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...
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| Veröffentlicht in: | Journal of clinical medicine 2020-06, Vol.9 (7), p.2021, Article 2021 |
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| creator | Philipp, Julia Truttmann, Stefanie Zeiler, Michael Franta, Claudia Wittek, Tanja Schoefbeck, Gabriele Mitterer, Michaela Mairhofer, Dunja Zanko, Annika Imgart, Hartmut Auer-Welsbach, Ellen Treasure, Janet Wagner, Gudrun Karwautz, Andreas F. K. |
| 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 (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. |
| doi_str_mv | 10.3390/jcm9072021 |
| format | Article |
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K.</creator><creatorcontrib>Philipp, Julia ; Truttmann, Stefanie ; Zeiler, Michael ; Franta, Claudia ; Wittek, Tanja ; Schoefbeck, Gabriele ; Mitterer, Michaela ; Mairhofer, Dunja ; Zanko, Annika ; Imgart, Hartmut ; Auer-Welsbach, Ellen ; Treasure, Janet ; Wagner, Gudrun ; Karwautz, Andreas F. K.</creatorcontrib><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 (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.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm9072021</identifier><identifier>PMID: 32605074</identifier><language>eng</language><publisher>BASEL: Mdpi</publisher><subject><![CDATA[Anorexia ; Caregivers ; Child & adolescent psychiatry ; Clinical medicine ; Clinical outcomes ; Communication ; Eating disorders ; Emotions ; Families & family life ; General & Internal Medicine ; Illnesses ; Intervention ; Life Sciences & Biomedicine ; Medicine, General & Internal ; Mothers ; Patients ; Perceptions ; Psychopathology ; Science & Technology ; Teenagers]]></subject><ispartof>Journal of clinical medicine, 2020-06, Vol.9 (7), p.2021, Article 2021</ispartof><rights>2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>15</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000557852700001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c313t-b4fe912146a0372c7c551301c46b8bb71dc42096c0ac9fc6dd7ec511b34581b53</citedby><cites>FETCH-LOGICAL-c313t-b4fe912146a0372c7c551301c46b8bb71dc42096c0ac9fc6dd7ec511b34581b53</cites><orcidid>0000-0002-7087-6134 ; 0000-0002-7374-4559 ; 0000-0002-3997-0376 ; 0000-0002-4845-9684 ; 0000-0001-7358-4842 ; 0000-0003-0992-6865 ; 0000-0002-7640-8921</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7409203/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7409203/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,28253,28254,53796,53798</link.rule.ids></links><search><creatorcontrib>Philipp, Julia</creatorcontrib><creatorcontrib>Truttmann, Stefanie</creatorcontrib><creatorcontrib>Zeiler, Michael</creatorcontrib><creatorcontrib>Franta, Claudia</creatorcontrib><creatorcontrib>Wittek, Tanja</creatorcontrib><creatorcontrib>Schoefbeck, Gabriele</creatorcontrib><creatorcontrib>Mitterer, Michaela</creatorcontrib><creatorcontrib>Mairhofer, Dunja</creatorcontrib><creatorcontrib>Zanko, Annika</creatorcontrib><creatorcontrib>Imgart, Hartmut</creatorcontrib><creatorcontrib>Auer-Welsbach, Ellen</creatorcontrib><creatorcontrib>Treasure, Janet</creatorcontrib><creatorcontrib>Wagner, Gudrun</creatorcontrib><creatorcontrib>Karwautz, Andreas F. K.</creatorcontrib><title>Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa-Caregivers' and Adolescents' Perspective</title><title>Journal of clinical medicine</title><addtitle>J CLIN MED</addtitle><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 (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.</description><subject>Anorexia</subject><subject>Caregivers</subject><subject>Child & adolescent psychiatry</subject><subject>Clinical medicine</subject><subject>Clinical outcomes</subject><subject>Communication</subject><subject>Eating disorders</subject><subject>Emotions</subject><subject>Families & family life</subject><subject>General & Internal Medicine</subject><subject>Illnesses</subject><subject>Intervention</subject><subject>Life Sciences & Biomedicine</subject><subject>Medicine, General & Internal</subject><subject>Mothers</subject><subject>Patients</subject><subject>Perceptions</subject><subject>Psychopathology</subject><subject>Science & Technology</subject><subject>Teenagers</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>ARHDP</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkctu1DAUhi0EolXphiewxAJUlOJrnGyQRtFAkSqKUFlbjnMy9SixBzuZlrfH6VSlsMIbW-d8_7n4R-g1Jeec1-TD1o41UYww-gwdM6JUQXjFnz95H6HTlLYkn6oSjKqX6IizkkiixDG6_Q7dbCcXPA49vnCbG7y-20VICTq8HsN9xvgOX0cw0wh-wlfzZMMICTuPVz5EuHMGf4W4D8kUjYmwcXuI6e29bNWFAZLNuhz4lsM7yN328Aq96M2Q4PThPkE_Pq2vm4vi8urzl2Z1WVhO-VS0ooeaMipKQ7hiVlkpKSfUirKt2lbRzgpG6tISY-vell2nwEpKWy5kRVvJT9DHQ93d3I7QLYNEM-hddKOJv3QwTv-d8e5Gb8JeK0FqRngu8O6hQAw_Z0iTHl3eZxiMhzAnzQSt869yUmX0zT_oNszR5_U0KwUlpWDVQp0dKBtDShH6x2Eo0Yul-o-lGa4O8C20oU_WgbfwKMiWSqkqydTiLm3cZBa_mjD7KUvf_7-U_wZgTLPn</recordid><startdate>20200627</startdate><enddate>20200627</enddate><creator>Philipp, Julia</creator><creator>Truttmann, Stefanie</creator><creator>Zeiler, Michael</creator><creator>Franta, Claudia</creator><creator>Wittek, Tanja</creator><creator>Schoefbeck, Gabriele</creator><creator>Mitterer, Michaela</creator><creator>Mairhofer, Dunja</creator><creator>Zanko, Annika</creator><creator>Imgart, Hartmut</creator><creator>Auer-Welsbach, Ellen</creator><creator>Treasure, Janet</creator><creator>Wagner, Gudrun</creator><creator>Karwautz, Andreas F. 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K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa-Caregivers' and Adolescents' Perspective</atitle><jtitle>Journal of clinical medicine</jtitle><stitle>J CLIN MED</stitle><date>2020-06-27</date><risdate>2020</risdate><volume>9</volume><issue>7</issue><spage>2021</spage><pages>2021-</pages><artnum>2021</artnum><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>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. 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| subjects | Anorexia Caregivers Child & adolescent psychiatry Clinical medicine Clinical outcomes Communication Eating disorders Emotions Families & family life General & Internal Medicine Illnesses Intervention Life Sciences & Biomedicine Medicine, General & Internal Mothers Patients Perceptions Psychopathology Science & Technology Teenagers |
| title | Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa-Caregivers' and Adolescents' Perspective |
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