Part of this work has been presented as a poster in the International Conference of Eating Disorders of the Academy for Eating Disorders, in June 2006 in Barcelona, Spain.
Expressed emotion in eating disorders assessed via self-report: An examination of factors associated with expressed emotion in carers of people with anorexia nervosa in comparison to control families†
Article first published online: 5 OCT 2007
Copyright © 2007 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 41, Issue 1, pages 37–46, January 2008
How to Cite
Kyriacou, O., Treasure, J. and Schmidt, U. (2008), Expressed emotion in eating disorders assessed via self-report: An examination of factors associated with expressed emotion in carers of people with anorexia nervosa in comparison to control families. Int. J. Eat. Disord., 41: 37–46. doi: 10.1002/eat.20469
- Issue published online: 3 DEC 2007
- Article first published online: 5 OCT 2007
- Manuscript Accepted: 15 JUL 2007
- Nina Jackson fellowship by Research Into Eating Disorders in association with the Psychiatry Research Trust, UK. Grant Number: 284286
- expressed emotion;
- eating disorders;
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.
A cross-sectional design was used to assess EE (Family Questionnaire) and psychological distress (Hospital Anxiety and Depression Scale).
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.
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. © 2007 by Wiley Periodicals, Inc. Int J Eat Disord 2008