Empirical examination of the interpersonal maintenance model of anorexia nervosa. Issue 8 (14th August 2013)

• Record Type: Journal Article
• Authors: Goddard, E.; Salerno, L.; Hibbs, R.; Raenker, S.; Naumann, U.; Arcelus, J.; Ayton, A.; Boughton, DClinPsy, N.; Connan, F.; Goss, DClinPsy, K.; Lacey, H.; Laszlo, B.; Morgan, J.; Moore, K.; Robertson, D.; Schreiber‐Kounine, C.; Sharma, S.; Whitehead, L.; Schmidt, U.; Treasure, J.
• Is Part Of: International journal of eating disorders. Volume 46:Issue 8(2013:Dec.)
• Page Start: 867
• Page End: 874
• Publication Date: 2013-08-14
• Subjects: Appetite disorders -- Periodicals; Ingestion disorders -- Periodicals; Eating disorders -- Periodicals; 616.8526
• DOI: 10.1002/eat.22172
• Languages: English
• ISSNs: 0276-3478

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <sec id="eat22172-sec-0001" sec-type="section"> <title>Objective</title> <p>A cognitive interpersonal maintenance model of anorexia nervosa (AN) was first proposed in 2006 and updated in 2013 (Schmidt and Treasure, J Br J Clin Psychol, 45, 343‐366, 2006; Treasure and Schmidt, J Eat Disorders, in press.). The aim of this study was to test the interpersonal component of this model in people with AN requiring intensive hospital treatment (inpatient/daypatient).</p> </sec> <sec id="eat22172-sec-0019" sec-type="section"> <title>Method</title> <p>On admission to hospital women with AN or eating disorder not otherwise specified (AN subtype; <italic>n</italic> = 152; P) and their primary carers (<italic>n</italic> = 152; C) completed questionnaires on eating symptoms (P), depression and anxiety (P, C), accommodation and enabling (C), and psychological control (C). Structural equation modeling was used to examine relationships among these components.</p> </sec> <sec id="eat22172-sec-0002" sec-type="section"> <title>Results</title> <p>Carers' expressed emotion and level of psychological control were significantly related to carers' distress, which in turn, was related to patients' distress. This pathway significantly predicted eating symptoms in patients.</p> </sec> <sec id="eat22172-sec-0003" sec-type="section"> <title>Discussion</title> <p>The cognitive interpersonal maintenance model of eating disorders (EDs) was confirmed in part and suggests that interventions targeting interpersonal maintaining factors such as carer distress might impact on patient outcomes. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2013; 46:867–874)</p> </sec> </abstract>