title: Predictors of mental health problems and negative caregiving experiences in carers of adolescents with bulimia nervosa.
abstract: OBJECTIVE
  This exploratory study focuses on the mental health (MH) and caregiving experience of carers of adolescents with Bulimia Nervosa (BN)/Eating Disorder not otherwise specified (EDNOS), aiming to determine: levels of MH problems in carers and if a negative experience of caregiving predicts carer MH status and which factors predict a negative experience of caregiving.
  
  
  METHODS
  Hundred and twelve carers and 68 adolescents with BN/EDNOS completed self-report measures (General Health Questionnaire, Experience of Caregiving Inventory, Level of Expressed Emotion, Self-report Family Inventory, Inventory of Interpersonal Problems).
  
  
  RESULTS
  Over half of the carers reported some MH problems and a minority (5.4%) were experiencing considerable difficulties. A negative experience of caregiving predicted carer MH status. Higher weekly contact hours and patient ratings of expressed emotion (EE) predicted a negative experience of caregiving.
  
  
  CONCLUSIONS
  Interventions focusing on reducing EE and contact hours could prove beneficial for both patient and caregiver outcomes.
authors.affiliation: Eating Disorders Unit, Institute of Psychiatry, London, United Kingdom.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Winn
authors.forename: Sarah
authors.initials: S
authors.lastname: Perkins
authors.forename: Rebecca
authors.initials: R
authors.lastname: Walwyn
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
authors.forename: Ivan
authors.initials: I
authors.lastname: Eisler
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
authors.forename: Mark
authors.initials: M
authors.lastname: Berelowitz
authors.forename: Liz
authors.initials: L
authors.lastname: Dodge
authors.forename: Susie
authors.initials: S
authors.lastname: Frost
authors.forename: Mari
authors.initials: M
authors.lastname: Jenkins
authors.forename: Eric
authors.initials: E
authors.lastname: Johnson-Sabine
authors.forename: Saskia
authors.initials: S
authors.lastname: Keville
authors.forename: Rebecca
authors.initials: R
authors.lastname: Murphy
authors.forename: Paul
authors.initials: P
authors.lastname: Robinson
authors.forename: Irene
authors.initials: I
authors.lastname: Yi
mesh_terms: D000293:Adolescent; D052018:Bulimia Nervosa / Q000175:diagnosis / Q000191:economics / Q000523:psychology* / Q000628:therapy; D017028:Caregivers / Q000523:psychology*; D002649:Child Abuse / Q000523:psychology*; D015928:Cognitive Behavioral Therapy / Q000191:economics; D015897:Comorbidity; D003362:Cost-Benefit Analysis; D019260:Expressed Emotion; D005195:Family Relations; D005196:Family Therapy / Q000191:economics; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology*; D010555:Personality Inventory; D012648:Self Care / Q000191:economics; D013223:Statistics as Topic