Olivia Kyriacou1, Janet Treasure, Ulrike Schmidt. 1. Section of Eating Disorders, Institute of Psychiatry, King's College London, London, United Kingdom. o.kyriacou@iop.kcl.ac.uk
Abstract
OBJECTIVE: High expressed emotion (EE) has been linked to outcome in anorexia nervosa (AN). Traditional interview measures of EE require considerable resources. The aim was to compare EE, measured with a self report tool, in parents of people with AN (carers; N = 151) with that of parents of healthy people (controls; N = 93), and to explore factors associated with EE. METHOD: A cross-sectional design was used to assess EE (Family Questionnaire) and psychological distress (Hospital Anxiety and Depression Scale). RESULTS: Over 60% (96/151) of carers showed high emotional over-involvement (EOI) compared with 3% (3/93) of controls, whereas 47% (71/151) of carers showed high criticism (CC) compared with 15% (14/93) of controls. The most significant variable related to CC was "negative/difficult behaviors," and anxiety, for EOI. CONCLUSION: The FQ was sensitive both to CC and EOI. Interventions aimed at reducing EE may need to focus on decreasing carers' anxiety and teaching skills to moderate difficult behaviors.
OBJECTIVE: High expressed emotion (EE) has been linked to outcome in anorexia nervosa (AN). Traditional interview measures of EE require considerable resources. The aim was to compare EE, measured with a self report tool, in parents of people with AN (carers; N = 151) with that of parents of healthy people (controls; N = 93), and to explore factors associated with EE. METHOD: A cross-sectional design was used to assess EE (Family Questionnaire) and psychological distress (Hospital Anxiety and Depression Scale). RESULTS: Over 60% (96/151) of carers showed high emotional over-involvement (EOI) compared with 3% (3/93) of controls, whereas 47% (71/151) of carers showed high criticism (CC) compared with 15% (14/93) of controls. The most significant variable related to CC was "negative/difficult behaviors," and anxiety, for EOI. CONCLUSION: The FQ was sensitive both to CC and EOI. Interventions aimed at reducing EE may need to focus on decreasing carers' anxiety and teaching skills to moderate difficult behaviors.
Authors: Montserrat Graell; Patricia de Andrés; Ana Rosa Sepúlveda; Alba Moreno; Ángel Villaseñor; Mar Faya; Carmen Martínez-Cantarero; Sonia Gómez-Martínez; Ascensión Marcos; Gonzalo Morandé; Esther Nova Journal: Int J Methods Psychiatr Res Date: 2018-08-21 Impact factor: 4.035
Authors: Josune Martín; Angel Padierna; Urko Aguirre; José M Quintana; Carlota Las Hayas; Pedro Muñoz Journal: Qual Life Res Date: 2011-03-04 Impact factor: 4.147