{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T22:32:23Z","timestamp":1790461943617,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,4,1]],"date-time":"2016-04-01T00:00:00Z","timestamp":1459468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Institute for Health Research (NIHR) under its Research for Patient Benefit programme","award":["PB-PG-0609-19025"],"award-info":[{"award-number":["PB-PG-0609-19025"]}]},{"DOI":"10.13039\/501100000764","name":"King's College London","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000764","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Psychiatry Research Trust (Grant reference 29)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The study aimed to examine caregiving burden and levels of distress, accommodating behaviours, expressed emotion (EE) and carers' skills, in parents of adolescents with anorexia nervosa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A semi\u2010structured interview assessed the objective burden (time spent across caregiving tasks) in parents (<jats:italic>n<\/jats:italic>\u2009=\u2009196) of adolescents (<jats:italic>n<\/jats:italic>\u2009=\u2009144) receiving outpatient treatment for anorexia nervosa. Subjective burden (carers' distress), accommodating behaviours, EE and carers' skills were measured by self\u2010report.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mothers, on average, spent 2.5\u2009h\/day of care, mainly providing food and emotional support, compared with 1\u2009h\/day by fathers. The level of distress and accommodating behaviour was significantly lower in fathers than in mothers. Accommodating behaviours mediated the relationship between objective burden and subjective burden in mothers, whereas EE and carers' skills did not mediate this relationship for either parent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The objective burden for most mothers is high. In order to reduce subjective burden, it may be helpful to target accommodating behaviours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial Registration<\/jats:title><jats:p>ISRCTN83003225 \u2010 Expert Carers Helping Others (ECHO). Copyright \u00a9 2016 John Wiley &amp; Sons, Ltd and Eating Disorders Association<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2442","type":"journal-article","created":{"date-parts":[[2016,4,2]],"date-time":"2016-04-02T17:38:49Z","timestamp":1459618729000},"page":"310-319","source":"Crossref","is-referenced-by-count":59,"title":["The Objective and Subjective Caregiving Burden and Caregiving Behaviours of Parents of Adolescents with Anorexia Nervosa"],"prefix":"10.1002","volume":"24","author":[{"given":"Charlotte","family":"Rhind","sequence":"first","affiliation":[{"name":"Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Salerno","sequence":"additional","affiliation":[{"name":"Department of Psychological and Educational Sciences University of Palermo  Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Hibbs","sequence":"additional","affiliation":[{"name":"Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Micali","sequence":"additional","affiliation":[{"name":"Behavioural and Brain Sciences Unit, Institute of Child Health University College London  London UK"},{"name":"Department of Psychiatry Icahn School of Medicine at Mount Sinai  New York NY US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Gowers","sequence":"additional","affiliation":[{"name":"Adolescent Psychiatry University of Liverpool  Chester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Macdonald","sequence":"additional","affiliation":[{"name":"Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Goddard","sequence":"additional","affiliation":[{"name":"Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian","family":"Todd","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Tchanturia","sequence":"additional","affiliation":[{"name":"Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"},{"name":"Ilia State University  Tbilisi Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Lo Coco","sequence":"additional","affiliation":[{"name":"Department of Psychological and Educational Sciences University of Palermo  Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[{"name":"Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4]]},"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","volume-title":"Diagnostic and statistical manual of mental disorders","author":"APA","year":"1994"},{"key":"e_1_2_6_4_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"APA","year":"2013"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.51.6.1173"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.637"},{"key":"e_1_2_6_7_1","volume-title":"Personal Social Services Research Unit, (Discussion Paper 1536). University of Kent at Canterbury","author":"Beecham J.","year":"1999"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2014.925760"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-012-0524-7"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1469-7610.00660"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2007.01726.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.99.1.20"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22172"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2000.tb02345.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.804"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.487"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22362"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260591005227"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-008-0456-4"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2014.971458"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000161647.82775.0a"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000215152.61400.ca"},{"key":"e_1_2_6_23_1","volume-title":"Manual for the Depression Anxiety Stress Scales (DASS)","author":"Lovibond S. H.","year":"1993"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(94)00075-U"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0349.2004.00310.x"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2011.06.011"},{"key":"e_1_2_6_27_1","volume-title":"EUROHIS: Developing Common Instruments for Health Surveys","author":"Meltzer H","year":"2003"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102013\u2010002646"},{"key":"e_1_2_6_29_1","volume-title":"Cognitive\u2010behavioural treatment of childhood OCD: It's only a false alarm, therapist guide","author":"Piacentini J.","year":"2007"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22068"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/2040\u20102392\u20105\u201056"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2298"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u20109\u2010171"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.2307\/270723"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2010.08.005"},{"key":"e_1_2_6_36_1","volume-title":"The clinician's guide to collaborative caring in eating disorders","author":"Treasure J.","year":"2010"},{"key":"e_1_2_6_37_1","first-page":"1","article-title":"Collaborative care: The New Maudsley Model","volume":"26","author":"Treasure J.","year":"2015","journal-title":"Eating Disorders"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1781(02)00023-9"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.925"}],"container-title":["European Eating Disorders Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Ferv.2442","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/erv.2442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T20:26:21Z","timestamp":1696537581000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/erv.2442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1002\/erv.2442"],"URL":"https:\/\/doi.org\/10.1002\/erv.2442","archive":["Portico"],"relation":{},"ISSN":["1072-4133","1099-0968"],"issn-type":[{"value":"1072-4133","type":"print"},{"value":"1099-0968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4]]}}}