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An investigation of relatives controlling beliefs and behaviours in patients with bulimia nervosa.

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  • Author(s): Wood, Sarah. The University of Manchester (United Kingdom), Department not provided, United Kingdom
  • Source:
    Dissertation Abstracts International Section C: Worldwide, Vol 75(4-C), 2018.
  • Publisher:
    US : ProQuest Information & Learning
  • Language:
  • Document Type:
  • Publication Type:
    Dissertation Abstract
  • Additional Information
    • ISSN:
      1042-7279 (Print)
    • ISBN:
    • Keywords:
      relatives, beliefs, bulimia nervosa, self-esteem
    • Abstract:
      Interpersonal factors have recently been emphasised in models of bulimia nervosa. Expressed emotion (EE) in relatives is a reliable measure of the patient's interpersonal environment and has been shown to predict outcome. In schizophrenia, relatives' beliefs and behaviours have been linked to the EE scale of criticism, such that those who believe the patient is capable of controlling their disorder have been shown to be more critical and controlling of the patient's behaviour. Controlling behaviour was predictive of relapse. Bulimia nervosa patients may be particularly sensitive to issues of control, due to their negative impact on self-esteem. EE, attributions and behavioural control were investigated in 33 relatives of patients with bulimia nervosa. The results showed that high EE (critical) relatives attributed more control to patients and were more controlling of them compared to low EE relatives. There was a significant positive correlation between attributions of control and controlling behaviour. EE, attributions and behavioural control were not predictive of outcome, contrary to previous research. Limitations of the study such as small sample size and the measure of outcome used are discussed. The results support an attributional theory of EE and the implications for possible interventions are considered. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
    • Dissertation Details:
      UMI Order Number: AAI10729499
      Degree: Clin.Psy.D., 2004
      Institution: The University of Manchester (United Kingdom)
      Department: Department not provided
    • Subject Terms:
    • PsycINFO Classification:
      Health & Mental Health Treatment & Prevention (3300)
    • Population:
    • Age Group:
      Adulthood (18 yrs & older)
    • Methodology:
      Empirical Study; Qualitative Study
    • Physical Description:
    • Publication Date:
    • Accession Number: