{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T01:58:15Z","timestamp":1784080695056,"version":"3.55.0"},"reference-count":34,"publisher":"Hogrefe Publishing Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:p>Objective: This study examines retrospective correlates of nonshared family environment prior to onset of disease, by means of multiple familial informants, among anorexia and bulimia nervosa patients. Methods: A total of 332 participants was included (anorexia nervosa, restrictive type (AN-R): n = 41 plus families); bulimic patients (anorexia nervosa, binge-purging type; bulimia nervosa: n = 59 plus families). The EATAET Lifetime Diagnostic Interview was used to establish the diagnosis; the Subjective Family Image Test was used to derive emotional connectedness (EC) and individual autonomy (IA). Results: Bulimic and AN-R patients perceived significantly lower EC prior to onset of disease compared to their healthy sisters. Bulimic patients perceived significantly lower EC prior to onset of disease compared to AN-R patients and compared to their mothers and fathers. A low family sum \u2013 sister pairs sum comparison \u2013 of EC had a significant influence on the risk of developing bulimia nervosa. Contrary to expectations, AN-R patients did not perceive significantly lower levels of IA compared to their sisters, prior to onset of disease. Findings of low IA in currently ill AN-R patients may represent a disease consequence, not a risk factor. Conclusions: Developmental child psychiatrists should direct their attention to disturbances of EC, which may be present prior to the onset of the disease.<\/jats:p>","DOI":"10.1024\/1422-4917\/a000150","type":"journal-article","created":{"date-parts":[[2011,12,14]],"date-time":"2011-12-14T02:21:45Z","timestamp":1323829305000},"page":"61-68","source":"Crossref","is-referenced-by-count":18,"title":["Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa"],"prefix":"10.1024","volume":"40","author":[{"given":"Julia","family":"Huemer","sequence":"first","affiliation":[{"name":"Eating Disorders Unit at Department of Child and Adolescent Psychiatry, Medical University of Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Haidvogl","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit at Department of Child and Adolescent Psychiatry, Medical University of Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fritz","family":"Mattejat","sequence":"additional","affiliation":[{"name":"University of Marburg\/Lahn, Department of Child and Adolescent Psychiatry and Psychotherapy, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gudrun","family":"Wagner","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit at Department of Child and Adolescent Psychiatry, Medical University of Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald","family":"Nobis","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit at Department of Child and Adolescent Psychiatry, Medical University of Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Fernandez-Aranda","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit and Research Group CIBEROBN, Department of Psychiatry, University Hospital of Bellvitge, Hospitalet del Llobregat, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Collier","sequence":"additional","affiliation":[{"name":"Social, Genetic, and Developmental Centre and Eating Disorders Research Unit, Division of Psychological Medicine, Institute of Psychiatry, University of London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet L.","family":"Treasure","sequence":"additional","affiliation":[{"name":"Department of Academic Psychiatry, Bermondsey Wing, Guys Hospital, University of London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas F. 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