A longitudinal examination of dyadic distress patterns following a skills intervention for carers of adolescents with anorexia nervosa

Gianluca Lo Coco, Laura Salerno, Simon Gowers, Janet Treasure, Gillian Todd, Ulrike Schmidt, Kate Tchanturia, Nadia Micali, Pamela Macdonald, Elizabeth Goddard, Rebecca Hibbs, Charlotte Rhind

Risultato della ricerca: Article

4 Citazioni (Scopus)

Abstract

Family interventions in anorexia nervosa (AN) have been developed to ameliorate maladaptive patterns of patient–carer interaction that can play a role in illness maintenance. The primary aim of this study is to examine the inter-relationship between baseline and post-treatment distress in dyads of carers and patients with AN to examine the interdependence between carers and patients. The secondary aim is to examine whether a carer skills intervention [Experienced Carer Helping Others (ECHO)] impacts on this inter-relationship. Dyads consisting of treatment-seeking adolescents with AN and their primary carer (n = 149; mostly mothers) were randomised to receive a carer skills intervention (ECHO) in addition to treatment as usual (TAU), or TAU alone, as part of a larger clinical trial. Carers and patients completed a standardised measure of psychological distress (The Depression, Anxiety, and Stress Scale) at baseline and 12 months post-treatment. The Actor Partner Interdependence Model was used to examine longitudinal changes in interdependence by treatment group. As expected, post-treatment levels of distress were related to baseline levels in both groups (actor effects). Moreover, carer distress at 12 months was related to patient distress at baseline for the TAU (partner effects), but not for the ECHO group. Finally, carers’ distress change was not a significant predictor of patients’ body mass index (BMI) change in the two treatment conditions. These findings are limited to predominantly mother–offspring dyads and may not generalise to other relationships. The ECHO intervention which is designed to teach carers skills in illness management and emotion regulation may be an effective addition to TAU for ameliorating interdependence of distress in patients and their primary carers over time.
Lingua originaleEnglish
pagine (da-a)1337-1347
Numero di pagine11
RivistaEUROPEAN CHILD & ADOLESCENT PSYCHIATRY
Volume25
Stato di pubblicazionePublished - 2016

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Anorexia Nervosa
Caregivers
Anxiety
Depression
Therapeutics
Mothers

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Psychiatry and Mental health
  • Developmental and Educational Psychology

Cita questo

A longitudinal examination of dyadic distress patterns following a skills intervention for carers of adolescents with anorexia nervosa. / Lo Coco, Gianluca; Salerno, Laura; Gowers, Simon; Treasure, Janet; Todd, Gillian; Schmidt, Ulrike; Tchanturia, Kate; Micali, Nadia; Macdonald, Pamela; Goddard, Elizabeth; Hibbs, Rebecca; Rhind, Charlotte.

In: EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, Vol. 25, 2016, pag. 1337-1347.

Risultato della ricerca: Article

Lo Coco, G, Salerno, L, Gowers, S, Treasure, J, Todd, G, Schmidt, U, Tchanturia, K, Micali, N, Macdonald, P, Goddard, E, Hibbs, R & Rhind, C 2016, 'A longitudinal examination of dyadic distress patterns following a skills intervention for carers of adolescents with anorexia nervosa', EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, vol. 25, pagg. 1337-1347.
Lo Coco, Gianluca ; Salerno, Laura ; Gowers, Simon ; Treasure, Janet ; Todd, Gillian ; Schmidt, Ulrike ; Tchanturia, Kate ; Micali, Nadia ; Macdonald, Pamela ; Goddard, Elizabeth ; Hibbs, Rebecca ; Rhind, Charlotte. / A longitudinal examination of dyadic distress patterns following a skills intervention for carers of adolescents with anorexia nervosa. In: EUROPEAN CHILD & ADOLESCENT PSYCHIATRY. 2016 ; Vol. 25. pagg. 1337-1347.
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abstract = "Family interventions in anorexia nervosa (AN) have been developed to ameliorate maladaptive patterns of patient–carer interaction that can play a role in illness maintenance. The primary aim of this study is to examine the inter-relationship between baseline and post-treatment distress in dyads of carers and patients with AN to examine the interdependence between carers and patients. The secondary aim is to examine whether a carer skills intervention [Experienced Carer Helping Others (ECHO)] impacts on this inter-relationship. Dyads consisting of treatment-seeking adolescents with AN and their primary carer (n = 149; mostly mothers) were randomised to receive a carer skills intervention (ECHO) in addition to treatment as usual (TAU), or TAU alone, as part of a larger clinical trial. Carers and patients completed a standardised measure of psychological distress (The Depression, Anxiety, and Stress Scale) at baseline and 12 months post-treatment. The Actor Partner Interdependence Model was used to examine longitudinal changes in interdependence by treatment group. As expected, post-treatment levels of distress were related to baseline levels in both groups (actor effects). Moreover, carer distress at 12 months was related to patient distress at baseline for the TAU (partner effects), but not for the ECHO group. Finally, carers’ distress change was not a significant predictor of patients’ body mass index (BMI) change in the two treatment conditions. These findings are limited to predominantly mother–offspring dyads and may not generalise to other relationships. The ECHO intervention which is designed to teach carers skills in illness management and emotion regulation may be an effective addition to TAU for ameliorating interdependence of distress in patients and their primary carers over time.",
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AU - Lo Coco, Gianluca

AU - Salerno, Laura

AU - Gowers, Simon

AU - Treasure, Janet

AU - Todd, Gillian

AU - Schmidt, Ulrike

AU - Tchanturia, Kate

AU - Micali, Nadia

AU - Macdonald, Pamela

AU - Goddard, Elizabeth

AU - Hibbs, Rebecca

AU - Rhind, Charlotte

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N2 - Family interventions in anorexia nervosa (AN) have been developed to ameliorate maladaptive patterns of patient–carer interaction that can play a role in illness maintenance. The primary aim of this study is to examine the inter-relationship between baseline and post-treatment distress in dyads of carers and patients with AN to examine the interdependence between carers and patients. The secondary aim is to examine whether a carer skills intervention [Experienced Carer Helping Others (ECHO)] impacts on this inter-relationship. Dyads consisting of treatment-seeking adolescents with AN and their primary carer (n = 149; mostly mothers) were randomised to receive a carer skills intervention (ECHO) in addition to treatment as usual (TAU), or TAU alone, as part of a larger clinical trial. Carers and patients completed a standardised measure of psychological distress (The Depression, Anxiety, and Stress Scale) at baseline and 12 months post-treatment. The Actor Partner Interdependence Model was used to examine longitudinal changes in interdependence by treatment group. As expected, post-treatment levels of distress were related to baseline levels in both groups (actor effects). Moreover, carer distress at 12 months was related to patient distress at baseline for the TAU (partner effects), but not for the ECHO group. Finally, carers’ distress change was not a significant predictor of patients’ body mass index (BMI) change in the two treatment conditions. These findings are limited to predominantly mother–offspring dyads and may not generalise to other relationships. The ECHO intervention which is designed to teach carers skills in illness management and emotion regulation may be an effective addition to TAU for ameliorating interdependence of distress in patients and their primary carers over time.

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