Back to Journals » Journal of Multidisciplinary Healthcare » Volume 9

Living with a sibling who suffers from an eating disorder: a pilot interview study

Authors Callio C, Gustafsson SA

Received 27 June 2016

Accepted for publication 24 August 2016

Published 9 November 2016 Volume 2016:9 Pages 615—622


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Carina Callio, Sanna Aila Gustafsson

Faculty of Medicine and Health, University Health Care Research Center, Region Örebro County, Örebro University, Örebro, Sweden

Background and objective: Having a sibling who suffers from an eating disorder (ED) has a profound effect on healthy siblings’ own health, quality of life and family relationships, yet siblings have been an excluded group within health care, and there is a lack of knowledge regarding healthy siblings’ needs and wishes for information and support. Thus, the aim of this study was to examine adolescents’ experiences of living with a sibling who suffers from an ED.
Method: In this small-scale pilot study, three boys and two girls aged 15–20 years were interviewed, and the interviews were analyzed by qualitative content analysis.
Results: This study confirms prior knowledge of adolescents’ experiences of living with a sibling who is suffering from an ED. The adolescents were concerned about their siblings and lacked information about their siblings’ illness and treatment progress. The girls described that their everyday life had been heavily influenced by their sisters’ illness, while the boys described that their everyday life with friends and activities were not affected to such a great extent. One new result that emerged as something positive was that some informants described that although the ED was a source of conflict in the family, it had led to greater awareness of the importance of gaining sufficient energy and had contributed to better meal situations in the family.
Having a sibling with an ED had a profound and negative effect on family relationships, and was often a source of conflict, especially around mealtime. However, it appeared that if parents were able to organize family meals and create an open and supportive climate, the negative effects for the family could be reduced. The health care professionals need to acknowledge the siblings’ need for information and support, and support parents in their important role of caring for well siblings.

eating disorders, adolescents, siblings, family

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]