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Open Access Publications from the University of California

A bidirectional examination of expressed emotion among families of adolescents with bulimia nervosa.

  • Author(s): Hoste, Renee Rienecke
  • Lebow, Jocelyn
  • Le Grange, Daniel
  • et al.

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The purpose of this paper was to examine expressed emotion (EE) measured from adolescents with bulimia nervosa (BN) toward their parents, in addition to measuring EE from parents toward patients.Fifty-four adolescents and their parents who were receiving treatment for BN participated in a videotaped family interview, from which ratings of EE were made.Parent and patient scores were highly correlated. Four family profiles were created (Low Patient EE/Low Parent EE; High Patient EE/High Parent EE; Low Patient EE/High Parent EE; High Patient EE/Low Parent EE) to determine whether the match between parent and patient EE was related to treatment outcome. The Low Patient EE/Low Parent EE group demonstrated the greatest reduction in purging from baseline to end-of-treatment; the High Patient EE/Low Parent EE group showed the smallest reduction in purging.EE has historically been rated from relatives toward patients, but patients' own EE may also be related to treatment outcome.

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