title: Understanding how parents cope with living with someone with anorexia nervosa: modelling the factors that are associated with carer distress.
abstract: OBJECTIVE
  Caring for a person with anorexia nervosa (AN) has been associated with psychological distress and poor life quality of carers. Addressing carers' needs may impact on prognostic outcome. The aim was to explore and model factors associated with distress in parents of people with AN (N = 151).
  
  
  METHODS
  A cross-sectional design was used to assess caregiving strains (Pearlin Stress Scales) and psychological distress (Hospital Anxiety and Depression Scale).
  
  
  RESULTS
  Over 70% of carers (N = 107) scored at or above the suggestive threshold (score > or = 8) for anxiety, and 38% (N = 54) for depression. Over 50% of carers (N = 78) scored at or above the clinical threshold (score > or = 11) for anxiety, and 13% (N = 20) for depression. A model of carer distress after multiple regression analyses showed three significant associated variables. In order of significance, self-related strains, carer sex, and interpersonal strains accounted for 41% of the variance, (F(3, 112) = 29.85, p < .001).
  
  
  CONCLUSIONS
  Interventions aimed at improving outcome in AN may need to focus on reducing caregiving strains and carers' distress, particularly of mothers.
authors.affiliation: Section of Eating Disorders, Institute of Psychiatry, King's College London, United Kingdom. o.kyriacou@iop.kcl.ac.uk
authors.forename: Olivia
authors.initials: O
authors.lastname: Kyriacou
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000517:prevention & control; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology / Q000523:psychology; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019370:Observation; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D011594:Psychometrics; D012720:Severity of Illness Index; D012931:Social Environment; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires