title: An off-line pilot evaluation of a web-based systemic cognitive-behavioral intervention for carers of people with anorexia nervosa.
abstract: OBJECTIVE
  To evaluate the feasibility and acceptability of a novel systemic cognitive behavior therapy-based intervention for carers of people with anorexia nervosa (AN). The intervention provides information and promotes skills development in managing the illness. Carers were also offered professional support.
  
  
  METHODS
  Twenty-seven carers were recruited. Outcomes measuring carer distress, experience of care-giving, level of expressed emotion and problem solving were measured pre- and post-intervention and at follow-up. Carers also gave feedback.
  
  
  RESULTS
  There was a significant reduction in carers' anxiety and depression, negative experiences of caregiving and expressed emotion and a significant increase in positive experiences in caregiving after the intervention. Most improvements were maintained at follow-up. The intervention was well received.
  
  
  CONCLUSIONS
  The results of this pilot study indicate that the intervention is acceptable to carers and may have a positive impact on carers' mental health and experience of care-giving. Further investigation of the intervention is warranted.
authors.affiliation: South London and Maudsley NHS Foundation Trust, Eating Disorders Unit, London, UK.
authors.forename: Miriam
authors.initials: M
authors.lastname: Grover
authors.forename: Chris
authors.initials: C
authors.lastname: Williams
authors.forename: Ivan
authors.initials: I
authors.lastname: Eisler
authors.forename: Pennie
authors.initials: P
authors.lastname: Fairbairn
authors.forename: Catherine
authors.initials: C
authors.lastname: McCloskey
authors.forename: Grainne
authors.initials: G
authors.lastname: Smith
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D001007:Anxiety / Q000628:therapy; D017028:Caregivers / Q000193:education / Q000523:psychology*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000628:therapy; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011581:Psychological Tests; D013315:Stress, Psychological / Q000628:therapy; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult