{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T18:23:59Z","timestamp":1787941439810,"version":"build-2784847793"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T00:00:00Z","timestamp":1665360000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T00:00:00Z","timestamp":1665360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Eat Disord"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This qualitative study explores how having an adult daughter or sister with anorexia nervosa or bulimia nervosa affects the family\u2019s daily life. Previous research has focused on the family\u2019s role in the development of an eating disorder, while more recently the focus has been on the illness\u2019s impact on the family. Caring for an individual with an eating disorder can involve distress, guilt, extra burdens, and unmet needs. By interviewing the family members of adults with eating disorders this study aims to gain insights into how the family members experience the impact of the eating disorder over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A constructivist grounded theory approach was comprised to gather and analyse data to develop a theory on how families experience life with an adult daughter or sister with an eating disorder. Semi-structured individual interviews were conducted with 21 parents and siblings from across Norway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The participants reported a lack of professional help and the families had to handle the challenges related to the illness themselves, hence\n                      <jats:italic>being left to themselves as a family<\/jats:italic>\n                      was identified as the participants\u2019 main concern. To manage this concern the families had to\n                      <jats:italic>balance a pattern of care within the closed family system<\/jats:italic>\n                      , and this comprises the core category of the study. Families balanced a pattern of care by\n                      <jats:italic>shifting roles<\/jats:italic>\n                      ,\n                      <jats:italic>adapting meal routines,<\/jats:italic>\n                      and\n                      <jats:italic>maintaining openness within the family.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings implicate that families need clarification of roles and responsibilities in relation to the health services in caring for the individual with an eating disorder. More research on taking a family perspective concerning adults with eating disorders is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40337-022-00669-9","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T15:02:46Z","timestamp":1665414166000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["\u201cBalancing within a closed family system\u201d: a grounded theory study of how family life is affected by having a family member with an eating disorder"],"prefix":"10.1186","volume":"10","author":[{"given":"Jannike","family":"Karlstad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathrine F.","family":"Moe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragni","family":"Adelsten Stokland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berit S.","family":"Brinchmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,10,10]]},"reference":[{"key":"669_CR1","doi-asserted-by":"publisher","DOI":"10.4159\/harvard.9780674418233","volume-title":"Psychosomatic families: Anorexia nervosa in context","author":"S Minuchin","year":"1978","unstructured":"Minuchin S, Rosman B, Baker L. 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