Evidence map›Paper›PMID 27869569›Full record

ArticleEating disorders

Change in expressed emotion and treatment outcome in adolescent anorexia nervosa.

Ashley A Moskovich, C Alix Timko, Lisa K Honeycutt, Nancy L Zucker, Rhonda M Merwin

Open access · greenAbstract read
In one paragraph

Article in Eating disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Effects of an adolescent depression prevention program on maternal criticisms and positive remarks.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2020
    Trial
  2. Article
  3. Article
  4. Article
  5. Coherence of Parental Representations Following Therapy for Autistic Children.Journal of autism and developmental disorders · 2025
    Article
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  7. Review
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  14. Article
  15. Article
  16. Expressed Emotion Research in India: A Narrative Review.Indian journal of psychological medicine
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Ashley A Moskovicha Department of Psychiatry and Behavioral Sciences , Duke University Medical Center , Durham , North Carolina , USA.
C Alix Timkob Department of Psychology, Towson University , Baltimore , Maryland , USA.
Lisa K Honeycutta Department of Psychiatry and Behavioral Sciences , Duke University Medical Center , Durham , North Carolina , USA.
Nancy L Zuckera Department of Psychiatry and Behavioral Sciences , Duke University Medical Center , Durham , North Carolina , USA.
Rhonda M Merwina Department of Psychiatry and Behavioral Sciences , Duke University Medical Center , Durham , North Carolina , USA.
Duke University Hospital · USDuke Medical Center · USDuke University · USUniversity of the Sciences · US

Funding

Acceptance-Based Separated Family Treatment for Adolescent Anorexia NervosaR21MH085975 · NIMH · TOWSON UNIVERSITY · PI TIMKO, C. ALIX · 2009 to 2010
$406k
NIMH NIH HHS R21 MH085975
6 · The paper itself

Abstract

Expressed emotion (EE) has been associated with poor outcomes in anorexia nervosa (AN); however, whether changes in EE predict superior treatment outcomes is unknown. The current study examined whether decreases in EE during an open trial of a novel family-based treatment for AN predicted symptoms at end of treatment. Forty-seven adolescents (12-18 years of age) with AN or sub-threshold AN and their parents (mothers: n = 47, fathers: n = 39) participated in 6 months of family treatment. Measures of AN symptomatology (Eating Disorder Examination completed by adolescent and end of treatment recovery status) and parental EE (Family Questionnaire completed by parents which measures two facets of EE: critical communication [CC] and emotional over-involvement [EOI]) were collected at baseline and end of treatment. Parental EOI, but not CC, significantly decreased during the course of treatment. Change in mothers', but not fathers', EE accounted for additional variance in AN symptomatology at end of treatment above baseline EE and baseline AN symptom levels. Findings suggest a greater emphasis on parent support during treatment may improve outcomes.

Indexed as

AdolescentAnorexia NervosaChildExpressed EmotionFamily TherapyFathersFemaleHumansMaleMothersTreatment Outcome

Identifiers

PMID27869569
PMCPMC6361377
OpenAlexW2554561160

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.