Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-02T01:14:46.708Z Has data issue: false hasContentIssue false
  • English
  • Français

Anorexia Nervosa, Parental ‘Expressed Emotion’ and Dropping Out of Treatment

Published online by Cambridge University Press:  29 January 2018

G. I. Szmukler ,
I. Eisler ,
G. F. M. Russell  and
C. Dare
G. I. Szmukler
Affiliation:
The Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
I. Eisler
Affiliation:
The Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
G. F. M. Russell*
Affiliation:
The Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
C. Dare
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
*
∗Correspondence
Get access Rights & Permissions [Opens in a new window]

Abstract

The number of dropouts from a long-term treatment study of patients with anorexia nervosa (AN) and bulimia nervosa (BN) was substantial. A variety of social, clinical, parental, and treatment factors were examined for their association with early termination of treatment by the patient or the family. Parents ‘expressed emotion’ (EE) (particularly critical comments), BN, and the type of therapy offered (family or individual) were found to interact in some manner to result in dropping out. Some other aspects of parents' EE were also examined, including a comparison of scores in parental pairs; EE was found to be influenced by social class, and there were significant associations with the patient's symptomatology and social adjustment. There was a strong relationship between mothers' and fathers' scores in parental pairs.

Type
Papers
Information
The British Journal of Psychiatry , Volume 147 , Issue 3 , September 1985 , pp. 265 - 271
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baekeland, F. & Lundwall, L. (1975) Dropping out of treatment: a critical review. Psychological Bulletin, 82, 738–783.CrossRefGoogle ScholarPubMed
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972) Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry, 121, 241–258.Google Scholar
Crown, S. & Crisp, A. H. (1979) Crown-Crisp Experiential Index. Sevenoaks: Hodder & Stoughton.Google Scholar
Gaines, T. & Stedman, N. J. M. (1981) Factors associated with dropping out of child and family treatment. American Journal of Family Therapy, 9, 45–51.CrossRefGoogle Scholar
Garfield, S. L. (1978) Research on client variables in psychotherapy In Handbook of Psychotherapy and Behaviour Change: An Empirical Analysis. 2nd Edition (eds Garfield, S. L. & Bergin, A. E.). New York: Wiley.Google Scholar
Garner, D. M. & Garfinkel, P. E. (1979) The eating attitudes test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–279.CrossRefGoogle ScholarPubMed
Kuipers, L. (1979) Expressed emotion: a review. British Journal of Social and Clinical Psychology, 18, 237–243.CrossRefGoogle ScholarPubMed
Leff, J. P., Kuipers, L., Berkowitz, R., Eberlein-Vries, R. & Sturgeon, D. (1982) A controlled trial of social intervention in families of schizophrenic patients. British Journal of Psychiatry, 141, 121–134.CrossRefGoogle ScholarPubMed
Morgan, A. G. & Russell, G. F. M. (1975) Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa—a four-year follow-up study of 41 patients. Psychological Medicine, 5, 355–371.CrossRefGoogle Scholar
Russell, G. F. M. (1970) Anorexia nervosa: its identify as an illness and its treatment In Modern Trends in Psychological Medicine 2 (ed. Price, J. H.). London: Butterworth.Google Scholar
Russell, G. F. M. (1979) Bulimia nervosa: an ominous variant of anorexia nervosa. Psychological Medicine, 9, 429–448.CrossRefGoogle ScholarPubMed
Shapiro, R. J. & Budman, S. H. (1973) Defection, termination and continuation in family and individual therapy. Family Process, 12, 55–67.Google Scholar
Szmukler, G. I. (1983) A study of family therapy in anorexia nervosa: some methodological issues In Anorexia Nervosa: Recent Developments in Research (ed. Darby, P. L., Garfinkel, P. E., Garner, D. M. & Coscina, D. V.) New York: Alan Liss, pp 417–426.Google Scholar
Vandereycken, W. & Pierloot, R. (1983) Drop-out during in-patient treatment of anorexia nervosa: a clinical study of 133 patients. British Journal of Medical Psychology, 56, 145–156.CrossRefGoogle ScholarPubMed
Vaughn, C. E. & Leff, J. P. (1976a) The influence of family and social factors on the course of psychiatric illness. A comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 129, 125–137.Google Scholar
Vaughn, C. E. & Leff, J. P. (1976b) The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology, 15, 157–165.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.