Parental expressed emotion of adolescents with anorexia nervosa: outcome in family-based treatment
- PMID: 22072411
- PMCID: PMC3117016
- DOI: 10.1002/eat.20877
Parental expressed emotion of adolescents with anorexia nervosa: outcome in family-based treatment
Abstract
Objective: The purpose of this study was to determine the relationship between expressed emotion (EE) and outcome in family-based treatment (FBT) for anorexia nervosa (AN).
Method: Eighty-six adolescents with AN participated in an RCT comparing two doses of FBT. Seventy-nine of these patients and their parents participated in a structured interview, from which EE ratings were made at baseline. Parents were compared on five subscales of EE as well as overall level of EE (high vs. low).
Results: Overall EE levels were low with 32.9% of families presenting as High EE at baseline. Ratings of baseline warmth for both mothers (p = .014) and fathers (p = .037) were related to good outcome at end-of-treatment.
Discussion: EE in parents of adolescents with AN is remarkably low. Notwithstanding, parental warmth may be a predictor of good outcome.
Copyright © 2010 Wiley Periodicals, Inc.
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References
-
- Brown GW, Birley JL, Wing JK. Influence of family life on the course of schizophrenic disorders: A replication. Br J Psychiatry. 1972;121:241–258. - PubMed
-
- Vaughn CE, Leff J. The influence of family and social factors on the course of psychiatric illness: A comparison of schizophrenic and depressed neurotic patients. Br J Psychiatry. 1976;129:125–137. - PubMed
-
- Parker G, Hadzi-Pavlovic D. Expressed emotion as a predictor of schizophrenic relapse: An analysis of aggregated data. Psychol Med. 1990;20:961–965. - PubMed
-
- Szmukler GI, Eisler I, Russell GFM, Dare C. Anorexia nervosa, parental “expressed emotion” and dropping out of treatment. Br J Psychiatry. 1985;147:265–271. - PubMed
-
- Le Grange D, Eisler I, Dare C, Hodes M. Family criticism and self-starvation: A study of expressed emotion. J Fam Therapy. 1992;14:177–192.
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