Due to a dearth of qualitative research on the experience of friends, nonparental family members, and romantic dating partners of those struggling with eating disorder symptoms, we undertook a phenomenological inquiry into this issue. After interviewing 12 participants who had a friend, family member, or romantic dating partner with eating disorder symptoms, we identified four main themes: (a) compassionate emotions toward the individual with eating disorder symptoms with a subtheme of concomitant emotions of frustration and/or anger, (b) sharing the burden of concern for the struggling individual, (c) intervening with boundaries, and (d) detrimental impact of the eating disorder on the relationship with the struggling individual and the participant’s own body image and/or eating behaviors.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
2.
AnastasiadouD.Medina-PradasC.SepulvedaA. R.TreasureJ. (2014). A systematic review of family caregiving in eating disorders. Eating Behaviors, 15, 464–477. doi:10.1016/j.eatbeh.2014.06.001
3.
BuserJ. K.KearneyA. (in press). Stress, adaptive coping, and life satisfaction. Journal of College Counseling.
4.
BuserJ. K.KearneyA.BuserT. J. (2015). Family, friends, and romantic partners of eating disorder sufferers: The use of spiritual/religious coping strategies. The Family Journal, 23, 320–329. doi:10.1177/1066480715601132
5.
CoomberK.KingR. M. (2012). Coping strategies and social support as predictors and mediators of eating disorder carer burden and psychological distress. Social Psychiatry and Psychiatric Epidemiology, 47, 789–796. doi:10.1007/s00127-011-0384-6
6.
CoomberK.KingR. M. (2013). A longitudinal examination of burden and psychological distress in carers of people with an eating disorder. Social Psychiatry and Psychiatric Epidemiology, 48, 163–171. doi:10.1007/s00127-012-0524-7
7.
De La RieS. M.Van FurthE. F.De KoningA.NoordenbosG.DonkerM. H. (2005). The quality of life of family caregivers of eating disorder patients. Eating Disorders: The Journal of Treatment & Prevention, 13, 345–351. doi:10.1080/10640260591005236
8.
DimitropoulosG.FreemanV. E.BellaiK.OlmstedM. (2013). Inpatients with severe anorexia nervosa and their siblings: Non-shared experiences and family functioning. European Eating Disorders Review, 21, 284–293. doi:10.1002/erv.2230
9.
DimitropoulosG.KlopferK.LazarL.SchacterR. (2009). Caring for a sibling with anorexia nervosa: A qualitative study. European Eating Disorders Review, 17, 350–365.
10.
GilbertA. A.ShawS. M.NotarM. K. (2000). The impact of eating disorders on family relationships. Eating Disorders: The Journal of Treatment & Prevention, 8, 331–345. doi:10.1080/10640260008251240
11.
GraapH.BleichS.HerbstF.ScherzingerC.TrostmannY.WancataJ.de ZwaanM. (2008). The needs of carers: A comparison between eating disorders and schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 43, 800–807. doi:10.1007/s00127-008-0364-7
12.
HellerT.RoccoforteJ. A.HsiehK.CookJ. A.PickettS. A. (1997). Benefits of support groups for families of adults with severe mental illness. American Journal of Orthopsychiatry, 67, 187–198. doi:10.1037/h0080222
13.
HillegeS.BealeB.McMasterR. (2006). Impact of eating disorders on family life: Individual parents’ stories. Journal of Clinical Nursing, 15, 1016–1022. doi:10.1111/j.1365-2702.2006.01367.x
14.
HoffmanA.KingK. A.VidourekR. A. (2011). University students’ confidence and importance in helping friends involved in disordered eating. American Journal of Health Studies, 26, 106–113.
15.
KlumpK. L.BulikC. M.KayeW. H.TreasureJ.TysonE. (2009). Academy for eating disorders position paper: Eating disorders are serious mental illnesses. International Journal of Eating Disorders, 42, 97–103. doi:10.1002/eat.20589
16.
KyriacouO.TreasureJ.SchmidtU. (2008). Understanding how parents cope with living with someone with anorexia nervosa: Modeling the factors that are associated with carer distress. International Journal of Eating Disorders, 41, 233–242. doi:10.1002/eat.20488
17.
LoberaI. J.GarridoO.FernándezM. S.BautistaE. Á. (2010). Social comparison as a coping strategy among caregivers of eating disorder patients. Journal of Psychiatric and Mental Health Nursing, 17, 775–782. doi:10.1111/j.1365-2850.2010.01611.x
18.
MaJ. C. (2011). An exploratory study of the impact of an adolescent’s eating disorder on Chinese parents’ well-being, marital life and perceived family functioning in Shenzhen, China: Implications for social work practice. Child & Family Social Work, 16, 33–42. doi:10.1111/j.1365-2206.2010.00703.x
19.
MintzL. B.O’HalloranM. S.MulhollandA. M.SchneiderP. A. (1997). Questionnaire for eating disorder diagnoses: Reliability and validity of operationalizing DSM-IV criteria into a self-report format. Journal of Counseling Psychology, 44, 63–79. doi:10.1037/0022-0167.44.1.63
20.
MinuchinS. (1974). Families and family therapy. Cambridge, MA: Harvard University Press.
21.
MoustakasC. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage.
22.
MuselmanD. M.WigginsM. I. (2012). Spirituality and loss: Approaches for counseling grieving adolescents. Counseling and Values, 57, 229–240. doi:10.1002/j.2161-007X.2012.00019.x
23.
OriveM.PadiernaA.MartinJ.AguirreU.GonzálezN.MuñozP.QuintanaJ. M. (2013). Anxiety and depression among caregivers of patients with eating disorders and their change over 1 year. Social Psychiatry and Psychiatric Epidemiology, 48, 1503–1512. doi:10.1007/s00127-013-0662-6
24.
SchmidtC. K.WelshA. C. (2010). College adjustment and subjective well-being when coping with a family member’s illness. Journal of Counseling & Development, 88, 397–406.
25.
SharpeH.NaumannU.TreasureJ.SchmidtU. (2013). Is fat talking a causal risk factor for body dissatisfaction? A systematic review and meta-analysis. International Journal of Eating Disorders, 46, 643–652. doi:10.1002/eat.22151
26.
SticeE. (2002). Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin, 128, 825–848. doi:10.1037/0033-2909.128.5.825
27.
TylkaT. L. (2004). The relation between body dissatisfaction and eating disorder symptomatology: An analysis of moderating variables. Journal of Counseling Psychology, 51, 178–191. doi:10.1037/0022-0167.51.2.178
28.
TylkaT. L.SubichL. M. (2003). Revisiting the latent structure of eating disorders: Taxometric analyses with nonbehavioral indicators. Journal of Counseling Psychology, 50, 276–286. doi:10.1037/0022-0167.50.3.276
29.
WhitneyJ.HaighR.WeinmanJ.TreasureJ. (2007). Caring for people with eating disorders: Factors associated with psychological distress and negative caregiving appraisals in carers of people with eating disorders. British Journal of Clinical Psychology, 46, 413–428. doi:10.1348/014466507X173781
30.
WhitneyJ.MurrayJ.GavanK.ToddG.WhitakerW.TreasureJ. (2005). Experience of caring for someone with anorexia nervosa: Qualitative study. The British Journal of Psychiatry, 187, 444–449. doi:10.1192/bjp.187.5.444
