UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

A network analysis in adolescent anorexia nervosa exploring the connection between both patient and carer reactions and outcome

Monteleone, Alessio Maria; Cascino, Giammarco; Salerno, Laura; Schmidt, Ulrike; Micali, Nadia; Cardi, Valentina; Treasure, Janet; (2023) A network analysis in adolescent anorexia nervosa exploring the connection between both patient and carer reactions and outcome. European Eating Disorders Review , 31 (1) pp. 65-75. 10.1002/erv.2933. Green open access

[thumbnail of A network analysis in adolescent anorexia nervosa.pdf]
Preview
PDF
A network analysis in adolescent anorexia nervosa.pdf - Published Version

Download (457kB) | Preview

Abstract

Objective: This paper used network analysis to test the associations between eating disorder-related psychopathology and carers’ responses to anorexia nervosa symptoms in adolescents. Additionally, the prognostic value of central and bridge network nodes was explored. Method: This is a secondary analysis of a three-armed randomised-controlled-trial of adolescents with anorexia nervosa (n = 149) and their primary carer (n = 149) who were allocated to either treatment as usual (TAU), or one of two versions of a carer skills intervention (ECHO) added to TAU. A network analysis was run in the full sample. The prognostic role of central and bridge nodes was tested through multiple regression analyses. Results: Carers’ depression and emotional over-involvement, as well as patients' depression showed the highest strength centrality. Patients' depression and carers’ accommodation exhibited the highest bridge expected influence. Across the full sample, and in the ECHO group, carers’ accommodation predicted patients' higher body mass index (BMI), while patients' depression predicted worse psychosocial functioning at 1-year follow-up. In the ECHO group, higher carers’ depression also predicted lower BMI. Conclusions: Carers’ accommodation and depression in both carers and patients were involved in the maintenance of psychopathology in adolescents with anorexia nervosa. Depression in both patients and carers is a potential treatment target for family interventions.

Type: Article
Title: A network analysis in adolescent anorexia nervosa exploring the connection between both patient and carer reactions and outcome
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/erv.2933
Publisher version: https://doi.org/10.1002/erv.2933
Language: English
Additional information: © 2022 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: Social Sciences, Psychology, Clinical, Psychology, anorexia nervosa, carers, depression, family intervention, network analysis, INTERPERSONAL MAINTENANCE MODEL, FAMILY-THERAPY, SKILLS, INTERVENTION, VALIDATION, ACCOMMODATION, CAREGIVERS, SYMPTOMS, SUPPORT, IMPACT
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10181851
Downloads since deposit
27Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item