Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective
High expressed emotion (EE) is common in caregivers of patients with anorexia nervosa (AN) and associated with poorer outcome for patients. In this study, we examined the prevalence of high EE in caregivers of adolescents with AN and analyzed predictors for EE using multivariate linear regression mo...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/7/2021 |
| _version_ | 1797564023042998272 |
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| author | Julia Philipp Stefanie Truttmann Michael Zeiler Claudia Franta Tanja Wittek Gabriele Schöfbeck Michaela Mitterer Dunja Mairhofer Annika Zanko Hartmut Imgart Ellen Auer-Welsbach Janet Treasure Gudrun Wagner Andreas F. K. Karwautz |
| author_facet | Julia Philipp Stefanie Truttmann Michael Zeiler Claudia Franta Tanja Wittek Gabriele Schöfbeck Michaela Mitterer Dunja Mairhofer Annika Zanko Hartmut Imgart Ellen Auer-Welsbach Janet Treasure Gudrun Wagner Andreas F. K. Karwautz |
| author_sort | Julia Philipp |
| collection | DOAJ |
| description | High expressed emotion (EE) is common in caregivers of patients with anorexia nervosa (AN) and associated with poorer outcome for patients. In this study, we examined the prevalence of high EE in caregivers of adolescents with AN and analyzed predictors for EE using multivariate linear regression models. We further analyzed whether EE is reduced by the “Supporting Carers of Children and Adolescents with Eating Disorders in Austria” (SUCCEAT) intervention using general linear mixed models and whether a reduction of EE predicts patients’ outcomes. Caregivers were randomly allocated to the SUCCEAT workshop (<i>N</i> = 50) or online intervention (<i>N</i> = 50) and compared to a comparison group (<i>N</i> = 49). EE and patients’ outcomes were assessed at the baseline, post-intervention, and at the 12-month follow-up. Up to 47% of caregivers showed high EE. Lower caregiver skills, higher AN symptom impact, higher levels of depression and motivation to change in caregivers were significant predictors for high EE. EE significantly decreased in the SUCCEAT groups and the comparison group according to the caregivers’, but not the patients’ perspective. The level of reduction could partially predict subjective improvement and improvement in clinically assessed AN symptoms and body mass index of patients. Implementing interventions for caregivers addressing EE in the treatment of adolescents with AN is strongly recommended. |
| first_indexed | 2024-03-10T18:51:28Z |
| format | Article |
| id | doaj.art-90db7a8234054412bbb9145cd77e2dba |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T18:51:28Z |
| publishDate | 2020-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-90db7a8234054412bbb9145cd77e2dba2023-11-20T05:08:26ZengMDPI AGJournal of Clinical Medicine2077-03832020-06-0197202110.3390/jcm9072021Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ PerspectiveJulia Philipp0Stefanie Truttmann1Michael Zeiler2Claudia Franta3Tanja Wittek4Gabriele Schöfbeck5Michaela Mitterer6Dunja Mairhofer7Annika Zanko8Hartmut Imgart9Ellen Auer-Welsbach10Janet Treasure11Gudrun Wagner12Andreas F. K. Karwautz13Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaParkland Clinic, Clinic for Psychosomatic Medicine and Psychotherapy, 34537 Bad Wildungen, GermanyParkland Clinic, Clinic for Psychosomatic Medicine and Psychotherapy, 34537 Bad Wildungen, GermanyDepartment for Neurology and Child and Adolescent Psychiatry, 9020 Klagenfurt am Wörthersee, AustriaSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London WC2R 2LS, UKEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaHigh expressed emotion (EE) is common in caregivers of patients with anorexia nervosa (AN) and associated with poorer outcome for patients. In this study, we examined the prevalence of high EE in caregivers of adolescents with AN and analyzed predictors for EE using multivariate linear regression models. We further analyzed whether EE is reduced by the “Supporting Carers of Children and Adolescents with Eating Disorders in Austria” (SUCCEAT) intervention using general linear mixed models and whether a reduction of EE predicts patients’ outcomes. Caregivers were randomly allocated to the SUCCEAT workshop (<i>N</i> = 50) or online intervention (<i>N</i> = 50) and compared to a comparison group (<i>N</i> = 49). EE and patients’ outcomes were assessed at the baseline, post-intervention, and at the 12-month follow-up. Up to 47% of caregivers showed high EE. Lower caregiver skills, higher AN symptom impact, higher levels of depression and motivation to change in caregivers were significant predictors for high EE. EE significantly decreased in the SUCCEAT groups and the comparison group according to the caregivers’, but not the patients’ perspective. The level of reduction could partially predict subjective improvement and improvement in clinically assessed AN symptoms and body mass index of patients. Implementing interventions for caregivers addressing EE in the treatment of adolescents with AN is strongly recommended.https://www.mdpi.com/2077-0383/9/7/2021anorexia nervosahigh expressed emotionchildren and adolescentsinterventioncaregivers |
| spellingShingle | Julia Philipp Stefanie Truttmann Michael Zeiler Claudia Franta Tanja Wittek Gabriele Schöfbeck Michaela Mitterer Dunja Mairhofer Annika Zanko Hartmut Imgart Ellen Auer-Welsbach Janet Treasure Gudrun Wagner Andreas F. K. Karwautz Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective Journal of Clinical Medicine anorexia nervosa high expressed emotion children and adolescents intervention caregivers |
| title | Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective |
| title_full | Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective |
| title_fullStr | Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective |
| title_full_unstemmed | Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective |
| title_short | Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective |
| title_sort | reduction of high expressed emotion and treatment outcomes in anorexia nervosa caregivers and adolescents perspective |
| topic | anorexia nervosa high expressed emotion children and adolescents intervention caregivers |
| url | https://www.mdpi.com/2077-0383/9/7/2021 |
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