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Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.ORCID iD: 0000-0001-7336-1657
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.ORCID iD: 0000-0001-5790-0518
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
2019 (English)In: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, p. 1-17Article in journal (Refereed) Epub ahead of print
Abstract [en]

This study investigated whether parental caregiving burden changed during adjunct multi-family therapy of adolescent anorexia nervosa and eating disorders not otherwise specified (EDNOS) and whether caregiver burden at baseline and changes in caregiver burden during treatment were associated with treatment outcome.

Twenty-four females, 13 to 16 years old, and their parents, participated in the study. Caregiver burden was measured with the Eating Disorders Symptom Impact Scale, by mothers (n = 23) and fathers (n = 22). Treatment outcome was measured by adolescent body mass index, level of global functioning and self-rated eating disorder symptoms by the Eating Disorders Examination Questionnaire 4.0.

All patient outcomes improved and overall caregiver burden decreased significantly during treatment. When broken down in aspects of caregiver burden the decrease in parental perceived isolation, was found to be associated with improvement of BMI and Children's Global Assessment Scale. When analyzing fathers and mothers separately, we found that maternal feelings of guilt and paternal perceived burden of dysregulated behaviors at base-line were correlated to treatment outcome. Future studies are needed to clarify the role of caregiver burden as a potential mediator of treatment results.

Place, publisher, year, edition, pages
Routledge, 2019. p. 1-17
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-164587DOI: 10.1080/10640266.2019.1678980PubMedID: 31617832OAI: oai:DiVA.org:umu-164587DiVA, id: diva2:1365267
Funder
Västerbotten County Council, VLL-678611Available from: 2019-10-24 Created: 2019-10-24 Last updated: 2019-10-24

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Dennhag, IngaHenje, EvaNilsson, Karin

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