This study analyzed how clinically diagnosed women with eating disorders described the hurtful messages from parents, siblings, and peers that triggered eating disorder symptomology as well as the healing messages that assisted with coping and recovery. Three themes overlapping across all groups were revealed for hurtful messages: 1) critical, 2) social modeling, and 3) direct comparison. Our findings show that fathers, siblings, and peers similarly used teasing. Other points of distinction were uncovered for fathers: aggressive messages and denial of eating disorder. Competition with female siblings and friends was also a triggering factor for young females with eating disorders. Four distinct categories of healing messages were identified: 1) emotional, 2) instrumental, 3) informational, and 4) appraisal. Point of distinction for friends’ and siblings’ healing messages was absence of negative comments about weight and appearance. Results were able to encapsulate both helpful/supportive and hurtful/unsupportive messages, and these findings will be helpful for treatment centers who may incorporate them in recovery programs.

中文翻译：

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伤害性和康复性信息对进食障碍症状和恢复的作用

这项研究分析了经临床诊断患有饮食失调的妇女如何描述父母，兄弟姐妹和同伴引发饮食失调症状的伤害性信息，以及有助于应对和康复的康复信息。对于伤害性信息，揭示了所有组中重叠的三个主题：1）重要，2）社交模型和3）直接比较。我们的发现表明，父亲，兄弟姐妹和同龄人同样使用戏弄。父亲们还发现了其他区别：激进的信息和拒绝进食障碍。与女性兄弟姐妹和朋友的竞争也是导致饮食失调的年轻女性的触发因素。确定了四个不同类别的康复信息：1）情绪，2）工具性，3）信息性和4）评估。朋友和兄弟姐妹的康复信息的区别在于，对体重和外表没有负面评价。结果能够囊括帮助/支持和伤害/不支持的信息，这些发现对于可能将其纳入康复计划的治疗中心很有帮助。