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Severe chronic psychiatric disorders are known to be linked with the concept of grief. Grief has not been investigated in AN. The aim of this study was to explore parents\u2019 and adolescents\u2019 characteristics that may be related to parental burden and grief in AN, and the link between these two dimensions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Eighty mothers, 55 fathers and their adolescents (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009 = \u200984) hospitalized for AN participated in this study. Evaluations of clinical characteristics of the adolescent\u2019s illness were completed, as well as self-evaluations of adolescent and parental emotional distress (anxiety, depression, alexithymia). Levels of parental burden were evaluated with the Experience of Caregiving Inventory and levels of parental grief with the Mental Illness Version of the Texas Revised Inventory of Grief.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Main findings indicated that the burden was higher in parents of adolescents with a more severe AN; fathers\u2019 burden was also significantly and positively related to their own level of anxiety. Parental grief was higher when adolescents\u2019 clinical state was more severe. Paternal grief was related to higher anxiety and depression, while maternal grief was correlated to higher alexithymia and depression. Paternal burden was explained by the father\u2019s anxiety and grief, maternal burden by the mother\u2019s grief and her child\u2019s clinical state.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Parents of adolescents suffering from AN showed high levels of burden, emotional distress and grief. These inter-related experiences should be specific targets for intervention aimed at supporting parents. Our results support the extensive literature on the need to assist fathers and mothers in their caregiving role. This in turn may improve both their mental health and their abilities as caregivers of their suffering child.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III: Evidence obtained from cohort or case-control analytic studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40519-023-01530-x","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T11:45:07Z","timestamp":1677152707000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Caregivers in anorexia nervosa: is grief underlying parental 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