioning in AN using the stress process model. Using a cross-sectional design, self-report measures were disseminated to 63 family members of inpatients with long-term AN. Outcome measures included the Family Assessment Device and the General Health Questionnaire. Multiple regression analysis of family functioning resulted in a model predicting 38% of the variance. Burden, conflict regarding AN and the caregiving role, attitudes and actions of other family members toward the person with AN, family stigma, and social support were predictive of family functioning. In contrast, caregiver psychological distress was poorly predicted by the independent variables, with only 11% of the variance explained. These findings demonstrate the utility of the stress process model for predicting family functioning in this population, and suggest potential targets of intervention for clinicians working with caregivers.