Predictors of mental health problems and negative caregiving experiences in carers of adolescents with bulimia nervosa

Int J Eat Disord. 2007 Mar;40(2):171-8. doi: 10.1002/eat.20347.

Abstract

Objective: This exploratory study focuses on the mental health (MH) and caregiving experience of carers of adolescents with Bulimia Nervosa (BN)/Eating Disorder not otherwise specified (EDNOS), aiming to determine: levels of MH problems in carers and if a negative experience of caregiving predicts carer MH status and which factors predict a negative experience of caregiving.

Method: Hundred and twelve carers and 68 adolescents with BN/EDNOS completed self-report measures (General Health Questionnaire, Experience of Caregiving Inventory, Level of Expressed Emotion, Self-report Family Inventory, Inventory of Interpersonal Problems).

Results: Over half of the carers reported some MH problems and a minority (5.4%) were experiencing considerable difficulties. A negative experience of caregiving predicted carer MH status. Higher weekly contact hours and patient ratings of expressed emotion (EE) predicted a negative experience of caregiving.

Conclusions: Interventions focusing on reducing EE and contact hours could prove beneficial for both patient and caregiver outcomes.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Bulimia Nervosa / diagnosis
  • Bulimia Nervosa / economics
  • Bulimia Nervosa / psychology*
  • Bulimia Nervosa / therapy
  • Caregivers / psychology*
  • Child Abuse / psychology*
  • Cognitive Behavioral Therapy / economics
  • Comorbidity
  • Cost-Benefit Analysis
  • Expressed Emotion
  • Family Relations
  • Family Therapy / economics
  • Feeding and Eating Disorders / diagnosis
  • Feeding and Eating Disorders / psychology
  • Female
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / psychology*
  • Personality Inventory
  • Self Care / economics
  • Statistics as Topic