PMID- 23602391
OWN - NLM
STAT- MEDLINE
DCOM- 20140508
LR  - 20151119
IS  - 1532-8384 (Electronic)
IS  - 0010-440X (Linking)
VI  - 54
IP  - 7
DP  - 2013 Oct
TI  - Exploring personality clusters among parents of ED subjects. Relationship with 
      parents' psychopathology, attachment, and family dynamics.
PG  - 797-811
LID - S0010-440X(13)00055-2 [pii]
LID - 10.1016/j.comppsych.2013.03.005 [doi]
AB  - BACKGROUND: Eating disorders are some of the most difficult mental disorders to 
      treat and manage. Family interacts with genetic dispositions and other pathogenic 
      factors, and may influence the outburst, development and outcome of EDs. The 
      present study explores with a cluster analysis the personality traits of parents 
      of ED subjects. METHODS: One-hundred-eight mothers and 104 fathers were tested 
      with Temperament Character Inventory (TCI), Eating Disorder Inventory-2 (EDI-2), 
      State-Trait Anger Expression Inventory (STAX), Family Assessment Device (FAD), 
      Attachment Style Questionnaire (ASQ), Symptom Questionnaire (SQ), Psychological 
      Well-Being scales (PWB). The cluster distribution of parents based on personality 
      traits was explored. Parents' clusters TCI scores were compared as regards 
      personality, psychopathology, attachment and family features. Cross distribution 
      of temperament and character clusters in mothers and fathers, among couples and 
      ED diagnoses of the daughters was explored. RESULTS: Two clusters of mothers and 
      fathers were identified with temperament clustering. Character traits led to two 
      mothers and three fathers clusters. Mothers temperament cluster 1 (MTC1) 
      correspond to a explosive/adventurous profile, MTC2 to a 
      cautious/passive-dependent profile. Fathers temperament cluster 1 (FTC1) was 
      explosive/methodic, FTC2 was independent/methodic. Character clustering 
      distinguished very immature mothers (MCC1) and majority (65%) of character mature 
      mothers with low self-transcendence (MCC2). A third of fathers was severely 
      immature (FCC1), a third impaired as regards relationships (poor cooperativeness 
      and self-transcendence; FCC2), and one third character mature fathers with low 
      self-transcendence (FCC3). Each cluster evidences specific psychopathology and 
      attachment characteristics. FTC1 was more frequently associated with character 
      immaturity. No significant clusters' cross correlation was found in parental 
      couples. CONCLUSION: Parents' clusters analyze in depth the univocal picture of 
      prototypical mothers and fathers of EDs. Parents not disturbed as regards 
      personality traits are not exceptions. Since EDs are multifactor disorders family 
      dynamics related to parents' personality may be very relevant or even marginal in 
      their pathogenesis. Conversely, parenting may be negatively influenced by 
      relatively marginal personality malfunctions of parents. The clustering approach 
      to the complexity of personality-related dynamics of ED families improves the 
      picture of ED parents. Psychoeducational, counseling and psychotherapeutic family 
      interventions should consider the specific underlying personality of parents.
CI  - Copyright (c) 2013 Elsevier Inc. All rights reserved.
FAU - Amianto, Federico
AU  - Amianto F
AD  - Department of Neuroscience, Psychiatry Section, Regional Pilot Centre for Eating 
      Disorders, University of Turin. Electronic address: federico.amianto@unito.it.
FAU - Daga, Giovanni Abbate
AU  - Daga GA
FAU - Bertorello, Antonella
AU  - Bertorello A
FAU - Fassino, Secondo
AU  - Fassino S
LA  - eng
PT  - Journal Article
DEP - 20130418
PL  - United States
TA  - Compr Psychiatry
JT  - Comprehensive psychiatry
JID - 0372612
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Family/*psychology
MH  - Feeding and Eating Disorders/*psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Object Attachment
MH  - *Parent-Child Relations
MH  - Parenting/psychology
MH  - Parents/psychology
MH  - *Personality
MH  - Personality Disorders/*psychology
MH  - Personality Inventory
EDAT- 2013/04/23 06:00
MHDA- 2014/05/09 06:00
CRDT- 2013/04/23 06:00
PHST- 2012/09/12 00:00 [received]
PHST- 2013/02/16 00:00 [revised]
PHST- 2013/03/04 00:00 [accepted]
PHST- 2013/04/23 06:00 [entrez]
PHST- 2013/04/23 06:00 [pubmed]
PHST- 2014/05/09 06:00 [medline]
AID - S0010-440X(13)00055-2 [pii]
AID - 10.1016/j.comppsych.2013.03.005 [doi]
PST - ppublish
SO  - Compr Psychiatry. 2013 Oct;54(7):797-811. doi: 10.1016/j.comppsych.2013.03.005. 
      Epub 2013 Apr 18.