Abstract：
The purpose of the current review was to address four questions: 1) Are there differences in family functioning or family environment among patients with different eating disorder (ED) diagnoses? 2) Are there differences in the perception of family functioning or family environment among different family members? 3) Is family functioning or family environment related to ED symptomatology? 4) Does family functioning or family environment change as a result of ED treatment? and 4a) If so, does this impact ED treatment outcome? Although most studies found no differences among ED diagnostic groups, those that did generally found worse family functioning among those with binge/purge symptoms than among those with the restricting subtype of anorexia nervosa. Differences in perceptions of family functioning among family members were found, with patients generally reporting worse functioning than their parents. Worse family functioning was generally found to be related to worse ED symptoms. The variety of treatment approaches and different assessments of outcome made it somewhat unclear whether family functioning consistently improves with ED treatment. More research is needed on family functioning and EDs, particularly in understudied groups such as males, and those with ED diagnoses other than anorexia nervosa or bulimia nervosa.
摘要：
本综述的目的是解决四个问题：1）不同饮食失调（ED）诊断的患者之间的家庭功能或家庭环境是否存在差异？2）不同家庭成员之间对家庭功能或家庭环境的看法是否存在差异？3）家庭功能或家庭环境是否与ED症状有关？4）家庭功能或家庭环境是否因ED治疗而发生变化？4a）如果是，这是否影响ED治疗结果？尽管大多数研究发现ED诊断组之间没有差异，那些在有暴饮暴食/清除症状的人中发现的家庭功能通常比患有限制性神经性厌食症亚型的人差。发现家庭成员对家庭功能的看法存在差异，患者通常报告的功能比他们的父母差。通常发现较差的家庭功能与较差的ED症状有关。治疗方法的多样性和对结果的不同评估使得在某种程度上不清楚ED治疗是否持续改善家庭功能。需要更多关于家庭功能和ED的研究，特别是在研究不足的群体中，如男性，以及除神经性厌食症或神经性贪食症以外的ED诊断。
