Schmidt Ricarda, Tetzlaff Anne, Hilbert Anja
Integrated Research and Treatment Center AdiposityDiseases, Department of Medical Psychology and Medical Sociology, Leipzig University Medical Center, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany,
J Abnorm Child Psychol. 2015 Oct;43(7):1369-77. doi: 10.1007/s10802-015-0015-x.
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/m(2)), 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.
大量研究已证明，表达性情绪（EE）可预测包括饮食失调在内的各种精神疾病的临床结果。然而，患者对亲属EE的认知在EE的处理过程中起着重要作用。本研究旨在探讨青少年暴饮暴食症（BED）中感知到的EE水平及其对饮食失调精神病理学的影响。将寻求治疗BED的青少年（12 - 20岁，n = 40）与目前或过去无饮食失调的青少年（对照组；n = 40）进行比较。两组均根据年龄、性别、体重指数（BMI，kg/m²）和社会经济地位进行分层。采用五分钟言语样本（FMSS）和EE简短二元量表来评估患者感知到的母亲的EE。此外，青少年和母亲完成了关于饮食失调和一般精神病理学的问卷调查。在FMSS上，37.5%的BED患者认为他们的母亲具有高EE（而对照组为12.5%）。在EE简短二元量表上，BED患者报告的母亲批评、情感过度卷入水平显著高于对照组，而感知到的温暖水平则低于对照组。在控制了BED的诊断后，通过问卷调查评估的感知到的批评和温暖显著解释了青少年的整体饮食失调精神病理学。对母亲行为和对孩子情感氛围的负面认知是青少年BED的特征。正如其他饮食失调所记录的那样，家庭因素可能对青少年BED的维持和治疗具有重大影响。
