Investigation of quality of the parental relationship as a risk factor for subclinical bulimia nervosa

Int J Eat Disord. 2001 Dec;30(4):389-400. doi: 10.1002/eat.1100.

Abstract

Objective: Previous literature suggests a link between the quality of the parental relationship and disordered eating in offspring. We investigated the relationship between offspring pyschopathology and the parental relationship using a population-based twin registry that contained 766 complete twin pairs.

Method: We used reports of twin lifetime psychopathology from the twins and quality of parental relationship and parental lifetime psychopathology from both parents.

Results: Poorer quality of the marital relationship predicted the presence of subclinical bulimia nervosa (SBN) using both mother's (odds ratio [OR] = 0.83, 95% confidence interval [CI]: 0.71-0.97) and father's (OR = 0.78, 95% CI: 0.62-0.97) reports. It also predicted the presence of generalized anxiety disorder (GAD) and alcohol dependence. SBN was still strongly predicted by the marital relationship when parental psychopathology was included as a covariate.

Discussion: These results are supportive of the notion that a conflictual and distant marital relationship can, at least partially, act as an environmental risk factor for SBN.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Twin Study

MeSH terms

  • Adolescent
  • Adult
  • Bulimia / diagnosis
  • Bulimia / etiology
  • Bulimia / psychology*
  • Female
  • Humans
  • Male
  • Marriage / psychology
  • Middle Aged
  • Parent-Child Relations*
  • Registries
  • Risk Factors
  • Twins / psychology*