{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:04:37Z","timestamp":1765807477881,"version":"3.37.3"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,11,8]],"date-time":"2017-11-08T00:00:00Z","timestamp":1510099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council of Canada","doi-asserted-by":"publisher","award":["410\u20102005\u20100602"],"award-info":[{"award-number":["410\u20102005\u20100602"]}],"id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Collaborative support provided by carers (family and friends) of individuals with eating disorders has been shown to be integral to patient motivation and clinical outcome. Little is known about factors that contribute to carers\u2019 use of collaborative, as opposed to directive, support stance. This exploratory research investigated associations between patient characteristics and carers\u2019 support beliefs and behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Eating disorder patients (<jats:italic>n =<\/jats:italic> 72) completed measures of readiness for change, eating disorder, and psychiatric symptom severity, and interpersonal functioning. Their carers (<jats:italic>n =<\/jats:italic> 72) completed measures of collaborative and directive support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patient demographic variables, readiness for change, and psychiatric symptom severity were not associated with carer beliefs or behaviors. However, some patient interpersonal functioning scores were; higher Domineering\/Controlling scores were associated with carers viewing directive support as more helpful, and with their use of more directive support behaviors. Higher Vindictive\/Self\u2010Centered and Intrusive\/Needy scores in patients were also associated with carers viewing directive support as more helpful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This exploratory study suggests that carers may be more prone to utilizing a directive, rather than a collaborative, support stance with patients experiencing higher levels of threat, anger, and hostility, and lower levels of safety, closeness, and trust.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22791","type":"journal-article","created":{"date-parts":[[2017,11,8]],"date-time":"2017-11-08T15:12:49Z","timestamp":1510153969000},"page":"71-76","source":"Crossref","is-referenced-by-count":3,"title":["The relation between patient characteristics and their carers\u2019 use of a directive versus collaborative support stance"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2495-1789","authenticated-orcid":false,"given":"Josie","family":"Geller","sequence":"first","affiliation":[{"name":"St. Paul's Hospital Eating Disorders Program Vancouver British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megumi","family":"Iyar","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Eating Disorders Program Vancouver British Columbia, Canada"},{"name":"Department of Educational and Counselling Psychology, and Special Education University of British Columbia Vancouver British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suja","family":"Srikameswaran","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Eating Disorders Program Vancouver British Columbia, Canada"},{"name":"Department of Psychiatry University of British Columbia Vancouver British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Zelichowska","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Eating Disorders Program Vancouver British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan","family":"Zhou","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Eating Disorders Program Vancouver British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin C.","family":"Dunn","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Eating Disorders Program Vancouver British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2014.06.001"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-0606.2006.tb01621.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-618X.1987.tb00639.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260600638915"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2012.02.020"},{"volume-title":"BSI Brief Symptom Inventory: Administration, scoring, and procedure manual","year":"1993","author":"Derogatis L. 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M.","key":"e_1_2_6_9_1"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0735-7028.34.4.406"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.13.2.189"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260490490438"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22695"},{"issue":"5","key":"e_1_2_6_14_1","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1002\/eat.22607","article-title":"Support stance in carers of adults with eating disorders: Factors associated with collaborative versus directive approaches","volume":"50","author":"Geller J.","year":"2016","journal-title":"International Journal of Eating Disorders"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.2005.24.5.691"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.56.6.885"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2016.10.001"},{"issue":"4","key":"e_1_2_6_18_1","first-page":"331","article-title":"Interpersonal maintaining factors in eating disorder: Skill sharing interventions for carers","volume":"1","author":"Treasure J.","year":"2016","journal-title":"International Journal of Child and Adolescent Health"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203945896"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22266"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Feat.22791","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.22791","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T09:06:21Z","timestamp":1695978381000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.22791"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,8]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1002\/eat.22791"],"URL":"https:\/\/doi.org\/10.1002\/eat.22791","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"type":"print","value":"0276-3478"},{"type":"electronic","value":"1098-108X"}],"subject":[],"published":{"date-parts":[[2017,11,8]]}}}