پديد آورندگان :
ذوالفقاري، حميد دانشگاه فردوسي مشهد - دانشكده علوم تربيتي و روان شناسي , سيدزاده دلويي، ايمان دانشگاه فردوسي مشهد - دانشكده علوم تربيتي و روان شناسي , فرخي، حسين دانشگاه فردوسي مشهد - دانشكده علوم تربيتي و روان شناسي , مصطفي پور، وحيد دانشگاه علامه طباطبائي، تهران - دانشكده روان شناسي و علوم تربيتي , عليشاهي، عارفه دانشگاه فردوسي مشهد - دانشكده علوم تربيتي و روان شناسي , مافي اصل، سپيده دانشگاه آزاد اسلامي، اورميه
كليدواژه :
كاركرد خانواده , اختلالات خوردن , پرخوري عصبي , كم‌اشتهايي عصبي , نظريه مك‌مستر
چكيده لاتين :
Background & Objective: According to the World Health Organization, eating disorder is one of the most challenging diseases in adolescence.
Eating disorders include two distinct signs, anorexia and bulimia. Anorexia characterized by refraining from preserving the body's least normal
body weight. Bulimia characterized by craving, followed by inappropriate compensatory behaviors such as intentional vomiting, misuse of
laxatives, fasting, or excessive exercise. Disturbance in understanding the shape and weight of the body is a significant attribute of anorexia and
bulimia. Types of eating disorders reported in 4% of teenagers and student youth. The relationship between environment and family background
with mental illness has long been of interest to scholars and researchers. On the other hand, the ravages of the structure and function of the
family, including conflict of roles, clutter borders, alliances, emotional involvement and Lack of emotional responsiveness is the critical factor
strengthening the notion of feeding and eating disorders. One of the essential models of the family function is the McMaster Model of Family
Function (MMFF). To understand the structure and organization and the family-interactive model, this model evaluates and evaluates the sixth
dimension of family life (problem-solving, communication, roles, affective Responsiveness, affective Involvement, general functioning). The
eating disorder hurts family functioning and relationships, but since most research has been done in Western societies, and given that the structure
of the family in Western nations is different from that of the eastern and Iranian communities, it seems better. To do similar research in our
country. This study aimed to examine the functioning of families of patients with feeding and eating disorders based on the theory of the
McMaster model and compare it with the function of the family is healthy subjects.
Methods: The type of study in this research is descriptive and causal-comparative. For this purpose, 40 patients with feeding and eating disorders
from a psychiatric clinic Ebne Sina Hospital in Mashhad selected by convenience sampling. The main criteria for entering this project were the
following: Detection of Anorexia or bulimia disorder based on a clinical interview conducted by DSM-V Otmmer and the Eating Disorder
Diagnosis Scale. The control group was selected through a stratified random sampling method from among undergraduate students of the
Ferdowsi University of Mashhad by matching them with the eating disorder group in variables such as sex, age, economic status, and education
level. The eating disorder diagnostic scale (EDDS) and the Family Assessment Device (FAD) used. This scale well comprised of psychiatric
interviews, such as structured clinical interviews (SCID), and Kappa's test-re-test for eating disorder is 0.80-0.90. Family Assessment Device
determines the structural, occupational and interactive characteristics of the family, and identifies six dimensions the performance of the
household. On this scale, in addition to the six dimensions, there is also a subscale that measures the overall performance of the family. The data
analyzed by descriptive statistics (frequency, percentage, mean and standard deviation), and the mean difference test for independent groups.
Statistical analysis performed by SPSS-20 software.
Results: Findings showed that in general functioning and behavioral control, the healthy group better than Anorexia Nervosa and anorexia
nervosa had done better Bulimia nervosa patients (p<0.001). In communication, patients group had a poorer family functioning than the healthy
group (p<0.001). In the emotional involvement, anorexia group, both bulimia and healthy had been weaker (p<0.001). In the emotional response,
only between the two groups Anorexia Nervosa and healthy, there was a significant difference (p<0.001).
Conclusion: The results of the study showed that the performance of the subjects in the feeding and eating disorders was weaker than the normal
group. Therefore, in addition to treating a patient with the eating disorder, the family members of the patient should be encouraged to participate
in relevant educational and therapeutic programs. In this research, all ethical considerations such as informed consent, preservation of anonymity
and secrecy, voluntary participation in the interview and assessment observed.
