PMID- 11244149
OWN - NLM
STAT- MEDLINE
DCOM- 20010628
LR  - 20151119
IS  - 0010-440X (Print)
IS  - 0010-440X (Linking)
VI  - 42
IP  - 2
DP  - 2001 Mar-Apr
TI  - Psychoeducation for the families of patients with eating disorders and changes in 
      expressed emotion: A preliminary study.
PG  - 132-8
AB  - Psychosocial variables such as expressed emotion (EE) have prognostic 
      significance, and family psychoeducation has been developed to aid in the 
      treatment of various psychiatric disorders. This study reports relationships 
      among EE, family factors, and symptoms observed while conducting multifamily 
      psychoeducation for eating disorders. Group sessions were held once a month for 
      the relatives of patients with DSM-IV eating disorders, and the group met for 
      five sessions that included both education and problem-solving. Thirty-seven 
      relatives volunteered to participate in our program, and of these, 28 completed 
      the program. EE (as measured by the Five-Minute Speech Sample [FMSS]), family 
      function (as measured by the Family Adaptability and Cohesion Evaluation Scales 
      [FACES]), the family's mental state (as measured by the Profile of Mood States 
      [POMS]), and patient's symptoms (as measured by the Eating Disorder Evaluation 
      Scales [EDES] and Global Assessment of Functioning [GAF] on clinician 
      evaluations, and by the Anorexic Behavior Observation Scale [ABOS] assessment of 
      the family) were administered at both the first and final sessions. The rates of 
      high-EE relatives tended to decrease (especially high emotional overinvolvement 
      [EOI]), and families' assessment of symptoms was also significantly improved. 
      Twice-repeated multivariate analysis of variance (MANCOVA) showed that EOI, ABOS, 
      and POMS scores were changed significantly during the sessions. Psychoeducation 
      for the family members of patients with eating disorders might help lower 
      distress and encourage positive interactions within the family. EE is an 
      important measure in evaluations of psychoeducation. However, a randomized, 
      controlled trial is needed to clarify the efficacy of this treatment.
CI  - Copyright 2001 by W.B. Saunders Company
FAU - Uehara, T
AU  - Uehara T
AD  - Department of Neuropsychiatry, University of Gunma Faculty of Medicine, 3-39-22 
      Showa-cho, Maebashi, Gunma 371-8511, Japan.
FAU - Kawashima, Y
AU  - Kawashima Y
FAU - Goto, M
AU  - Goto M
FAU - Tasaki, S I
AU  - Tasaki SI
FAU - Someya, T
AU  - Someya T
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Compr Psychiatry
JT  - Comprehensive psychiatry
JID - 0372612
SB  - IM
MH  - Adaptation, Psychological
MH  - Adult
MH  - *Affect
MH  - Cognition Disorders/diagnosis/etiology
MH  - *Communication
MH  - Family/*psychology
MH  - *Family Health
MH  - Feeding and Eating Disorders/diagnosis/*psychology
MH  - Female
MH  - *Health Education
MH  - Humans
MH  - Male
MH  - Problem Solving
MH  - Psychiatric Status Rating Scales
MH  - Reproducibility of Results
EDAT- 2001/03/13 10:00
MHDA- 2001/06/29 10:01
CRDT- 2001/03/13 10:00
PHST- 2001/03/13 10:00 [pubmed]
PHST- 2001/06/29 10:01 [medline]
PHST- 2001/03/13 10:00 [entrez]
AID - S0010-440X(01)55569-8 [pii]
AID - 10.1053/comp.2001.21215 [doi]
PST - ppublish
SO  - Compr Psychiatry. 2001 Mar-Apr;42(2):132-8. doi: 10.1053/comp.2001.21215.