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Parental and peer relationships and their impact on symptom severity in adolescent patients with anorexia nervosa

Objective Perceived parental relationship characteristics, such as maternal overprotection, rejection or neglect, and peer victimisation, are suggested to be more common in patients with anorexia nervosa (AN) than in healthy controls. This study compares parental and peer relationships in adolescent...

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Main Authors: Tschitsaz, Armita (Author) , Schumacher, Andrea M. (Author) , Lerch, Stefan (Author) , Wyssen, Andrea (Author) , Cavelti, Marialuisa (Author) , Mürner-Lavanchy, Ines (Author) , Koenig, Julian (Author) , Kaess, Michael (Author) , Schlensog-Schuster, Franziska (Author)
Format: Article (Journal)
Language:English
Published: 2026
In: European eating disorders review
Year: 2026, Pages: 1-13
ISSN:1099-0968
DOI:10.1002/erv.70072
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1002/erv.70072
Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/erv.70072
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Author Notes:Armita Tschitsaz, Andrea M. Schumacher, Stefan Lerch, Andrea Wyssen, Marialuisa Cavelti, Ines Mürner-Lavanchy, Julian Koenig, Michael Kaess, Franziska Schlensog-Schuster
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Summary:Objective Perceived parental relationship characteristics, such as maternal overprotection, rejection or neglect, and peer victimisation, are suggested to be more common in patients with anorexia nervosa (AN) than in healthy controls. This study compares parental and peer relationships in adolescent patients with AN to those in a clinical control group (CC; a matched group of patients with other mental disorders) and investigates their association with AN severity. Method Self-reported parental and peer relationships were compared between adolescents with AN (n = 43) and CC (n = 127), matched for age, sex and global functioning. Multiple linear and logistic regression were used to analyse the association between parental and peer relationships and AN severity. Results The AN group exhibited a more positive overall evaluation of parental relationships (b = 18.34, p = 0.002), particularly with fathers (b = 5.30, p = 0.028), fewer parental discrepancies (b = −7.67, p = 0.013), less peer victimisation (OR = 0.43, p = 0.030) and perpetration (OR = 0.26, p = 0.006) than the CC group. No significant associations were identified between these relationships and AN severity. Conclusions In contrast to previous studies comparing social relationships in patients with AN and healthy controls, our findings suggest that increased positive parental and peer relationships may serve as a resource, irrespective of symptom severity.
Item Description:Online veröffentlicht: 27. Dezember 2025
Gesehen am 30.03.2026
Physical Description:Online Resource
ISSN:1099-0968
DOI:10.1002/erv.70072

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