Parental expressed emotion during two forms of family-based treatment for adolescent anorexia nervosa

Erica Allan, Daniel Le Grange, Susan M. Sawyer, Louise Anne McLean, Elizabeth K. Hughes

Research output: Contribution to journalArticleResearchpeer-review

Abstract

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 of considering EE when implementing FBT for adolescents with anorexia nervosa.

Original languageEnglish
Pages (from-to)46-52
Number of pages7
JournalEuropean Eating Disorders Review
Volume26
Issue number1
DOIs
Publication statusPublished - Jan 2018

Keywords

  • Adolescents
  • Anorexia nervosa
  • Criticism
  • Emotion
  • Family therapy
  • Parents

Cite this

Allan, Erica ; Le Grange, Daniel ; Sawyer, Susan M. ; McLean, Louise Anne ; Hughes, Elizabeth K. / Parental expressed emotion during two forms of family-based treatment for adolescent anorexia nervosa. In: European Eating Disorders Review. 2018 ; Vol. 26, No. 1. pp. 46-52.
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abstract = "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 of considering EE when implementing FBT for adolescents with anorexia nervosa.",
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Parental expressed emotion during two forms of family-based treatment for adolescent anorexia nervosa. / Allan, Erica; Le Grange, Daniel; Sawyer, Susan M.; McLean, Louise Anne; Hughes, Elizabeth K.

In: European Eating Disorders Review, Vol. 26, No. 1, 01.2018, p. 46-52.

Research output: Contribution to journalArticleResearchpeer-review

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