title: Anxiety and depression among caregivers of patients with eating disorders and their change over 1 year.
abstract: OBJECTIVE
  Limited data are available on the difficulties experienced over time by caregivers of patients with eating disorders (CPED). The aim of this study was to describe changes in anxiety and depression among such caregivers over 1 year and to identify factors predicting any change in both.
  
  
  METHODS
  At recruitment, 145 ED patients and their 246 caregivers completed sociodemographic and clinical instruments, including the hospital anxiety and depression scale (HADS), and the Short-Form 12 (SF-12). Patients also completed the Eating Attitudes Test-26 (EAT-26), and their psychiatrists assessed clinical variables. Patients and caregivers completed the same instruments 1 year later.
  
  
  RESULTS
  At baseline, prevalence of anxiety and depression among caregivers was 56 and 32%, respectively. Scores were essentially the same 1 year later. Factors associated with the changes in anxiety were higher anxiety level at baseline and caring for a patient with a restrictive ED. Factors associated with changes in depression included higher depression at baseline and caring for a patient with a restrictive ED. Neither health-related quality of life among patients and caregivers nor patients' eating attitudes was related to caregiver anxiety or depression.
  
  
  CONCLUSIONS
  These findings confirm the presence of substantial and continuing emotional distress among caregivers of patients with ED, highlighting the importance of offering them more extended follow-up and treatment.
authors: Research Unit, Galdakao-Usansolo Hospital-Health Services Research on Chronic Patients Network (REDISSEC), B° Labeaga s/n, Galdakao, Bizkaia, 48960, Spain. miren.orivecalzada@osakidetza.net
authors: Miren
authors: M
authors: Orive
authors: Angel
authors: A
authors: Padierna
authors: Josune
authors: J
authors: Martin
authors: Urko
authors: U
authors: Aguirre
authors: Nerea
authors: N
authors: González
authors: Pedro
authors: P
authors: Muñoz
authors: Jose M
authors: JM
authors: Quintana
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000453:epidemiology* / Q000523:psychology; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D013997:Time Factors