作者
Erica Allan, Daniel Le Grange, Susan M Sawyer, Louise A McLean, Elizabeth K Hughes
发表日期
2018/1/1
期刊
European Eating Disorders Review
卷号
26
期号
1
页码范围
46-52
简介
High parental expressed emotion (EE), reflected by criticism or emotional over‐involvement, has been related to poorer outcome in family‐based treatment (FBT) for adolescent anorexia nervosa. This study assessed EE in 89 mothers and 64 fathers at baseline and end of treatment in a randomised trial comparing conjoint FBT to parent‐focused FBT (PFT). Compared with conjoint FBT, PFT was associated with a decrease in maternal criticism, regardless of adolescent remission. Furthermore, an increase in maternal criticism was more likely to be observed in conjoint FBT (80%) than PFT (20%, p = 0.001). Adolescents of mothers who demonstrated an increase in EE, or remained high in EE, were less likely to remit compared with adolescents for whom EE decreased or remained low (33% and 0% vs. 43% and 50%, p = 0.03). There were no significant effects for paternal EE. The results highlight the importance …
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E Allan, D Le Grange, SM Sawyer, LA McLean… - European Eating Disorders Review, 2018