Dyadic view of expressed emotion, stress, and eating disorder psychopathology

Medina-Pradas, Cristina; Navarro, J. Blas; López, Steven R.; Grau, Antoni; Obiols, Jordi E.

doi:10.1016/j.appet.2011.08.016

Cited by 28 publications

(12 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It was expected that higher patient ratings of perceived criticism, lower patient perceptions of warmth, and lower ratings of family cohesion (from both the patient and the family member perspective) would be associated with more severe psychiatric symptoms (Arshad et al, 2011; Barrowclough et al, 2003; González-Pinto et al, 2011; Hooley and Teasdale, 1989; Lebell et al, 1993; López et al, 1999; López et al, 2004; Medina-Pradas et al, 2011; Medina-Pradas et al, 2013; Tompson et al, 1995; Weisman et al, 2005). We also assessed a comprehensive model for predicting symptom severity that included both protective and risk factors in the same analysis.…”

Section: Introductionmentioning

confidence: 99%

Risk and Protective Factors, Perceptions of Family Environment, Ethnicity, and Schizophrenia Symptoms

Gurak

Mamani

2016

J Nerv Ment Dis

View full text Add to dashboard Cite

The family environment can either play a detrimental or a protective role in symptom severity for people with schizophrenia. The current study examined both patient and caregiver perspectives of the family environment in an ethnically diverse sample of 221 patients with schizophrenia. We hypothesized that environments characterized by high levels of perceived caregiver criticism, low perceived caregiver warmth, and low family cohesion (from both the patient and caregiver perspective) would predict greater symptom severity. As expected, results demonstrated that lower patient ratings of family cohesion and caregiver warmth were associated with greater symptom severity. However, once put into a hierarchical regression analysis, only patient ratings of family cohesion remained significant. Ethnic patterns were also examined and revealed that family cohesion may be particularly protective for ethnic minorities. Study implications are discussed.

show abstract

Section: Introductionmentioning

confidence: 99%

Risk and Protective Factors, Perceptions of Family Environment, Ethnicity, and Schizophrenia Symptoms

Gurak

Mamani

2016

J Nerv Ment Dis

View full text Add to dashboard Cite

show abstract

“…In families of patients with AN, high parental EE has been associated with treatment dropout and poor treatment outcome (Le Grange, Eisler, Dare, & Hodes, ; Szmukler, Eisler, Russell, & Dare, ), with some studies finding a particularly important role for maternal criticism (Eisler, Simic, Russell, & Dare, ; van Furth et al, ), whereas parental warmth has been found to predict good treatment outcome (Le Grange et al, ). In adult women with eating disorders, parental criticism is stressful and associated with worse eating disorder symptomatology (Medina‐Pradas, Navarro, Lopez, Grau, & Obiols, ). In spite of the fact that families of patients with eating disorders have lower rates of high EE than those with schizophrenia (Vaughn & Leff, ), EE nevertheless seems to play an important role in eating disorder treatment.…”

mentioning

confidence: 99%

Expressed Emotion, Family Functioning, and Treatment Outcome for Adolescents with Anorexia Nervosa

Rienecke

Accurso

Lock

et al. 2015

Euro Eating Disorders Rev

View full text Add to dashboard Cite

The current study examined the relation between parental expressed emotion (EE) and treatment outcome among adolescents participating in a treatment study for adolescent anorexia nervosa, as well as its impact on family functioning. One hundred and twenty-one families were assigned to family-based treatment or adolescent-focused therapy. Paternal criticism predicted lesser improvement in eating disorder psychopathology at end of treatment. There was also a significant interaction between maternal hostility and treatment, indicating that adolescents whose mothers displayed hostility had greater increases in percent of expected body weight in adolescent-focused therapy than family-based treatment. In addition, maternal hostility predicted less improvement in general family functioning and family communication at the end of treatment. Findings suggest that maternal and paternal EE may differentially impact treatment outcome and should be directly attended to in clinical settings. Future research is needed to further explore ways in which parental EE can be effectively modified in treatment.

show abstract

“…However, these actions may be excessive and, in turn, be stressful to the ill relatives because it communicates that they have little agency regarding their illness. Although this cultural explanation may be consistent with the data, more proximal measures of cultural processes are needed—individualism/collectivism and the distress felt by the ill relatives (Medina-Pradas et al, 2011). Future research will help to clarify the role of specific cultural processes as these relate to agency and clinical outcomes across sociocultural contexts.…”

Section: Discussionmentioning

confidence: 65%

Perceptions of Efficacy, Expressed Emotion, and the Course of Schizophrenia

Breitborde¹,

López²,

Aguilera³

et al. 2013

Journal of Nervous &Amp; Mental Disease

View full text Add to dashboard Cite

Although it is clear that expressed emotion (EE) is associated with the course of schizophrenia, proposed models for this association have struggled to account for the relationship between the EE index of emotional overinvolvement (EOI) and relapse. To expand our understanding of the EOI-relapse association, we first attempted to replicate the finding that the EOI-relapse association is curvilinear among 55 Mexican-Americans with schizophrenia and their caregiving relatives. Second, we evaluated whether the caregivers’ perception of their ill relative’s efficacy may account for the EOI-relapse association. Our results comport with past findings with regard to the curvilinear nature of the EOI-relapse association among Mexican-Americans and suggest that EOI may only seem to be a risk factor of relapse because of its strong association with a true risk factor for relapse (i.e., caregivers’ perception of their ill relative’s efficacy).

show abstract

Dyadic view of expressed emotion, stress, and eating disorder psychopathology

Cited by 28 publications

References 33 publications

Risk and Protective Factors, Perceptions of Family Environment, Ethnicity, and Schizophrenia Symptoms

Risk and Protective Factors, Perceptions of Family Environment, Ethnicity, and Schizophrenia Symptoms

Expressed Emotion, Family Functioning, and Treatment Outcome for Adolescents with Anorexia Nervosa

Perceptions of Efficacy, Expressed Emotion, and the Course of Schizophrenia

Contact Info

Product

Resources

About