Dataset Information

A bidirectional examination of expressed emotion among families of adolescents with bulimia nervosa.

ABSTRACT:

Objective

The purpose of this paper was to examine expressed emotion (EE) measured from adolescents with bulimia nervosa (BN) toward their parents, in addition to measuring EE from parents toward patients.

Method

Fifty-four adolescents and their parents who were receiving treatment for BN participated in a videotaped family interview, from which ratings of EE were made.

Results

Parent and patient scores were highly correlated. Four family profiles were created (Low Patient EE/Low Parent EE; High Patient EE/High Parent EE; Low Patient EE/High Parent EE; High Patient EE/Low Parent EE) to determine whether the match between parent and patient EE was related to treatment outcome. The Low Patient EE/Low Parent EE group demonstrated the greatest reduction in purging from baseline to end-of-treatment; the High Patient EE/Low Parent EE group showed the smallest reduction in purging.

Discussion

EE has historically been rated from relatives toward patients, but patients' own EE may also be related to treatment outcome.

SUBMITTER: Hoste RR

PROVIDER: S-EPMC4783131 | biostudies-literature | 2015 Mar

REPOSITORIES: biostudies-literature

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Publications

A bidirectional examination of expressed emotion among families of adolescents with bulimia nervosa.

Hoste Renee Rienecke RR Lebow Jocelyn J Le Grange Daniel D

The International journal of eating disorders 20140529 2

<h4>Objective</h4>The purpose of this paper was to examine expressed emotion (EE) measured from adolescents with bulimia nervosa (BN) toward their parents, in addition to measuring EE from parents toward patients.<h4>Method</h4>Fifty-four adolescents and their parents who were receiving treatment for BN participated in a videotaped family interview, from which ratings of EE were made.<h4>Results</h4>Parent and patient scores were highly correlated. Four family profiles were created (Low Patient ...[more]

PMID: 24888496

Similar Datasets

Project description:ObjectiveTo examine the feasibility and acceptability of augmenting family-based treatment (FBT) for adolescents with anorexia nervosa (AN) or atypical anorexia nervosa (AAN) with a parent emotion coaching intervention (EC) focused on reducing parent expressed emotion.MethodIn this pilot effectiveness trial, families of adolescents with AN/AAN exhibiting high expressed emotion received standard FBT with either (1) EC group or (2) support group (an attention control condition focused on psychoeducation).ResultsForty-one adolescents with AN or AAN were recruited (88% female, Mage = 14.9 ± 1.6 years, 95% White: Non-Hispanic, 1% White: Hispanic, 1% Bi-racial: Asian). Most study adolescents were diagnosed with AN (59%) while 41% were diagnosed with AAN. Participating parents were predominantly mothers (95%). Recruitment and retention rates were moderately high (76% and 71%, respectively). High acceptability and feasibility ratings were obtained from parents and interventionists with 100% reporting the EC intervention was "beneficial"-"very beneficial." The FBT + EC group demonstrated higher parental warmth scores at post-treatment compared to the control group (standardized effect size difference, d = 1.58), which was maintained at 3-month follow-up. Finally, at post-treatment, the FBT + EC group demonstrated higher rates of full remission from AN/AAN (40%) compared to FBT + support (27%), and were nine times more likely to be weight restored by 3-month follow-up.DiscussionAugmenting FBT with emotion coaching for parents with high expressed emotion is acceptable, feasible, and demonstrates preliminary effectiveness.Public significanceFamily based treatment for AN/AAN is the recommended treatment for youth but families with high criticism/low warmth are less likely to respond to this treatment. Adding a parent emotion coaching group (EC) where parents learn to talk to their adolescents about tough emotions is feasible and well-liked by families.

Dataset Information

A bidirectional examination of expressed emotion among families of adolescents with bulimia nervosa.

Objective

Method

Results

Discussion

Publications

A bidirectional examination of expressed emotion among families of adolescents with bulimia nervosa.

Similar Datasets

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