Malestar psicológico y emoción expresada en cuidadores de pacientes con un trastorno de la conducta alimentaria

• Autores: Brígida Pérez-Pareja, Yolanda Quiles Marcos, Cristina Romero, Lidia Pamies Aubalat, María José Quiles Sebastián
• Localización: Anales de psicología, ISSN-e 1695-2294, ISSN 0212-9728, Vol. 30, Nº. 1, 2014, págs. 37-45
• Idioma: español
• DOI: 10.6018/analesps.30.1.149411
• Enlaces
  • Texto completo
• Dialnet Métricas: 3 Citas
• Resumen
  • español

    El objetivo principal del presente estudio fue evaluar el nivel de emoción expresada y de malestar psicológico en cuidadores de pacientes con un trastorno de la conducta alimentaria, considerando las diferencias en función de las características sociodemográficas y clínicas. Participaron 53 cuidadores de pacientes con un trastorno de la conducta alimentaria que es-taban siendo atendidas en la unidad de trastornos alimentarios del hospital de San Juan, Alicante. El 39.6% de los cuidadores fueron hombres y el 60.4% mujeres con edades comprendidas entre los 23 y los 69 años. El cuestionario utilizado para evaluar la emoción expresada fue el de Nivel de Emoción Expresada, (LEE) y para evaluar el malestar psicológico utiliza-mos la Escala de Ansiedad y Depresión Hospitalaria (HADS) y un cuestio-nario de salud general, (GHQ-12). Los resultados mostraron que no había diferencias estadísticamente significativas atendiendo al diagnóstico de la paciente, edad de los cuidadores y cuidadores primarios y secundarios, sin embargo se encontraron diferencias significativas en relación al género del cuidador, parentesco y al tiempo de evolución del problema. Además, los cuidadores con mayor emoción expresada presentaban más ansiedad y de-presión que los cuidadores con menor emoción expresada

  • English

    The main objective of this study was to evaluate the level of ex-pressed emotion and psychological distress in caregivers of patients with an eating disorder, considering the differences in terms of sociodemographic and clinical characteristics. Fifty-three caregivers of patients with an eating disorder participed. The 39.6% of caregivers were men and 60.4% women, aged between 23 and 69 years old. The questionnaire used to assess ex-pressed emotion was the Spanish version of the Level of Expressed Emo-tion (LEE) and for assessing distress the Spanish version of the Hospital Anxiety and Depression scale (HADS) and the General Health Question-naire (GHQ-12). The results showed no statistically significant differences in expressed emotion in relation to the patient diagnosis and age of the caregivers. Significant differences were found regarding the type of rela-tionship, the gender of the caregiver and illness duration; the caregivers with higher EE had more anxiety and depression than caregivers with low-er EE

• Referencias bibliográficas
  • Barrowclough, C. y Hooley, J. M. (2003). Attributions and expressed emo-tion: A review. Clinical Psychology Review, 23, 849-880.
  • Bebbington, P. y Kuipers, L. (1994). The predictive utility of expressed emo-tion in schizophrenia: An aggregate analysis. Psychological Medicine,...
  • Bergh, C., Brodin, U., Lindberg, G. y Södersten, P. (2002). Randomized controlled trial of a treatment for anorexia and bulimia nervosa. Proceed-ing...
  • Besharat, M. A., Eisler, I. y Dare, C. (2001). The self- and other- blame scale (SOBS). The background and presentation of a new instrument...
  • Birmingham, C., Su, J., Hlynsky, J., Goldner, E. y Gao, M. (2005). The mor-tality rate from anorexia nervosa. International Journal of Eating...
  • Boye, B., Bentsen, H., Notland, T., Munkvold, O., Lersbryggen, A., Os-karsson, K., Uren, G., Ulstein, I., Bjorge, H., Lingjaerde, O. y Malt,...
  • Brown, G. W., Carstairs, G. M. y Topping, G. (1958). Post-hospital adjust-ment of chronic patients. The Lancet, 2, 685-689.
  • Butzlaff, R. L. y Hooley, J. M. (1998). Expressed emotion and psychiatric re-lapse. A meta-analysis. Archives of General Psychiatry, 55, 547-552.
  • Cole, J. D. y Kazarian, S. S. (1988). The Level of Emotion Expressed Scale: A new measure of expressed emotion. Journal of Clinical Psychology,...
  • Chambless, D. y Steketee, G. (1999). Expressed emotion and behavior ther-apy outcome: A prospective study with obsessive-compulsive and ago-raphobic...
  • Cotte-Lane, D., Pistrang, N. y Bryant-Waugh, R. (2004). Childhood onset anorexia nervosa: The experience of parents. European Eating Disorders...
  • Cummings, M. M., Johnson, C., Bradley, K., Leatherwood, D. y Guzzetta, C. (2001). Developing and implementing a comprehensive program for...
  • Gilbert, A. A., Shaw, S. M. y Notar, M. K. (2000). The impact of eating dis-orders on family relationship. International Journal of Eating...
  • Goldberg, D. P. y Williams, P. (1988). A User's Guide to the General Health Questionnaire, Windsor: NFER-Nelson.
  • Haigh, R. y Treasure, J. (2003). Investigating the needs of carers in the area of eating disorders: Development of the Careers Needs Assessment...
  • Herzog, B. D., Greenwood, D. N., Darer, D. J., Flores, A. T., Ekeblad, E. R. y Richards, A. (2000). Mortality in eating disorders: a descriptive...
  • Highet, N., Thompson, M. y King, R. M. (2005). The experience of living with a person with an eating disorder: The impact on the careers....
  • Hinrichsen, G. y Pollack, S. (1997). Expressed emotion and the course of late-life depression. Journal of Abnormal Psychology, 106, 336-340.
  • Hooley, J. y Teasdale, J. (1989). Predictors of relapse in unipolar depressives: Expressed emotion, marital distress, and perceived criticism....
  • Holtkamp, K., Herpertz-Dahlmann, B. y Vloet, T. (2005). Group psy-choeducation for parent of adolescents with eating disorders: the Aa-chen...
  • Hoste, R. R., Labuschagne, Z., Lock, J. L. y Le Grange, D. (2012). Cultural Variability in expressed emotion among families of adolescents...
  • Huke, K. y Slade, P. (2006). An exploratory investigation of the experiences of partners living with people with have bulimia nervosa. European...
  • Kazarian, S., Malla, A., Cole, J. y Baker, B. (1990). Comparisons of two ex-pressed emotion scales with the camberwell family interview. Journal...
  • King, S., Richard, N., Rochon, V., Steiger, H. y Neils, S. (2003). Determi-nants of expressed emotion in mothers of schizophrenia patients....
  • Le Grange, D., Eisler, I., Dare, C. y Hodes, M. (1992). Family criticism and self-starvation: A study of expressed emotion. American Journal...
  • Linszen, D., Dingemans, P., Nugter, M., Van der Does, A., Scholte, W. y Lenior, M. (1997). Patient attributes and expressed emotion as risk...
  • López-Roig, S., Terol, M. C., Pastor, M. A., Massutí, B., Rodríguez-Marín, J., Neipp, M. C., Leyda, J. I., Martín-Aragón, M. y Sitges, E....
  • McMaster, R., Beale, B., Hillege, S. y Nagy, S. (2004). The parent experience of eating disorders: Interactions with health professionals....
  • Medina, C., Grau, A., Navarro, J. B., Sánchez-Ostiz, M. P., Gago, M., Her-nández, G., Montero, M. I., Obiols, J. E. y Sánchez, M. (2009)....
  • Muscari, M. (2002). Effective management of adolescents with anorexia and bulimia. Journal of Psychosocial Nursing and Mental Health Services,...
  • Quiles, Y. y Terol, M. C. (2008). Afrontamiento y trastornos de la conducta alimentaria: Un estudio de revisión. Revista Latinoamericana de...
  • Quiles, Y., Terol, M. C. y Marzo, J. C. (2009). Representación de la enferme-dad, afrontamiento y ajuste en los trastornos alimentarios. Clínica...
  • Quintana, J. M., Padierna, A., Esteban, C., Aróstegui, I., Bilbao, A. y Ruiz, I. (2003). Evaluation of the psychometric characteristics of...
  • Rocha, B., Pérez, K., Rodriguez-Sanz, M., Borrell, C. y Obiols, J. (2011). Propiedades psicométricas y valores normativos del General Health...
  • Scazufca, M. y Kuipers, E. (1996). Links between expressed emotion and burden of care in relatives of patients with schizophrenia. The British...
  • Schmidt, U. y Treasure, J. (2006). Anorexia nervosa: Valued and visible. A cognitive- interpersonal maintenance model and its implications...
  • Sepúlveda, A. R., Anastasiadou, D., del Río, A. M. y Graell, M. (2011). The Spanish Validation of Level of Expressed Emotion for Families...
  • Sepúlveda, A. R., Graell, A. M., Berbel, E., Anastasiadou, D., Botella, J. y Morande. (2012). Factors associated with emotional well-being...
  • Sharkey-Orgeo, M. I. (1999). Anorexia nervosa: A qualitative analysis of par-ent́s perspectives on recovery. International Journal of Eating...
  • Strober, M. (2004). Managing the chronic treatment-resistant patient with anorexia nervosa. International Journal of Eating Disorder, 36,...
  • Terol, M. C., López-Roig, S., Rodríguez-Marín, J., Martín-Aragón, M., Pas-tor, M. A. y Reig, M. T. (1997). Hospital Anxiety and Depression...
  • Terrier, N., Barrowclough, C., Ward, J., Donaldson, C., Burns, A. y Gregg, L. (2002). Expressed emotion and attributions in the carers of...
  • Tierney, S. (2005). The treatment of adolescent anorexia nervosa: A qualita-tive study of the views of parents. International Journal of Eating...
  • Treasure, J., Gavan, K., Tood, G. y Schmidt, U. (2003). Changing the envi-ronment in eating disorders: Working with carers/families to improve...
  • Treasure, J., Murphy, T., Szmukler, G., Todd, G., Gavan, K. y Joyce, J. (2001). The experience of caregiving for severe mental illness: A...
  • Van Furth, E. F., Van Strien, D. C., Marina, L. M., Van Son, M. J., Hendri-ckx, J. J. y Van Engeland, H. (1996). Expressed Emotion and the...
  • Vaughn, C. y Leff, J. (1976). The measurement of Expressed Emotion in the families of psychiatric patients. The British Journal of Psychiatry,...
  • Wagner, A. W., Logsdon, R. G. y Pearson, J. L. (1997). Caregiver expressed emotion and depression in Alzheimeŕs disease. Aging and Mental...
  • Wearden, A., Tarrier, N., Barrowclouch, C., Zastowny, T. R. y Rahill, A. A. (2000). A review of expressed emotion research in health care....
  • Whitney, J. B., Haigh, R., Weinman, J. y Treasure, J. (2007). Caring for peo-ple with eating disorders: Factors associated with psychological...
  • Whitney, J., Murray, J., Gavan, K., Todd, G., Whitaker, W. y Treasure, J. (2005). Experience of caring for someone with anorexia nervosa:...
  • Winn, S., Perkins, S., Murray, J., Murphy, R. y Schmidt, U. (2004). A qualita-tive study of the experience for caring of a person with bulimia...
  • Zabala, M. A., Macdonald, P. y Treasure, J. (2009). Appraisal of caregiving burden, expressed emotion and psychological distress in families...
  • Zigmond, A. S. y Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta de Psiquiatría Escandinava, 67, 361-370.
  • Zucker, N. L., Marcus, M. y Bulik, C. (2006). A group parent-training pro-gram: A novel approach for eating disorders management. Eating and...