title: A bidirectional examination of expressed emotion among families of adolescents with bulimia nervosa.
abstract: OBJECTIVE
  The purpose of this paper was to examine expressed emotion (EE) measured from adolescents with bulimia nervosa (BN) toward their parents, in addition to measuring EE from parents toward patients.
  
  
  METHODS
  Fifty-four adolescents and their parents who were receiving treatment for BN participated in a videotaped family interview, from which ratings of EE were made.
  
  
  RESULTS
  Parent and patient scores were highly correlated. Four family profiles were created (Low Patient EE/Low Parent EE; High Patient EE/High Parent EE; Low Patient EE/High Parent EE; High Patient EE/Low Parent EE) to determine whether the match between parent and patient EE was related to treatment outcome. The Low Patient EE/Low Parent EE group demonstrated the greatest reduction in purging from baseline to end-of-treatment; the High Patient EE/Low Parent EE group showed the smallest reduction in purging.
  
  
  CONCLUSIONS
  EE has historically been rated from relatives toward patients, but patients' own EE may also be related to treatment outcome.
authors.affiliation: Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.
authors.forename: Renee Rienecke
authors.initials: RR
authors.lastname: Hoste
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Lebow
authors.forename: Daniel
authors.initials: D
authors.lastname: Le Grange
mesh_terms: D000293:Adolescent; D000704:Analysis of Variance; D052018:Bulimia Nervosa / Q000523:psychology* / Q000628:therapy; D019260:Expressed Emotion; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology; D016896:Treatment Outcome
keywords: adolescents; bulimia nervosa; eating disorders; expressed emotion