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Change in expressed emotion and treatment outcome in adolescent anorexia nervosa.

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Title: Change in expressed emotion and treatment outcome in adolescent anorexia nervosa.
Authors: Moskovich, Ashley A. (AUTHOR), Timko, C. Alix (AUTHOR), Honeycutt, Lisa K. (AUTHOR), Zucker, Nancy L. (AUTHOR), Merwin, Rhonda M. (AUTHOR)
Source: Eating Disorders. Jan/Feb2017, Vol. 25 Issue 1, p80-91. 12p. 2 Charts.
Subjects: Anorexia nervosa, Communication, Eating disorders, Emotions, Patient-family relations, Health outcome assessment, Parent-child relationships, Questionnaires, Adolescence
Abstract: Expressed emotion (EE) has been associated with poor outcomes in anorexia nervosa (AN); however, whether changes in EE predict superior treatment outcomes is unknown. The current study examined whether decreases in EE during an open trial of a novel family-based treatment for AN predicted symptoms at end of treatment. Forty-seven adolescents (12–18 years of age) with AN or sub-threshold AN and their parents (mothers:n = 47, fathers:n = 39) participated in 6 months of family treatment. Measures of AN symptomatology (Eating Disorder Examination completed by adolescent and end of treatment recovery status) and parental EE (Family Questionnaire completed by parents which measures two facets of EE: critical communication [CC] and emotional over-involvement [EOI]) were collected at baseline and end of treatment. Parental EOI, but not CC, significantly decreased during the course of treatment. Change in mothers’, but not fathers’, EE accounted for additional variance in AN symptomatology at end of treatment above baseline EE and baseline AN symptom levels. Findings suggest a greater emphasis on parent support during treatment may improve outcomes. [ABSTRACT FROM PUBLISHER]
Copyright of Eating Disorders is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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PubTypeId: academicJournal
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  Data: Change in expressed emotion and treatment outcome in adolescent anorexia nervosa.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Moskovich%2C+Ashley+A%2E%22">Moskovich, Ashley A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Timko%2C+C%2E+Alix%22">Timko, C. Alix</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Honeycutt%2C+Lisa+K%2E%22">Honeycutt, Lisa K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zucker%2C+Nancy+L%2E%22">Zucker, Nancy L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Merwin%2C+Rhonda+M%2E%22">Merwin, Rhonda M.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Eating+Disorders%22">Eating Disorders</searchLink>. Jan/Feb2017, Vol. 25 Issue 1, p80-91. 12p. 2 Charts.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-family+relations%22">Patient-family relations</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Parent-child+relationships%22">Parent-child relationships</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Expressed emotion (EE) has been associated with poor outcomes in anorexia nervosa (AN); however, whether changes in EE predict superior treatment outcomes is unknown. The current study examined whether decreases in EE during an open trial of a novel family-based treatment for AN predicted symptoms at end of treatment. Forty-seven adolescents (12–18 years of age) with AN or sub-threshold AN and their parents (mothers:n = 47, fathers:n = 39) participated in 6 months of family treatment. Measures of AN symptomatology (Eating Disorder Examination completed by adolescent and end of treatment recovery status) and parental EE (Family Questionnaire completed by parents which measures two facets of EE: critical communication [CC] and emotional over-involvement [EOI]) were collected at baseline and end of treatment. Parental EOI, but not CC, significantly decreased during the course of treatment. Change in mothers’, but not fathers’, EE accounted for additional variance in AN symptomatology at end of treatment above baseline EE and baseline AN symptom levels. Findings suggest a greater emphasis on parent support during treatment may improve outcomes. [ABSTRACT FROM PUBLISHER]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Eating Disorders is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=120264692
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        Value: 10.1080/10640266.2016.1255111
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        Text: English
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        PageCount: 12
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      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: Communication
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      – SubjectFull: Eating disorders
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      – SubjectFull: Emotions
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      – SubjectFull: Patient-family relations
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      – SubjectFull: Health outcome assessment
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      – SubjectFull: Parent-child relationships
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      – SubjectFull: Questionnaires
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      – SubjectFull: Adolescence
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      – TitleFull: Change in expressed emotion and treatment outcome in adolescent anorexia nervosa.
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            NameFull: Moskovich, Ashley A.
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              Text: Jan/Feb2017
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