title: Parental expressed emotion of adolescents with anorexia nervosa: outcome in family-based treatment.
abstract: OBJECTIVE
  The purpose of this study was to determine the relationship between expressed emotion (EE) and outcome in family-based treatment (FBT) for anorexia nervosa (AN).
  
  
  METHODS
  Eighty-six adolescents with AN participated in an RCT comparing two doses of FBT. Seventy-nine of these patients and their parents participated in a structured interview, from which EE ratings were made at baseline. Parents were compared on five subscales of EE as well as overall level of EE (high vs. low).
  
  
  RESULTS
  Overall EE levels were low with 32.9% of families presenting as High EE at baseline. Ratings of baseline warmth for both mothers (p = .014) and fathers (p = .037) were related to good outcome at end-of-treatment.
  
  
  CONCLUSIONS
  EE in parents of adolescents with AN is remarkably low. Notwithstanding, parental warmth may be a predictor of good outcome.
authors.affiliation: Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, Illinois 60637, USA. legrange@uchicago.edu
authors.forename: Daniel
authors.initials: D
authors.lastname: Le Grange
authors.forename: Renee Rienecke
authors.initials: RR
authors.lastname: Hoste
authors.forename: James
authors.initials: J
authors.lastname: Lock
authors.forename: Susan W
authors.initials: SW
authors.lastname: Bryson
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000523:psychology* / Q000628:therapy; D019260:Expressed Emotion; D005196:Family Therapy; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D010290:Parents / Q000523:psychology*; D011581:Psychological Tests; D016896:Treatment Outcome
references.citation: Br J Psychiatry. 1985 Sep;147:265-71
references.pmid: 4063593
references.citation: J Am Acad Child Adolesc Psychiatry. 2005 Jul;44(7):632-9
references.pmid: 15968231
references.citation: J Child Psychol Psychiatry. 2000 Sep;41(6):727-36
references.pmid: 11039685
references.citation: Int J Eat Disord. 1996 Jul;20(1):19-31
references.pmid: 8807349
references.citation: J Abnorm Psychol. 2004 Aug;113(3):428-39
references.pmid: 15311988
references.citation: Psychol Med. 1990 Nov;20(4):961-5
references.pmid: 2284402
references.citation: Eat Weight Disord. 2003 Mar;8(1):26-35
references.pmid: 12762622
references.citation: Nat Rev Neurosci. 2009 Aug;10(8):573-84
references.pmid: 19603056
references.citation: Br J Psychiatry. 1972 Sep;121(562):241-58
references.pmid: 5073778
references.citation: Br J Psychiatry. 1976 Aug;129:125-37
references.pmid: 963348
references.citation: Int J Eat Disord. 2010 Nov 1;43(7):603-10
references.pmid: 19806605