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Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role?

In studies on family therapy in Anorexia Nervosa, family relationships, as assessed by Expressed Emotion, have been associated with outcome. Our aim was to explore the contribution of Expressed Emotion as a predictor of 18-month outcome, above and beyond the usual predictive factors. Sixty adolescen...

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Autores principales: Duclos, Jeanne, Dorard, Géraldine, Cook-Darzens, Solange, Curt, Florence, Faucher, Sophie, Berthoz, Sylvie, Falissard, Bruno, Godart, Nathalie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6067718/
https://www.ncbi.nlm.nih.gov/pubmed/30063706
http://dx.doi.org/10.1371/journal.pone.0196820
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author Duclos, Jeanne
Dorard, Géraldine
Cook-Darzens, Solange
Curt, Florence
Faucher, Sophie
Berthoz, Sylvie
Falissard, Bruno
Godart, Nathalie
author_facet Duclos, Jeanne
Dorard, Géraldine
Cook-Darzens, Solange
Curt, Florence
Faucher, Sophie
Berthoz, Sylvie
Falissard, Bruno
Godart, Nathalie
author_sort Duclos, Jeanne
collection PubMed
description In studies on family therapy in Anorexia Nervosa, family relationships, as assessed by Expressed Emotion, have been associated with outcome. Our aim was to explore the contribution of Expressed Emotion as a predictor of 18-month outcome, above and beyond the usual predictive factors. Sixty adolescent girls suffering from Anorexia Nervosa and their parents were assessed at baseline and 18 months later. Levels of Expressed Emotion were evaluated in both parents with the Five-Minute Speech Sample. After controlling for treatment group and initial clinical status, high maternal Emotional Over-Involvement at baseline was significantly associated with better clinical state. More precisely, high maternal Emotional Over-Involvement was associated with higher nutritional status, lower eating disorder severity and fewer re-hospitalizations 18 months later. No associations were found with paternal levels of Expressed Emotion. Therefore, our study confirmed the importance of taking into account both maternal and paternal Expressed Emotion. Our results also underlined that high maternal Emotional Over-Involvement plays a positive role in the outcome of Anorexia Nervosa and needs to be explored further.
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spelling pubmed-60677182018-08-10 Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role? Duclos, Jeanne Dorard, Géraldine Cook-Darzens, Solange Curt, Florence Faucher, Sophie Berthoz, Sylvie Falissard, Bruno Godart, Nathalie PLoS One Research Article In studies on family therapy in Anorexia Nervosa, family relationships, as assessed by Expressed Emotion, have been associated with outcome. Our aim was to explore the contribution of Expressed Emotion as a predictor of 18-month outcome, above and beyond the usual predictive factors. Sixty adolescent girls suffering from Anorexia Nervosa and their parents were assessed at baseline and 18 months later. Levels of Expressed Emotion were evaluated in both parents with the Five-Minute Speech Sample. After controlling for treatment group and initial clinical status, high maternal Emotional Over-Involvement at baseline was significantly associated with better clinical state. More precisely, high maternal Emotional Over-Involvement was associated with higher nutritional status, lower eating disorder severity and fewer re-hospitalizations 18 months later. No associations were found with paternal levels of Expressed Emotion. Therefore, our study confirmed the importance of taking into account both maternal and paternal Expressed Emotion. Our results also underlined that high maternal Emotional Over-Involvement plays a positive role in the outcome of Anorexia Nervosa and needs to be explored further. Public Library of Science 2018-07-31 /pmc/articles/PMC6067718/ /pubmed/30063706 http://dx.doi.org/10.1371/journal.pone.0196820 Text en © 2018 Duclos et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Duclos, Jeanne
Dorard, Géraldine
Cook-Darzens, Solange
Curt, Florence
Faucher, Sophie
Berthoz, Sylvie
Falissard, Bruno
Godart, Nathalie
Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role?
title Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role?
title_full Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role?
title_fullStr Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role?
title_full_unstemmed Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role?
title_short Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role?
title_sort predictive factors for outcome in adolescents with anorexia nervosa: to what extent does parental expressed emotion play a role?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6067718/
https://www.ncbi.nlm.nih.gov/pubmed/30063706
http://dx.doi.org/10.1371/journal.pone.0196820
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