Evidence map›Paper›PMID 41603114›Full record

Trial reportThe International journal of eating disorders2026

The Impact of Emotion Coaching on Changes in Caregiver Burden and Distress Tolerance During Family-Based Treatment.

Rachel Kramer, Kimberly Stevens, Megan E Mikhail, Daniel Le Grange, Anne Shaffer, Claire M Aarnio-Peterson

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

6 authors.

Rachel KramerDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, California, USA.ORCID 0000-0001-5698-0712
Kimberly StevensCincinnati Children's Hospital Medical Center, Division of Behavioral Medicine and Clinical Psychology, Cincinnati, Ohio, USA.ORCID 0000-0002-7096-4142
Megan E MikhailDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, California, USA.ORCID 0000-0001-9262-3683
Daniel Le GrangeDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, California, USA.ORCID 0000-0001-7293-9496
Anne ShafferDepartment of Psychology, University of Georgia, Athens, Georgia, USA.ORCID 0000-0002-2365-8724
Claire M Aarnio-PetersonCincinnati Children's Hospital Medical Center, Division of Behavioral Medicine and Clinical Psychology, Cincinnati, Ohio, USA.ORCID 0000-0001-8035-2230

Funding

Emotion coaching skills as an augmentation to family based therapy for adolescents with anorexia nervosa: A pilot studyR34MH115897 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI AARNIO-PETERSON, CLAIRE MARIE · 2019 to 2021
$739k
NIMH NIH HHS R34 MH115897
6 · The paper itself

Abstract

objectiveCaregivers often experience elevated stress while supporting a loved one with an eating disorder. This study was a secondary analysis exploring changes in caregiver burden (EDSIS), distress tolerance (DTS), and emotion regulation (ERQ) during family-based treatment (FBT) among caregivers high in expressed emotion (EE) participating in an emotion coaching or control intervention.

methodForty-one adolescents with anorexia nervosa (AN) or atypical AN (M

resultsIn the full sample, EDSIS decreased from baseline to end of treatment (p = 0.008) and end of treatment to 3-month follow up (p = 0.014). However, caregivers in the emotion coaching group experienced greater reductions in EDSIS (β = -0.46 vs. -0.14, p = 0.042) and improvements in DTS (β = 0.25 vs. -0.06, p = 0.042) from baseline to end of treatment than caregivers in the support group. Caregivers did not report significant changes on the ERQ. DISCUSSION: This is among the first studies to demonstrate reductions in caregiver burden during FBT, especially among caregivers who participated in an emotion coaching group focused on validation and communication skills. Emotion coaching interventions may support FBT outcomes among caregivers high in EE while reducing caregiver burden and distress.

Indexed as

Anorexia NervosaCaregiversEmotional RegulationExpressed EmotionFamily TherapyMentoringPsychological DistressStress, PsychologicalAdolescentFemaleHumansMaleanorexia nervosacaregiversdistress toleranceemotion coachingexpressed emotionfamily‐based treatmenttreatment

Identifiers

PMID41603114
PMCPMC13147135

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Registered trials

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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.