Expressed emotion and long-term outcome among adolescents with anorexia nervosa.
OBJECTIVE: The purpose of the current study is to examine expressed emotion (EE) and long-term treatment outcome among adolescents participating in a randomized controlled trial (RCT) for treatment of anorexia nervosa (AN). It was hypothesized that patients with high EE parents at baseline would show more severe symptoms at end-of-treatment, 12-month follow-up, and 4-year follow-up than patients from low EE families. METHOD: Secondary data analysis was conducted of original RCT data from a two-site eating disorder treatment trial conducted in the United States. Participants were 121 adolescents with AN who completed measures of EE, eating disorder psychopathology, depression, and self-esteem. RESULTS: Generalized estimating equations showed that participants who were in the Low EE group achieved a more accelerated drop in depression scores in the context of treatment (first 12 months) than participants in the High EE group. No other significant Group × Time interactions were found. DISCUSSION: Findings suggest that high parental EE at baseline does not indicate that adolescent patients with AN will fare poorly 4 years later.
Duke Scholars
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Related Subject Headings
- Treatment Outcome
- Psychopathology
- Parents
- Humans
- Expressed Emotion
- Clinical Psychology
- Anorexia Nervosa
- Adolescent
- 4206 Public health
- 3210 Nutrition and dietetics
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Treatment Outcome
- Psychopathology
- Parents
- Humans
- Expressed Emotion
- Clinical Psychology
- Anorexia Nervosa
- Adolescent
- 4206 Public health
- 3210 Nutrition and dietetics