Predictors of mental health problems and negative caregiving experiences in carers of adolescents with bulimia nervosa.
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.
Winn
Suzanne
S
Eating Disorders Unit, Institute of Psychiatry, London, United Kingdom.
Perkins
Sarah
S
Walwyn
Rebecca
R
Schmidt
Ulrike
U
Eisler
Ivan
I
Treasure
Janet
J
Berelowitz
Mark
M
Dodge
Liz
L
Frost
Susie
S
Jenkins
Mari
M
Johnson-Sabine
Eric
E
Keville
Saskia
S
Murphy
Rebecca
R
Robinson
Paul
P
Yi
Irene
I
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