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

Authors

  • Daniel Le Grange PhD,

    Corresponding author
    1. Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, Illinois
    • Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, 5841 South Maryland Avenue, MC 3077, Chicago, IL 60637
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    • Drs. Le Grange and Lock are both supported by the NIH-MH079979 and MH083914 (Le Grange) and MH079978, MH074467, and MH082706 (Lock).

  • Renee Rienecke Hoste PhD,

    1. Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, Illinois
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  • James Lock MD, PhD,

    1. Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California
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    • Drs. Le Grange and Lock are both supported by the NIH-MH079979 and MH083914 (Le Grange) and MH079978, MH074467, and MH082706 (Lock).

  • Susan W. Bryson MA, MS

    1. Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California
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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. © 2010 by Wiley Periodicals, Inc. Int J Eat Disord 2010

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