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11-04-2015

Perceived Expressed Emotion in Adolescents with Binge-Eating Disorder

Auteurs: Ricarda Schmidt, Anne Tetzlaff, Anja Hilbert

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 7/2015

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Abstract

A sizeable body of research has documented Expressed Emotion (EE) to predict clinical outcomes in various psychiatric disorders, including eating disorders. Patients’ perceptions of relative’s EE, however, were found to play an important role in the processing of EE. This study aimed to examine the level of perceived EE in adolescent binge-eating disorder (BED) and its impact on eating disorder psychopathology. Adolescents (12–20 years) seeking treatment for BED (n = 40) were compared to adolescents without current or lifetime eating disorder (CG; n = 40). Both groups were stratified according to age, sex, body mass index (BMI, kg/m2), and socio-economic status. The Five Minute Speech Sample (FMSS) and the Brief Dyadic Scale of EE were administered to assess patients’ perceived maternal EE. Additionally, adolescents and mothers completed questionnaires on eating disorder and general psychopathology. On the FMSS, 37.5 % of patients with BED perceived their mothers as high EE (vs. 12.5 % in the CG). On the Brief Dyadic Scale of EE, patients with BED reported significantly higher levels of perceived maternal criticism, emotional overinvolvement, and lower levels of perceived warmth than controls. After controlling for the diagnosis of BED, perceived criticism and warmth, as assessed by questionnaire, significantly explained adolescents’ global eating disorder psychopathology. Negative perceptions of maternal behavior and emotional atmosphere towards the child are characteristic of adolescent BED. As documented for other eating disorders, family factors are likely to have substantial implications for the maintenance and treatment of adolescent BED.
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV (text rev.). Washington: American Psychiatric Association. American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV (text rev.). Washington: American Psychiatric Association.
go back to reference American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Arlington: American Psychiatric Association.CrossRef American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Arlington: American Psychiatric Association.CrossRef
go back to reference Anastasiadou, D., Medina-Pradas, C., Sepulveda, A. R., & Treasure, J. (2014). A systematic review of family caregiving in eating disorders. Eating Behaviors, 15, 464–477.CrossRefPubMed Anastasiadou, D., Medina-Pradas, C., Sepulveda, A. R., & Treasure, J. (2014). A systematic review of family caregiving in eating disorders. Eating Behaviors, 15, 464–477.CrossRefPubMed
go back to reference Asarnow, J. R., Tompson, M., Woo, S., & Cantwell, D. P. (2001). Is expressed emotion a specific risk factor for depression or a nonspecific correlate of psychopathology? Journal of Abnormal Child Psychology, 29, 573–583.CrossRefPubMed Asarnow, J. R., Tompson, M., Woo, S., & Cantwell, D. P. (2001). Is expressed emotion a specific risk factor for depression or a nonspecific correlate of psychopathology? Journal of Abnormal Child Psychology, 29, 573–583.CrossRefPubMed
go back to reference Bishop-Gilyard, C. T., Berkowitz, R. I., Wadden, T. A., Gehrman, C. A., Cronquist, J. L., & Moore, R. H. (2011). Weight reduction in obese adolescents with and without binge eating. Obesity, 19, 982–987.PubMedCentralCrossRefPubMed Bishop-Gilyard, C. T., Berkowitz, R. I., Wadden, T. A., Gehrman, C. A., Cronquist, J. L., & Moore, R. H. (2011). Weight reduction in obese adolescents with and without binge eating. Obesity, 19, 982–987.PubMedCentralCrossRefPubMed
go back to reference Bravender, T., Bryant-Waugh, R., Herzog, D., Katzman, D., Kriepe, R. D., Lask, B., & Zucker, N. (2010). Classification of eating disturbances in children and adolescents: proposed changes for the DSM-V. European Eating Disorders Review, 18, 79–89.PubMedCentralCrossRefPubMed Bravender, T., Bryant-Waugh, R., Herzog, D., Katzman, D., Kriepe, R. D., Lask, B., & Zucker, N. (2010). Classification of eating disturbances in children and adolescents: proposed changes for the DSM-V. European Eating Disorders Review, 18, 79–89.PubMedCentralCrossRefPubMed
go back to reference Brown, G. W., Birley, J. L., & Wing, J. K. (1972). Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry, 121, 241–258.CrossRefPubMed Brown, G. W., Birley, J. L., & Wing, J. K. (1972). Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry, 121, 241–258.CrossRefPubMed
go back to reference Butzlaff, R. L., & Hooley, J. M. (1998). Expressed emotion and psychiatric relapse: a meta-analysis. Archives of General Psychiatry, 55, 547–552.CrossRefPubMed Butzlaff, R. L., & Hooley, J. M. (1998). Expressed emotion and psychiatric relapse: a meta-analysis. Archives of General Psychiatry, 55, 547–552.CrossRefPubMed
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum.
go back to reference Di Paola, F., Faravelli, C., & Ricca, V. (2010). Perceived expressed emotion in anorexia nervosa, bulimia nervosa, and binge-eating disorder. Comprehensive Psychiatry, 51, 401–405. Di Paola, F., Faravelli, C., & Ricca, V. (2010). Perceived expressed emotion in anorexia nervosa, bulimia nervosa, and binge-eating disorder. Comprehensive Psychiatry, 51, 401–405.
go back to reference Duclos, J., Vibert, S., Mattar, L., & Godart, N. (2012). Expressed emotion in families of patients with eating disorders: a review of the literature. Current Psychiatry Reviews, 8, 183–202.CrossRef Duclos, J., Vibert, S., Mattar, L., & Godart, N. (2012). Expressed emotion in families of patients with eating disorders: a review of the literature. Current Psychiatry Reviews, 8, 183–202.CrossRef
go back to reference Goldschmidt, A. B., Jones, M., Manwaring, J. L., Luce, K. H., Osborne, M. I., Cunning, D., & Taylor, C. B. (2008). The clinical significance of loss of control over eating in overweight adolescents. International Journal of Eating Disorders, 41, 153–158.CrossRefPubMed Goldschmidt, A. B., Jones, M., Manwaring, J. L., Luce, K. H., Osborne, M. I., Cunning, D., & Taylor, C. B. (2008). The clinical significance of loss of control over eating in overweight adolescents. International Journal of Eating Disorders, 41, 153–158.CrossRefPubMed
go back to reference Goossens, L., Braet, C., van Durme, K., Decaluwé, V., & Bosmans, G. (2012). The parent–child relationship as predictor of eating pathology and weight gain in preadolescents. Journal of Clinical Child & Adolescent Psychology, 41, 445–457.CrossRef Goossens, L., Braet, C., van Durme, K., Decaluwé, V., & Bosmans, G. (2012). The parent–child relationship as predictor of eating pathology and weight gain in preadolescents. Journal of Clinical Child & Adolescent Psychology, 41, 445–457.CrossRef
go back to reference Hautzinger, M., Keller, F., Kühner, C., & Bürger, C. (2006). Deutsche Adaptation: Beck Depressions-Inventar (BDI-II). Frankfurt/Main: Harcourt Test Services. Hautzinger, M., Keller, F., Kühner, C., & Bürger, C. (2006). Deutsche Adaptation: Beck Depressions-Inventar (BDI-II). Frankfurt/Main: Harcourt Test Services.
go back to reference Hilbert, A. (2013). Cognitive-behavioral therapy for binge eating disorder in adolescents: study protocol for a randomized controlled trial. Trials, 14, 312.PubMedCentralCrossRefPubMed Hilbert, A. (2013). Cognitive-behavioral therapy for binge eating disorder in adolescents: study protocol for a randomized controlled trial. Trials, 14, 312.PubMedCentralCrossRefPubMed
go back to reference Hilbert, A., & Tuschen-Caffier, B. (2006a). Eating disorder examination: Deutschsprachige Übersetzung. (Bd. 01). Münster: Verlag für Psychotherapie. Hilbert, A., & Tuschen-Caffier, B. (2006a). Eating disorder examination: Deutschsprachige Übersetzung. (Bd. 01). Münster: Verlag für Psychotherapie.
go back to reference Hilbert, A., & Tuschen-Caffier, B. (2006b). Eating disorder examination-questionnaire: Deutschsprachige Übersetzung (Bd. 02). Münster: Verlag für Psychotherapie. Hilbert, A., & Tuschen-Caffier, B. (2006b). Eating disorder examination-questionnaire: Deutschsprachige Übersetzung (Bd. 02). Münster: Verlag für Psychotherapie.
go back to reference Hilbert, A., Pike, K. M., Wilfley, D. E., Fairburn, C. G., Dohm, F. A., & Striegel-Moore, R. H. (2011). Clarifying boundaries of binge-eating disorder and psychiatric comorbidity: a latent structure analysis. Behaviour Research and Therapy, 49, 202–211.PubMedCentralCrossRefPubMed Hilbert, A., Pike, K. M., Wilfley, D. E., Fairburn, C. G., Dohm, F. A., & Striegel-Moore, R. H. (2011). Clarifying boundaries of binge-eating disorder and psychiatric comorbidity: a latent structure analysis. Behaviour Research and Therapy, 49, 202–211.PubMedCentralCrossRefPubMed
go back to reference Hooley, J. M., & Gotlib, I. H. (2000). A diathesis-stress conceptualization of expressed emotion and clinical outcome. Applied and Preventive Psychology, 9, 135–151.CrossRef Hooley, J. M., & Gotlib, I. H. (2000). A diathesis-stress conceptualization of expressed emotion and clinical outcome. Applied and Preventive Psychology, 9, 135–151.CrossRef
go back to reference Hooley, J. M., & Teasdale, J. D. (1989). Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. Journal of Abnormal Psychology, 98, 229.CrossRefPubMed Hooley, J. M., & Teasdale, J. D. (1989). Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. Journal of Abnormal Psychology, 98, 229.CrossRefPubMed
go back to reference Kroenke, K., Spitzer, R. L., Williams, J. B., & Löwe, B. (2009). An ultra-brief screening scale for anxiety and depression: the PHQ–4. Psychosomatics, 50, 613–621.PubMed Kroenke, K., Spitzer, R. L., Williams, J. B., & Löwe, B. (2009). An ultra-brief screening scale for anxiety and depression: the PHQ–4. Psychosomatics, 50, 613–621.PubMed
go back to reference Kromeyer-Hauschild, K., Wabitsch, M., Kunze, D., Geller, F., Geiß, H. C., Hesse, V., & Hebebrand, J. (2001). Perzentile für den Body-mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschrift Kinderheilkunde, 149, 807–818.CrossRef Kromeyer-Hauschild, K., Wabitsch, M., Kunze, D., Geller, F., Geiß, H. C., Hesse, V., & Hebebrand, J. (2001). Perzentile für den Body-mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschrift Kinderheilkunde, 149, 807–818.CrossRef
go back to reference Le Grange, D., Hoste, R. R., Lock, J., & Bryson, S. W. (2011). Parental expressed emotion of adolescents with anorexia nervosa: outcome in family-based treatment. International Journal of Eating Disorders, 44, 731–734. Le Grange, D., Hoste, R. R., Lock, J., & Bryson, S. W. (2011). Parental expressed emotion of adolescents with anorexia nervosa: outcome in family-based treatment. International Journal of Eating Disorders, 44, 731–734.
go back to reference Leeb, B., Hahlweg, K., Goldstein, M. J., Feinstein, E., Mueller, U., Dose, M., & Magaña-Amato, A. (1991). Cross-national reliability, concurrent validity, and stability of a brief method for assessing expressed emotion. Psychiatry Research, 39, 25–31.CrossRefPubMed Leeb, B., Hahlweg, K., Goldstein, M. J., Feinstein, E., Mueller, U., Dose, M., & Magaña-Amato, A. (1991). Cross-national reliability, concurrent validity, and stability of a brief method for assessing expressed emotion. Psychiatry Research, 39, 25–31.CrossRefPubMed
go back to reference Lopez, S. R., Hipke, K. N., Polo, A. J., Jenkins, J. H., Karno, M., Vaughn, C., et al. (2004). Ethnicity, expressed emotion, attributions, and course of schizophrenia. Family Warmth Matters. Journal of Abnormal Psychology, 113, 428–439. Lopez, S. R., Hipke, K. N., Polo, A. J., Jenkins, J. H., Karno, M., Vaughn, C., et al. (2004). Ethnicity, expressed emotion, attributions, and course of schizophrenia. Family Warmth Matters. Journal of Abnormal Psychology, 113, 428–439.
go back to reference Magaña, A. B., Goldstein, M. J., Karno, M., Miklowitz, D. J., Jenkins, J., & Falloon, I. R. (1986). A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Research, 17, 203–212.CrossRefPubMed Magaña, A. B., Goldstein, M. J., Karno, M., Miklowitz, D. J., Jenkins, J., & Falloon, I. R. (1986). A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Research, 17, 203–212.CrossRefPubMed
go back to reference McCarty, C. A., & Weisz, J. R. (2002). Correlates of expressed emotion in mothers of clinically-referred youth: an examination of the five minute speech sample. Journal of Child Psychology and Psychiatry, 43, 759–768.PubMedCentralCrossRefPubMed McCarty, C. A., & Weisz, J. R. (2002). Correlates of expressed emotion in mothers of clinically-referred youth: an examination of the five minute speech sample. Journal of Child Psychology and Psychiatry, 43, 759–768.PubMedCentralCrossRefPubMed
go back to reference Medina-Pradas, C., Navarro, J. B., López, S. R., Grau, A., & Obiols, J. E. (2011a). Dyadic view of expressed emotion, stress, and eating disorder psychopathology. Appetite, 57, 743–748.CrossRefPubMed Medina-Pradas, C., Navarro, J. B., López, S. R., Grau, A., & Obiols, J. E. (2011a). Dyadic view of expressed emotion, stress, and eating disorder psychopathology. Appetite, 57, 743–748.CrossRefPubMed
go back to reference Medina-Pradas, C., Navarro, J. B., López, S. R., Grau, A., & Obiols, J. E. (2011b). Further development of a scale of perceived expressed emotion and its evaluation in a sample of patients with eating disorders. Psychiatry Research, 190, 291–296.CrossRefPubMed Medina-Pradas, C., Navarro, J. B., López, S. R., Grau, A., & Obiols, J. E. (2011b). Further development of a scale of perceived expressed emotion and its evaluation in a sample of patients with eating disorders. Psychiatry Research, 190, 291–296.CrossRefPubMed
go back to reference Medina-Pradas, C., Navarro, J. B., Pousa, E., Montero, M. I., & Obiols, J. E. (2013). Expressed and perceived criticism, family warmth, and symptoms in schizophrenia. The Spanish Journal of Psychology, 16(e45), 1–8. Medina-Pradas, C., Navarro, J. B., Pousa, E., Montero, M. I., & Obiols, J. E. (2013). Expressed and perceived criticism, family warmth, and symptoms in schizophrenia. The Spanish Journal of Psychology, 16(e45), 1–8.
go back to reference Perkins, S., Schmidt, U., Eisler, I., Treasure, J., Yi, I., Winn, S., & Berelowitz, M. (2005). Why do adolescents with bulimia nervosa choose not to involve their parents in treatment? European Child & Adolescent Psychiatry, 14, 376–385.CrossRef Perkins, S., Schmidt, U., Eisler, I., Treasure, J., Yi, I., Winn, S., & Berelowitz, M. (2005). Why do adolescents with bulimia nervosa choose not to involve their parents in treatment? European Child & Adolescent Psychiatry, 14, 376–385.CrossRef
go back to reference Przeworski, A., Zoellner, L. A., Franklin, M. E., Garcia, A., Freeman, J., March, J. S., & Foa, E. B. (2012). Maternal and child expressed emotion as predictors of treatment response in pediatric obsessive–compulsive disorder. Child Psychiatry and Human Development, 43, 337–353.PubMedCentralCrossRefPubMed Przeworski, A., Zoellner, L. A., Franklin, M. E., Garcia, A., Freeman, J., March, J. S., & Foa, E. B. (2012). Maternal and child expressed emotion as predictors of treatment response in pediatric obsessive–compulsive disorder. Child Psychiatry and Human Development, 43, 337–353.PubMedCentralCrossRefPubMed
go back to reference Scazufca, M., Kuipers, E., & Menezes, P. R. (2001). Perception of negative emotions in close relatives by patients with schizophrenia. British Journal of Clinical Psychology, 40, 167–175.CrossRefPubMed Scazufca, M., Kuipers, E., & Menezes, P. R. (2001). Perception of negative emotions in close relatives by patients with schizophrenia. British Journal of Clinical Psychology, 40, 167–175.CrossRefPubMed
go back to reference Schneider, S., Unnewehr, S., & Margraf, S. (2009). Kinder-DIPS - Diagnostisches Interview bei Psychischen Störungen im Kindes und Jugendalter für DSM-IV-TR. Heidelberg: Springer. Schneider, S., Unnewehr, S., & Margraf, S. (2009). Kinder-DIPS - Diagnostisches Interview bei Psychischen Störungen im Kindes und Jugendalter für DSM-IV-TR. Heidelberg: Springer.
go back to reference Shomaker, L. B., Tanofsky-Kraff, M., Elliot, C., Wolkoff, L. E., Columbo, K. M., Ranzenhofer, L. M., & Yanovski, J. A. (2010). Salience of loss of control for pediatric binge episodes: does size really matter? International Journal of Eating Disorders, 43, 707–716.PubMedCentralCrossRefPubMed Shomaker, L. B., Tanofsky-Kraff, M., Elliot, C., Wolkoff, L. E., Columbo, K. M., Ranzenhofer, L. M., & Yanovski, J. A. (2010). Salience of loss of control for pediatric binge episodes: does size really matter? International Journal of Eating Disorders, 43, 707–716.PubMedCentralCrossRefPubMed
go back to reference Stice, E., Marti, C. N., Shaw, H., & Jaconis, M. (2009). An 8-year longitudinal study of the natural history of threshold, subthreshold, and partial eating disorders from a community sample of adolescents. Journal of Abnormal Psychology, 118, 587–597.PubMedCentralCrossRefPubMed Stice, E., Marti, C. N., Shaw, H., & Jaconis, M. (2009). An 8-year longitudinal study of the natural history of threshold, subthreshold, and partial eating disorders from a community sample of adolescents. Journal of Abnormal Psychology, 118, 587–597.PubMedCentralCrossRefPubMed
go back to reference Swanson, S. A., Crow, S. J., le Grange, D., Swendsen, J., & Merikangas, K. R. (2011). Prevalence and correlates of eating disorders in adolescents: Results from the national comorbidity survey replication adolescent supplement. Archives of General Psychiatry, 68, 714–723.CrossRefPubMed Swanson, S. A., Crow, S. J., le Grange, D., Swendsen, J., & Merikangas, K. R. (2011). Prevalence and correlates of eating disorders in adolescents: Results from the national comorbidity survey replication adolescent supplement. Archives of General Psychiatry, 68, 714–723.CrossRefPubMed
go back to reference Tompson, M. C., Goldstein, M. J., Lebell, M. B., Mintz, L. I., Marder, S. R., & Mintz, J. (1995). Schizophrenic patients’ perceptions of their relatives’ attitudes. Psychiatry Research, 57, 155–167.CrossRefPubMed Tompson, M. C., Goldstein, M. J., Lebell, M. B., Mintz, L. I., Marder, S. R., & Mintz, J. (1995). Schizophrenic patients’ perceptions of their relatives’ attitudes. Psychiatry Research, 57, 155–167.CrossRefPubMed
go back to reference Van Furth, E. F., van Strien, D. C., Martina, L. M. L., van Son, M. J. M., Hendrickx, J. J. P., & van Engeland, H. (1996). Expressed emotion and the prediction of outcome in adolescent eating disorders. International Journal of Eating Disorders, 20, 19–31. Van Furth, E. F., van Strien, D. C., Martina, L. M. L., van Son, M. J. M., Hendrickx, J. J. P., & van Engeland, H. (1996). Expressed emotion and the prediction of outcome in adolescent eating disorders. International Journal of Eating Disorders, 20, 19–31.
go back to reference Vostanis, P., & Nicholls, J. (1995). Nine-month changes of maternal expressed emotion in conduct and emotional disorders of childhood: a follow-up study. Journal of Child Psychology and Psychiatry, 36, 833–846.CrossRefPubMed Vostanis, P., & Nicholls, J. (1995). Nine-month changes of maternal expressed emotion in conduct and emotional disorders of childhood: a follow-up study. Journal of Child Psychology and Psychiatry, 36, 833–846.CrossRefPubMed
go back to reference Winkler, J., & Stolzenberg, H. (1999). Social class index in the Federal Health Survey. Gesundheitswesen, 61, S178–83.PubMed Winkler, J., & Stolzenberg, H. (1999). Social class index in the Federal Health Survey. Gesundheitswesen, 61, S178–83.PubMed
go back to reference Winn, S., Perkins, S., Walwyn, R., Schmidt, U., Eisler, I., Treasure, J., & Yi, I. (2007). Predictors of mental health problems and negative caregiving experiences in carers of adolescents with bulimia nervosa. International Journal of Eating Disorders, 40, 171–178.CrossRefPubMed Winn, S., Perkins, S., Walwyn, R., Schmidt, U., Eisler, I., Treasure, J., & Yi, I. (2007). Predictors of mental health problems and negative caregiving experiences in carers of adolescents with bulimia nervosa. International Journal of Eating Disorders, 40, 171–178.CrossRefPubMed
Metagegevens
Titel
Perceived Expressed Emotion in Adolescents with Binge-Eating Disorder
Auteurs
Ricarda Schmidt
Anne Tetzlaff
Anja Hilbert
Publicatiedatum
11-04-2015
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 7/2015
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-015-0015-x