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Exploring the Multifaceted Burdens and Experiences of Parents With a Child Diagnosed With Anorexia Nervosa: A Psychological Network Analysis.

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Title: Exploring the Multifaceted Burdens and Experiences of Parents With a Child Diagnosed With Anorexia Nervosa: A Psychological Network Analysis.
Authors: Zeiler, Michael, Philipp, Julia, Truttmann, Stefanie, Kopp, Konstantin, Schöfbeck, Gabriele, Mairhofer, Dunja, Imgart, Hartmut, Zanko, Annika, Auer‐Welsbach, Ellen, Karwautz, Andreas, Wagner, Gudrun
Source: International Journal of Eating Disorders. Apr2025, Vol. 58 Issue 4, p789-801. 13p.
Subjects: Health self-care, Secondary analysis, Research funding, Questionnaires, Parent attitudes, Emotions, Burden of care, State-Trait Anxiety Inventory, Anorexia nervosa, Psychology of parents, Psychological tests, Mental depression, Pathological psychology, Children
Abstract: Objective: Parents of children diagnosed with anorexia nervosa (AN) are facing multiple burdens when caring for their child. This study uses a psychological network approach to identify central factors among parental caregiving burdens and experiences which then can constitute promising targets for caregiver interventions. Method: A total of 348 parents (247 mothers, 101 fathers) of children diagnosed with AN (96% female, 90% restrictive type) provided data including parental psychopathology, eating‐disorder related burden, high‐expressed emotion and perceived caregiver skills at baseline and after having participated in a parental skills training, multi‐family therapy or systemic family therapy. Regularized partial correlation networks including 14 variables were estimated for baseline and follow‐up data were estimated. Results: High‐expressed emotion, particularly parental emotional overinvolvement emerged as the most central variable in the network showing substantial correlations with depression and low self‐care behavior. Emotional overinvolvement also functioned as a bridge variable between parental psychopathology, perceived caregiver skills, and eating disorder‐related burden. Moreover, parental criticism was strongly associated with burden due to the child's confrontational behavior and low levels of parental frustration tolerance. Network comparison tests neither revealed statistically significant differences in network structure and global network strength between baseline and follow‐up, nor between mothers and fathers. Discussion: This study highlights the importance of parental high‐expressed emotion as a promising treatment target. Adding or intensifying intervention components promoting parental emotion regulation strategies as well as intensified training in Motivational Interviewing may be useful therapeutic approaches to decrease overall parental burden. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell 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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  Data: Exploring the Multifaceted Burdens and Experiences of Parents With a Child Diagnosed With Anorexia Nervosa: A Psychological Network Analysis.
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  Data: <searchLink fieldCode="AR" term="%22Zeiler%2C+Michael%22">Zeiler, Michael</searchLink><br /><searchLink fieldCode="AR" term="%22Philipp%2C+Julia%22">Philipp, Julia</searchLink><br /><searchLink fieldCode="AR" term="%22Truttmann%2C+Stefanie%22">Truttmann, Stefanie</searchLink><br /><searchLink fieldCode="AR" term="%22Kopp%2C+Konstantin%22">Kopp, Konstantin</searchLink><br /><searchLink fieldCode="AR" term="%22Schöfbeck%2C+Gabriele%22">Schöfbeck, Gabriele</searchLink><br /><searchLink fieldCode="AR" term="%22Mairhofer%2C+Dunja%22">Mairhofer, Dunja</searchLink><br /><searchLink fieldCode="AR" term="%22Imgart%2C+Hartmut%22">Imgart, Hartmut</searchLink><br /><searchLink fieldCode="AR" term="%22Zanko%2C+Annika%22">Zanko, Annika</searchLink><br /><searchLink fieldCode="AR" term="%22Auer‐Welsbach%2C+Ellen%22">Auer‐Welsbach, Ellen</searchLink><br /><searchLink fieldCode="AR" term="%22Karwautz%2C+Andreas%22">Karwautz, Andreas</searchLink><br /><searchLink fieldCode="AR" term="%22Wagner%2C+Gudrun%22">Wagner, Gudrun</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Apr2025, Vol. 58 Issue 4, p789-801. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Health+self-care%22">Health self-care</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+attitudes%22">Parent attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Burden+of+care%22">Burden of care</searchLink><br /><searchLink fieldCode="DE" term="%22State-Trait+Anxiety+Inventory%22">State-Trait Anxiety Inventory</searchLink><br /><searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+parents%22">Psychology of parents</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Parents of children diagnosed with anorexia nervosa (AN) are facing multiple burdens when caring for their child. This study uses a psychological network approach to identify central factors among parental caregiving burdens and experiences which then can constitute promising targets for caregiver interventions. Method: A total of 348 parents (247 mothers, 101 fathers) of children diagnosed with AN (96% female, 90% restrictive type) provided data including parental psychopathology, eating‐disorder related burden, high‐expressed emotion and perceived caregiver skills at baseline and after having participated in a parental skills training, multi‐family therapy or systemic family therapy. Regularized partial correlation networks including 14 variables were estimated for baseline and follow‐up data were estimated. Results: High‐expressed emotion, particularly parental emotional overinvolvement emerged as the most central variable in the network showing substantial correlations with depression and low self‐care behavior. Emotional overinvolvement also functioned as a bridge variable between parental psychopathology, perceived caregiver skills, and eating disorder‐related burden. Moreover, parental criticism was strongly associated with burden due to the child's confrontational behavior and low levels of parental frustration tolerance. Network comparison tests neither revealed statistically significant differences in network structure and global network strength between baseline and follow‐up, nor between mothers and fathers. Discussion: This study highlights the importance of parental high‐expressed emotion as a promising treatment target. Adding or intensifying intervention components promoting parental emotion regulation strategies as well as intensified training in Motivational Interviewing may be useful therapeutic approaches to decrease overall parental burden. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell 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=184274365
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/eat.24389
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 789
    Subjects:
      – SubjectFull: Health self-care
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Parent attitudes
        Type: general
      – SubjectFull: Emotions
        Type: general
      – SubjectFull: Burden of care
        Type: general
      – SubjectFull: State-Trait Anxiety Inventory
        Type: general
      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: Psychology of parents
        Type: general
      – SubjectFull: Psychological tests
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      – SubjectFull: Mental depression
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      – SubjectFull: Pathological psychology
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      – SubjectFull: Children
        Type: general
    Titles:
      – TitleFull: Exploring the Multifaceted Burdens and Experiences of Parents With a Child Diagnosed With Anorexia Nervosa: A Psychological Network Analysis.
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              M: 04
              Text: Apr2025
              Type: published
              Y: 2025
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