Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role?
PLoS ONE. 2018-07-31; 13(7): e0196820
DOI: 10.1371/journal.pone.0196820
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1. PLoS One. 2018 Jul 31;13(7):e0196820. doi: 10.1371/journal.pone.0196820.
eCollection 2018.
Predictive factors for outcome in adolescents with anorexia nervosa: To what
extent does parental Expressed Emotion play a role?
Duclos J(1)(2), Dorard G(3), Cook-Darzens S(4), Curt F(1), Faucher S(1), Berthoz
S(1)(2), Falissard B(2), Godart N(2)(5).
Author information:
(1)Psychiatry Unit, Institut Mutualiste Montsouris, Paris, France.
(2)CESP, INSERM, UMR 1018, University Paris-Sud, UVSQ, Université Paris-Saclay,
Paris, France.
(3)Laboratoire de Psychopathologie et Processus de santé (LPPS), University
Paris Descartes, Boulogne, France.
(4)Service de psychopathologie de l’enfant et de l’adolescent, Hôpital Robert
Debré, Paris, France.
(5)Fondation de Santé des Etudiants de France, Paris, France.
In studies on family therapy in Anorexia Nervosa, family relationships, as
assessed by Expressed Emotion, have been associated with outcome. Our aim was to
explore the contribution of Expressed Emotion as a predictor of 18-month
outcome, above and beyond the usual predictive factors. Sixty adolescent girls
suffering from Anorexia Nervosa and their parents were assessed at baseline and
18 months later. Levels of Expressed Emotion were evaluated in both parents with
the Five-Minute Speech Sample. After controlling for treatment group and initial
clinical status, high maternal Emotional Over-Involvement at baseline was
significantly associated with better clinical state. More precisely, high
maternal Emotional Over-Involvement was associated with higher nutritional
status, lower eating disorder severity and fewer re-hospitalizations 18 months
later. No associations were found with paternal levels of Expressed Emotion.
Therefore, our study confirmed the importance of taking into account both
maternal and paternal Expressed Emotion. Our results also underlined that high
maternal Emotional Over-Involvement plays a positive role in the outcome of
Anorexia Nervosa and needs to be explored further.
DOI: 10.1371/journal.pone.0196820
PMCID: PMC6067718
PMID: 30063706 [Indexed for MEDLINE]
Conflict of interest statement: The authors have declared that no competing
interests exist.