{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T11:34:55Z","timestamp":1792409695529,"version":"4.4.0"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Family Process"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Family functioning is a risk and maintaining factor for anorexia nervosa (AN). This study aims to identify specific areas of family functioning according to adolescents and parental perspectives associated with eating and general psychological symptoms in people with AN. Four\u2010hundred\u2010forty\u2010five adolescents with AN or atypical AN and their parents were enrolled. Adolescents completed the Eating Disorder Inventory\u20103, the Youth Self\u2010Report questionnaire, and the Family Assessment Device (FAD). Their parents filled in the FAD. A network analysis was conducted including all subscales. The bridge function analysis was applied to identify the bridge nodes connecting each community constituted of family functioning perception with the communities of adolescents' eating and general psychological symptoms. Family communication was the node most strongly connecting fathers and mothers' perception of family functioning and adolescents' eating symptoms. Problem solving was the node with the highest bridge expected influence between mothers' family functioning and adolescents' general psychopathology. General functioning and problem solving were the bridge nodes between adolescents' view of family functioning and eating and general psychopathology. Maturity fear, interpersonal insecurity, and interpersonal alienation were the bridge nodes between adolescents' eating symptoms and mothers, fathers, and adolescents' family functioning communities respectively. Family members must be involved in the therapeutic process to improve family communication and problem solving diverting their attention toward emotional needs and interpersonal difficulties of adolescents with AN. Developing autonomy and independence from parents and building trustworthy relationships with peers may be favored by improving familiar dynamics and may contribute to prevent the maintenance of AN.<\/jats:p>","DOI":"10.1111\/famp.12983","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T22:30:30Z","timestamp":1710369030000},"page":"2229-2242","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The bidirectional connection between family functioning and psychopathology: A network analysis in a large sample of adolescents with anorexia nervosa and their parents"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6786-4458","authenticated-orcid":false,"given":"Alessio Maria","family":"Monteleone","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Campania \u201cLuigi Vanvitelli\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Marchetto","sequence":"additional","affiliation":[{"name":"Anorexia Nervosa and Eating Disorder Unit, Child Neuropsychiatry, Department of Neuroscience Bambino Ges\u00f9 Childrens' Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giammarco","family":"Cascino","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u2018Scuola Medica Salernitana\u2019, Section of Neurosciences University of Salerno  Salerno Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6622-5737","authenticated-orcid":false,"given":"Michela","family":"Criscuolo","sequence":"additional","affiliation":[{"name":"Anorexia Nervosa and Eating Disorder Unit, Child Neuropsychiatry, Department of Neuroscience Bambino Ges\u00f9 Childrens' Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Carfagno","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Campania \u201cLuigi Vanvitelli\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Chiara","family":"Castiglioni","sequence":"additional","affiliation":[{"name":"Anorexia Nervosa and Eating Disorder Unit, Child Neuropsychiatry, Department of Neuroscience Bambino Ges\u00f9 Childrens' Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annamaria","family":"Caramadre","sequence":"additional","affiliation":[{"name":"Anorexia Nervosa and Eating Disorder Unit, Child Neuropsychiatry, Department of Neuroscience Bambino Ges\u00f9 Childrens' Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugenia","family":"Barone","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Campania \u201cLuigi Vanvitelli\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Zanna","sequence":"additional","affiliation":[{"name":"Anorexia Nervosa and Eating Disorder Unit, Child Neuropsychiatry, Department of Neuroscience Bambino Ges\u00f9 Childrens' Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Manual for the ASEBA school\u2010age forms & profiles","author":"Achenbach T. 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