Empirical examination of the interpersonal maintenance model of anorexia nervosa

Autor: Nicky Boughton, Kim Moore, Ulrike Naumann, Linette Whitehead, Rebecca Hibbs, Ulrike Schmidt, Simone Raenker, Laura Salerno, John F. Morgan, Jon Arcelus, Ken Goss, Christa Schreiber-Kounine, Janet Treasure, B Laszlo, Frances Connan, Elizabeth Goddard, Sonu Sharma, David J. Robertson, Hubert Lacey, Agnes Ayton
Rok vydání: 2013
Předmět:
Zdroj: International Journal of Eating Disorders. 46:867-874
ISSN: 0276-3478
DOI: 10.1002/eat.22172
Popis: Objective A cognitive interpersonal maintenance model of anorexia nervosa (AN) was first proposed in 2006 and updated in 2013 (Schmidt and Treasure, J Br J Clin Psychol, 45, 343-366, 2006; Treasure and Schmidt, J Eat Disorders, in press.). The aim of this study was to test the interpersonal component of this model in people with AN requiring intensive hospital treatment (inpatient/daypatient). Method On admission to hospital women with AN or eating disorder not otherwise specified (AN subtype; n = 152; P) and their primary carers (n = 152; C) completed questionnaires on eating symptoms (P), depression and anxiety (P, C), accommodation and enabling (C), and psychological control (C). Structural equation modeling was used to examine relationships among these components. Results Carers' expressed emotion and level of psychological control were significantly related to carers' distress, which in turn, was related to patients' distress. This pathway significantly predicted eating symptoms in patients. Discussion The cognitive interpersonal maintenance model of eating disorders (EDs) was confirmed in part and suggests that interventions targeting interpersonal maintaining factors such as carer distress might impact on patient outcomes. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2013; 46:867–874)
Databáze: OpenAIRE