Rienecke Renee D, Accurso Erin C, Lock James, Le Grange Daniel
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Department of Psychiatry, University of California, San Francisco, USA.
Eur Eat Disord Rev. 2016 Jan;24(1):43-51. doi: 10.1002/erv.2389. Epub 2015 Jul 21.
The current study examined the relation between parental expressed emotion (EE) and treatment outcome among adolescents participating in a treatment study for adolescent anorexia nervosa, as well as its impact on family functioning. One hundred and twenty-one families were assigned to family-based treatment or adolescent-focused therapy. Paternal criticism predicted lesser improvement in eating disorder psychopathology at end of treatment. There was also a significant interaction between maternal hostility and treatment, indicating that adolescents whose mothers displayed hostility had greater increases in percent of expected body weight in adolescent-focused therapy than family-based treatment. In addition, maternal hostility predicted less improvement in general family functioning and family communication at the end of treatment. Findings suggest that maternal and paternal EE may differentially impact treatment outcome and should be directly attended to in clinical settings. Future research is needed to further explore ways in which parental EE can be effectively modified in treatment.
本研究调查了参与青少年神经性厌食症治疗研究的青少年中，父母的情感表达（EE）与治疗结果之间的关系，以及其对家庭功能的影响。121个家庭被分配接受基于家庭的治疗或针对青少年的治疗。父亲的批评预示着治疗结束时饮食失调心理病理学方面的改善较小。母亲的敌意与治疗之间也存在显著的交互作用，这表明母亲表现出敌意的青少年在针对青少年的治疗中，预期体重百分比的增加幅度大于基于家庭的治疗。此外，母亲的敌意预示着治疗结束时家庭总体功能和家庭沟通方面的改善较小。研究结果表明，母亲和父亲的情感表达可能对治疗结果产生不同的影响，在临床环境中应直接予以关注。未来需要进行研究，以进一步探索在治疗中有效改变父母情感表达的方法。
