Toronto General Hospital Eating Disorder Program, University Health Network , Toronto , Ontario , Canada.
Department of Human Development and Family Science, Virginia Polytechnic Institute and State University , Falls Church , Virginia , USA.
Eat Disord. 2019 Sep-Oct;27(5):419-435. doi: 10.1080/10640266.2018.1529472. Epub 2018 Oct 25.
The aim of this study was to investigate changes in family functioning and parental expressed emotion (EE) in parents and transition age youth (18 to 25 years old) with Anorexia Nervosa participating in Family-Based Treatment for Transition Age Youth (FBT-TAY). Further, we examined whether perceived family functioning and EE were associated with changes in eating disorder behaviour and weight in participants at end-of-treatment and three months post-treatment. Generalized estimating equations revealed that changes in family functioning significantly improved from baseline to end-of-treatment ( = .0001), and baseline to three months post-treatment ( = .0001) in parents; and from baseline to end-of-treatment ( = .011), and baseline to three months post-treatment ( = .0001) in transition age youth. The level of parental EE did not differ significantly from baseline to end-of-treatment ( = .379), or baseline to three months post-treatment ( = .185). A series of Ordinary Least Square regression models demonstrated that changes in perceived family functioning and EE were not significantly associated with changes in eating disorder behaviour and weight restoration of transition age youth at end-of-treatment and three months post-treatment. Overall, perceptions of family functioning improved during the course of FBT-TAY, but EE did not.
本研究旨在探讨参与家庭为基础的青少年过渡治疗（FBT-TAY）的青少年神经性厌食症患者的父母及其成年子女的家庭功能和父母情绪表达（EE）的变化。此外，我们还检验了在治疗结束和治疗结束后三个月时，参与者感知的家庭功能和 EE 是否与饮食障碍行为和体重的变化有关。广义估计方程显示，父母的家庭功能从基线到治疗结束时（p=0.0001）和基线到治疗结束后三个月时（p=0.0001）都有显著改善；青少年的家庭功能从基线到治疗结束时（p=0.011）和基线到治疗结束后三个月时（p=0.0001）都有显著改善。父母的 EE 水平在治疗结束时（p=0.379）和治疗结束后三个月时（p=0.185）与基线相比没有显著差异。一系列最小二乘回归模型表明，治疗结束和治疗结束后三个月时，感知家庭功能和 EE 的变化与青少年的饮食障碍行为和体重恢复变化无关。总的来说，在 FBT-TAY 的过程中，家庭功能的感知得到了改善，但 EE 没有。
