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Perceived Expressed Emotion in Adolescents with Binge-Eating Disorder

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Abstract

A sizeable body of research has documented Expressed Emotion (EE) to predict clinical outcomes in various psychiatric disorders, including eating disorders. Patients’ perceptions of relative’s EE, however, were found to play an important role in the processing of EE. This study aimed to examine the level of perceived EE in adolescent binge-eating disorder (BED) and its impact on eating disorder psychopathology. Adolescents (12–20 years) seeking treatment for BED (n = 40) were compared to adolescents without current or lifetime eating disorder (CG; n = 40). Both groups were stratified according to age, sex, body mass index (BMI, kg/m2), and socio-economic status. The Five Minute Speech Sample (FMSS) and the Brief Dyadic Scale of EE were administered to assess patients’ perceived maternal EE. Additionally, adolescents and mothers completed questionnaires on eating disorder and general psychopathology. On the FMSS, 37.5 % of patients with BED perceived their mothers as high EE (vs. 12.5 % in the CG). On the Brief Dyadic Scale of EE, patients with BED reported significantly higher levels of perceived maternal criticism, emotional overinvolvement, and lower levels of perceived warmth than controls. After controlling for the diagnosis of BED, perceived criticism and warmth, as assessed by questionnaire, significantly explained adolescents’ global eating disorder psychopathology. Negative perceptions of maternal behavior and emotional atmosphere towards the child are characteristic of adolescent BED. As documented for other eating disorders, family factors are likely to have substantial implications for the maintenance and treatment of adolescent BED.

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Acknowledgments

This work was supported by the Federal Ministry of Education and Research (BMBF), Germany, FKZ: 01EO1001.

Conflict of Interest

No author of this manuscript does have any conflict of interest, financial or otherwise, related to the submitted work.

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Authors and Affiliations

  1. Integrated Research and Treatment Center AdiposityDiseases, Department of Medical Psychology and Medical Sociology, Leipzig University Medical Center, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany

    Ricarda Schmidt, Anne Tetzlaff & Anja Hilbert

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  1. Ricarda Schmidt
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  2. Anne Tetzlaff
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  3. Anja Hilbert
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Correspondence to Ricarda Schmidt.

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Schmidt, R., Tetzlaff, A. & Hilbert, A. Perceived Expressed Emotion in Adolescents with Binge-Eating Disorder. J Abnorm Child Psychol 43, 1369–1377 (2015). https://doi.org/10.1007/s10802-015-0015-x

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  • DOI: https://doi.org/10.1007/s10802-015-0015-x

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