Expressed Emotions and Depressive Symptoms in Caregivers of Adolescents with First‐Onset Anorexia Nervosa—A Long‐Term Investigation over 2.5 Years

Schwarte, Reinhild; Timmesfeld, Nina; Dempfle, Astrid; Krei, Melanie; Egberts, Karin; Jaite, Charlotte; Fleischhaker, Christian; Wewetzer, Christoph; Herpertz‐Dahlmann, Beate; Seitz, Jochen

doi:10.1002/erv.2490

Cited by 17 publications

(23 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CC and EOI scores tended to be higher for mothers than for fathers, albeit these results did not reach statistical significance due to the small number of fathers included in this study. This is not fully in line with several previous reports describing mothers to be more overinvolved than fathers [5,9,43] and fathers to be more critical than mothers [5,43].…”

Section: Discussioncontrasting

confidence: 63%

“…High AN symptom impact on caregivers, depression in caregivers, higher psychological distress, higher motivation to change in caregivers, and less caregiver skills accounted for over 60% of the variance of EOI. Other studies also found associations of high EE with psychological distress or depression [1,43,44]. Caregivers' distress and self-care should therefore be the core elements in interventions for caregivers, beside emotion regulation strategies and communication skills.…”

Section: Discussionmentioning

confidence: 92%

See 1 more Smart Citation

Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective

Philipp

Truttmann

Zeiler

et al. 2020

JCM

View full text Add to dashboard Cite

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 (N = 50) or online intervention (N = 50) and compared to a comparison group (N = 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.

show abstract

Section: Discussioncontrasting

confidence: 63%

Section: Discussionmentioning

confidence: 92%

Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective

Philipp

Truttmann

Zeiler

et al. 2020

JCM

View full text Add to dashboard Cite

show abstract

“…Due to the complexity of these diseases and the age range in which they appear, there are profound family and social disturbances (Striegel Weissman & Rosselli, 2017). These have an intense effect on family members (Martin et al, 2015;Rhind et al, 2016); many of whom develop anxiety and depression (Schwarte et al, 2017;Sepúlveda et al, 2012). This negative impact is not limited to adolescence but persists into adulthood (Ametller, Castro, Serrano, Martínez, & Toro, 2005;Munsch et al, 2017;Soler et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Validation of the Caregiver Skills (CASK) scale in Catalonia: Concordance between caregivers in attitudes and behaviours

Vintró-Alcáraz

Mestre‐Bach

Steward

et al. 2018

Euro Eating Disorders Rev

View full text Add to dashboard Cite

show abstract

“…Family members of patients with anorexia nervosa, especially those with a chronic course, experience high levels of distress and burden and often suffer from mental disorders themselves [35]. The group of Treasure and Schmidt in London developed a skills training intervention programme comprising a book, DVDs and five telephone calls for caregivers [experienced caregivers helping others (ECHO)] and conducted a pragmatic RCT.…”

Section: Psychological Approachesmentioning

confidence: 99%

Treatment of eating disorders in child and adolescent psychiatry

Herpertz‐Dahlmann

2017

Current Opinion in Psychiatry

Self Cite

View full text Add to dashboard Cite

Purpose of review Recent research on the multimodal treatment of eating disorders in child and adolescent psychiatry has yielded a significant increase in randomized controlled trials and systematic reviews. This review aims to present relevant findings published during the last 2 years related to medical and psychological treatment of anorexia nervosa, bulimia nervosa and avoidant/restrictive food intake disorder (ARFID). Recent findingsFor anorexia nervosa, recent reports described the efficacy of different treatment settings, lengths of hospital stay and high vs. low-calorie refeeding programmes. For both anorexia and bulimia nervosa, a number of randomized controlled trials comparing individual and family-oriented treatment approaches were published. For the newly defined ARFID, only very preliminary results on possible treatment approaches implying a multidisciplinary treatment programme were obtained. SummaryAlthough there is some evidence of the effectiveness of new child and adolescent psychiatric treatment approaches to eating disorders, the relapse rate remains very high, and there is an urgent need for ongoing intensive research.

show abstract

Expressed Emotions and Depressive Symptoms in Caregivers of Adolescents with First‐Onset Anorexia Nervosa—A Long‐Term Investigation over 2.5 Years

Cited by 17 publications

References 39 publications

Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective

Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective

Validation of the Caregiver Skills (CASK) scale in Catalonia: Concordance between caregivers in attitudes and behaviours

Treatment of eating disorders in child and adolescent psychiatry

Contact Info

Product

Resources

About