Parental expressed emotion of adolescents with anorexia nervosa: outcome in family-based treatment

Int J Eat Disord. 2011 Dec;44(8):731-4. doi: 10.1002/eat.20877. Epub 2010 Nov 10.

Abstract

Objective: The purpose of this study was to determine the relationship between expressed emotion (EE) and outcome in family-based treatment (FBT) for anorexia nervosa (AN).

Method: Eighty-six adolescents with AN participated in an RCT comparing two doses of FBT. Seventy-nine of these patients and their parents participated in a structured interview, from which EE ratings were made at baseline. Parents were compared on five subscales of EE as well as overall level of EE (high vs. low).

Results: Overall EE levels were low with 32.9% of families presenting as High EE at baseline. Ratings of baseline warmth for both mothers (p = .014) and fathers (p = .037) were related to good outcome at end-of-treatment.

Discussion: EE in parents of adolescents with AN is remarkably low. Notwithstanding, parental warmth may be a predictor of good outcome.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Anorexia Nervosa / psychology*
  • Anorexia Nervosa / therapy
  • Expressed Emotion*
  • Family Therapy*
  • Female
  • Humans
  • Interview, Psychological
  • Male
  • Parents / psychology*
  • Psychological Tests
  • Treatment Outcome