Cognitive interpersonal maintenance model of eating disorders: intervention for carers

被引：89

作者：

Goddard, Elizabeth ^{[1
]}

Macdonald, Pamela ^{[1
]}

Sepulveda, Ana Rosa ^{[1
]}

Naumann, Ulrike ^{[2
]}

Landau, Sabine ^{[2
]}

Schmidt, Ulrike ^{[1
]}

Treasure, Janet ^{[3
]}

机构：

[1] Kings Coll London, Inst Psychiat, Dept Psychol Med, London, England

[2] Kings Coll London, Inst Psychiat, Dept Biostat & Comp, London, England

[3] Kings Coll London, Inst Psychiat, Dept Acad Psychiat, London, England

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2011年 / 199卷 / 03期

关键词：

EXPRESSED EMOTION; ANOREXIA-NERVOSA; PEOPLE; SCALE; VALIDATION; NEEDS; EXPERIENCE; RELATIVES; FAMILIES; IMPACT;

D O I：

10.1192/bjp.bp.110.088401

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background Carers of people with eating disorders report high levels of distress. In addition, carers' responses to the illness may perpetuate eating disorder symptoms. A cognitive interpersonal maintenance model of eating disorders is proposed and interventions for carers may improve wellbeing in both carers and patients. Aims To examine an interpersonal maintenance model of eating disorders, using a self-help intervention for carers. Method A pre-test-post-test design was used with carers randomised into self-help or guided self-help, which included the Expert Carers Helping Others (ECHO) intervention. Carers' distress, well-being, proposed maintenance factors, and carer reports on the status of the patient were measured. Results Carers' distress reduced and secondary outcomes improved. Improvement in carers' status and perceived improvements in patients were associated with reductions in expressed emotion and in accommodating and enabling behaviours. Self-help and guided self-help versions were comparable. Conclusions Changes in maintenance factors from the theoretical model were associated with a reduction in carers' distress and improvement in perceived patient functioning. Interventions which specifically target maintaining factors may be of benefit.

引用

页码：225 / 231

页数：7

共 32 条

[1]

[Anonymous], GEN HLTH QUESTIONNAI, DOI DOI 10.1037/T00297-000

[2] THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].

BARON, RM ;

KENNY, DA .

JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182

[3] Framework for design and evaluation of complex interventions to improve health [J].

Campbell, M ;

Fitzpatrick, R ;

Haines, A ;

Kinmonth, AL ;

Sandercock, P ;

Spiegelhalter, D ;

Tyrer, P .

BRITISH MEDICAL JOURNAL, 2000, 321 (7262) :694-696

[4] Normative data for the HADS from a large non-clinical sample [J].

Crawford, JR ;

Henry, JD ;

Crombie, C ;

Taylor, EP .

BRITISH JOURNAL OF CLINICAL PSYCHOLOGY, 2001, 40 :429-434

[5]

ENDICOTT J, 1976, ARCH GEN PSYCHIAT, V33, P766

[6] Taking healthcare interventions from trial to practice [J].

Glasziou, Paul ;

Chalmers, Iain ;

Altman, Douglas G. ;

Bastian, Hilda ;

Boutron, Isabelle ;

Brice, Anne ;

Jamtvedt, Gro ;

Farmer, Andrew ;

Ghersi, Davina ;

Groves, Trish ;

Heneghan, Carl ;

Hill, Sophie ;

Lewin, Simon ;

Michie, Susan ;

Perera, Rafael ;

Pomeroy, Valerie ;

Tilson, Julie ;

Shepperd, Sasha ;

Williams, John W. .

BMJ-BRITISH MEDICAL JOURNAL, 2010, 341 :384-387

[7]

GODDARD E, 2010, EUR EAT DISORD 0920

[8] The needs of carers of patients with anorexia and bulimia nervosa [J].

Graap, Holmer ;

Bleich, Stefan ;

Herbst, Florian ;

Trostmann, Yvonne ;

Wancata, Johannes ;

de Zwaan, Martina .

EUROPEAN EATING DISORDERS REVIEW, 2008, 16 (01) :21-29

[9] Investigating the needs of carers in the area of eating disorders: Development of the Carers' Needs Assessment Measure (CaNAM) [J].

Haigh, R ;

Treasure, J .

EUROPEAN EATING DISORDERS REVIEW, 2003, 11 (02) :125-141

[10] Expressed emotion and relapse of psychopathology [J].

Hooley, Jill M. .

ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, 2007, 3 :329-352

← 1 2 3 4 →