{
    "abstract": "Research on the engagement of fathers in the treatment of childhood psychiatric disorders is scarce. This study aims to investigate differences between mothers and fathers of adolescents with anorexia nervosa regarding parental burden and effectiveness of a parental skills training.\nNinety-one mother-father dyads caring for a child with anorexia nervosa participated in an 8-week parental skills training and completed a set of questionnaires assessing parental psychopathology, eating disorder related burden, caregiver skills and expressed emotion at baseline and post-intervention.\nFathers showed lower levels of general psychological distress, depression, anxiety and eating disorder related burden as well as lower emotional overinvolvement compared to mothers. The skills training was effective in reducing parental psychopathology, eating disorder-related burden and emotional overinvolvement as well as in increasing caregiver skills with no differences between mothers and fathers. However, session adherence and the willingness to practice skills between the sessions were slightly lower in fathers.\nThese findings show that fathers are a great resource for the child's eating disorder treatment as they may counterbalance maternal emotional overinvolvement and over-protection. Furthermore, this is the first study demonstrating that fathers can profit from a parental skills training for anorexia nervosa in a similar way as mothers.\nEvidence obtained from well-designed cohort or case-control analytic studies.",
    "authors": [
        {
            "affiliation": "Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.",
            "firstname": "Michael",
            "initials": "M",
            "lastname": "Zeiler"
        },
        {
            "affiliation": "Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.",
            "firstname": "Julia",
            "initials": "J",
            "lastname": "Philipp"
        },
        {
            "affiliation": "Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.",
            "firstname": "Stefanie",
            "initials": "S",
            "lastname": "Truttmann"
        },
        {
            "affiliation": "Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.",
            "firstname": "Tanja",
            "initials": "T",
            "lastname": "Wittek"
        },
        {
            "affiliation": "Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.",
            "firstname": "Konstantin",
            "initials": "K",
            "lastname": "Kopp"
        },
        {
            "affiliation": "Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.",
            "firstname": "Gabriele",
            "initials": "G",
            "lastname": "Sch\u00f6fbeck"
        },
        {
            "affiliation": "Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.",
            "firstname": "Dunja",
            "initials": "D",
            "lastname": "Mairhofer"
        },
        {
            "affiliation": "Department for Neurology and Psychiatry of Children and Adolescents, Klagenfurt am W\u00f6rthersee, Austria.",
            "firstname": "Ellen",
            "initials": "E",
            "lastname": "Auer-Welsbach"
        },
        {
            "affiliation": "Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.",
            "firstname": "Eva",
            "initials": "E",
            "lastname": "Staab"
        },
        {
            "affiliation": "Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.",
            "firstname": "Andreas",
            "initials": "A",
            "lastname": "Karwautz"
        },
        {
            "affiliation": "Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. gudrun.wagner@meduniwien.ac.at.",
            "firstname": "Gudrun",
            "initials": "G",
            "lastname": "Wagner"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2023. The Author(s).",
    "doi": "10.1007/s40519-023-01597-6\n10.1016/j.eatbeh.2014.06.001\n10.1002/eat.20488\n10.1080/10640266.2019.1652473\n10.1002/erv.925\n10.1002/eat.22042\n10.1002/eat.23616\n10.1002/eat.22298\n10.1007/s40519-021-01338-7\n10.3390/ijerph18094656\n10.1002/erv.2442\n10.1016/S2352-4642(18)30136-6\n10.1002/jclp.22789\n10.1080/10640266.2019.1678980\n10.1002/eat.20877\n10.1016/j.psychres.2013.07.039\n10.1002/erv.2604\n10.1002/erv.2935\n10.1007/s40519-013-0079-y\n10.1080/15374416.2017.1390756\n10.1111/jocn.16013\n10.1080/10640266.2016.125511\n10.1002/erv.2490\n10.1186/s40337-019-0242-6\n10.3390/jcm9072021\n10.1348/014466505x53902\n10.3390/jcm9030630\n10.1002/erv.2600\n10.1017/s0033291796004242\n10.1186/1477-7525-6-28\n10.1016/j.eatbeh.2022.101695\n10.1002/eat.22362\n10.1002/erv.2817\n10.1016/s0165-1781(02)00023-9\n10.1080/10640266.2017.1289795\n10.1037/a0027930\n10.1037/0893-3200.21.4.683",
    "journal": "Eating and weight disorders : EWD",
    "keywords": [
        "Caregiver skills",
        "Caregivers",
        "Eating disorders",
        "High-expressed emotion",
        "Parental intervention",
        "Sex differences"
    ],
    "methods": null,
    "publication_date": "2023-08-01",
    "pubmed_id": "37526742\n25064301\n18008326\n31414973\n19367608\n22821753\n34672007\n24891101\n35786438\n34854029\n32570930\n33925694\n27037843\n30169278\n31038745\n31617832\n22072411\n23998363\n29902351\n35751865\n24155184\n29077509\n34448286\n27869569\n27943533\n31069078\n32605074\n17147101\n32120847\n29732651\n9122299\n18426597\n36495623\n25351932\n33332684\n11959363\n28632087\n22468881\n18179340",
    "results": "Fathers showed lower levels of general psychological distress, depression, anxiety and eating disorder related burden as well as lower emotional overinvolvement compared to mothers. The skills training was effective in reducing parental psychopathology, eating disorder-related burden and emotional overinvolvement as well as in increasing caregiver skills with no differences between mothers and fathers. However, session adherence and the willingness to practice skills between the sessions were slightly lower in fathers.",
    "title": "Fathers in the spotlight: parental burden and the effectiveness of a parental skills training for anorexia nervosa in mother-father dyads.",
    "xml": "<Element 'PubmedArticle' at 0x7885057d9440>"
}