Empirical examination of the interpersonal maintenance model of anorexia nervosa

E Goddard; L Salerno; R Hibbs; S Raenker; U Naumann; J Arcelus; A Ayton; N Boughton Dclinpsy; F Connan; K Goss Dclinpsy; H Lacey; B Laszlo; J Morgan; K Moore Rmn; D Robertson; C Schreiber-Kounine; S Sharma; L Whitehead; U Schmidt; J Treasure

doi:10.1002/eat.22172

Empirical examination of the interpersonal maintenance model of anorexia nervosa

E Goddard, L Salerno, R Hibbs, S Raenker, U Naumann, J Arcelus, A Ayton, N Boughton Dclinpsy, F Connan, K Goss Dclinpsy, H Lacey, B Laszlo, J Morgan, K Moore Rmn, D Robertson, C Schreiber-Kounine, S Sharma, L Whitehead, U Schmidt, J Treasure

Research output: Contribution to journal › Article › peer-review

40 Citations (Scopus)

Abstract

Objective
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).

Method
On admission to hospital women with AN or eating disorder not otherwise specified (AN subtype; n = 152; P) and their primary carers (n = 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.

Results
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.

Discussion
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.

Original language	English
Article number	N/A
Pages (from-to)	867-874
Number of pages	8
Journal	The International journal of eating disorders
Volume	46
Issue number	8
DOIs	https://doi.org/10.1002/eat.22172
Publication status	E-pub ahead of print - Dec 2013

Keywords

Acknowledged-BRC
Acknowledged-BRC-13/14

Access to Document

10.1002/eat.22172

Cite this

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 Rmn, K., Robertson, D., Schreiber-Kounine, C., Sharma, S., Whitehead, L., Schmidt, U., & Treasure, J. (2013). Empirical examination of the interpersonal maintenance model of anorexia nervosa. The International journal of eating disorders, 46(8), 867-874. Article N/A. Advance online publication. https://doi.org/10.1002/eat.22172

@article{90e63646487f4e6f8aed84abf99fabf1,

title = "Empirical examination of the interpersonal maintenance model of anorexia nervosa",

abstract = "ObjectiveA 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).MethodOn admission to hospital women with AN or eating disorder not otherwise specified (AN subtype; n = 152; P) and their primary carers (n = 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.ResultsCarers' 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.DiscussionThe 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.",

keywords = "Acknowledged-BRC, Acknowledged-BRC-13/14",

author = "E Goddard and L Salerno and R Hibbs and S Raenker and U Naumann and J Arcelus and A Ayton and {Boughton Dclinpsy}, N and F Connan and {Goss Dclinpsy}, K and H Lacey and B Laszlo and J Morgan and {Moore Rmn}, K and D Robertson and C Schreiber-Kounine and S Sharma and L Whitehead and U Schmidt and J Treasure",

year = "2013",

month = dec,

doi = "10.1002/eat.22172",

language = "English",

volume = "46",

pages = "867--874",

journal = "The International journal of eating disorders",

issn = "1098-108X",

publisher = "Wiley",

number = "8",

}

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 Rmn, K, Robertson, D, Schreiber-Kounine, C, Sharma, S, Whitehead, L, Schmidt, U & Treasure, J 2013, 'Empirical examination of the interpersonal maintenance model of anorexia nervosa', The International journal of eating disorders, vol. 46, no. 8, N/A, pp. 867-874. https://doi.org/10.1002/eat.22172

TY - JOUR

T1 - Empirical examination of the interpersonal maintenance model of anorexia nervosa

AU - Goddard, E

AU - Salerno, L

AU - Hibbs, R

AU - Raenker, S

AU - Naumann, U

AU - Arcelus, J

AU - Ayton, A

AU - Boughton Dclinpsy, N

AU - Connan, F

AU - Goss Dclinpsy, K

AU - Lacey, H

AU - Laszlo, B

AU - Morgan, J

AU - Moore Rmn, K

AU - Robertson, D

AU - Schreiber-Kounine, C

AU - Sharma, S

AU - Whitehead, L

AU - Schmidt, U

AU - Treasure, J

PY - 2013/12

Y1 - 2013/12

N2 - ObjectiveA 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).MethodOn admission to hospital women with AN or eating disorder not otherwise specified (AN subtype; n = 152; P) and their primary carers (n = 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.ResultsCarers' 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.DiscussionThe 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.

AB - ObjectiveA 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).MethodOn admission to hospital women with AN or eating disorder not otherwise specified (AN subtype; n = 152; P) and their primary carers (n = 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.ResultsCarers' 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.DiscussionThe 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.

KW - Acknowledged-BRC

KW - Acknowledged-BRC-13/14

U2 - 10.1002/eat.22172

DO - 10.1002/eat.22172

M3 - Article

C2 - 23946124

SN - 1098-108X

VL - 46

SP - 867

EP - 874

JO - The International journal of eating disorders

JF - The International journal of eating disorders

IS - 8

M1 - N/A

ER -

Empirical examination of the interpersonal maintenance model of anorexia nervosa

Abstract

Keywords

Access to Document

Fingerprint

Cite this