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Short-term impact of BREF-ED, an early, single-family psychoeducational programme for caregivers of individuals with eating disorders: A retrospective pilot study
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Short-term impact of BREF-ED, an early, single-family psychoeducational programme for caregivers of individuals with eating disorders: A retrospective pilot study
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Short-term impact of BREF-ED, an early, single-family psychoeducational programme for caregivers of individuals with eating disorders: A retrospective pilot study
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Journal Article
Short-term impact of BREF-ED, an early, single-family psychoeducational programme for caregivers of individuals with eating disorders: A retrospective pilot study
2025
Overview
BackgroundThere is an urgent need to improve early accessibility to psychoeducational interventions for informal caregivers of individuals with eating disorders (EDs). We adapted the BREF programme, a short, single-family, psycho-educational intervention originally developed for caregivers in severe mental disorders, to EDs (BREF-ED) and assessed at diagnosis announcement. We hypothesised that it has a good acceptability and effectiveness in reducing short-term caregivers’ self-reported levels of burden and depressive symptoms.MethodsData of caregivers who participated in the BREF-ED programme were analysed. Adherence, satisfaction, and perceived usefulness were evaluated. Changes in self-reported burden and depression symptoms were measured pre-, post-, and 3 months after the intervention using the Zarit Burden Interview (ZBI) and Center for Epidemiological Studies – Depression scale (CES-D).ResultsOf the 53 caregivers included in the study, 52 participants completed the BREF-ED programme. As compared to baseline, ZBI scores showed a significant reduction after the intervention (Cohen’s d = 0.61, p < 0.001), and at the 3-month assessment (Cohen’s d = 0.62, p < 0.001). The CES-D scores also significantly decreased by the end of the third session (Cohen’s d = 0.83, p < 0.001) and at the 3-month follow-up (Cohen’s d = 0.77, p < 0.001). Satisfaction scores were high, with 90.1% of participants reporting being “very satisfied” and 9.9% “satisfied.”ConclusionsPreliminary findings demonstrated high adherence rates, caregiver satisfaction, and a positive impact on burden and related depressive symptoms immediately after the programme and at short-term follow-up. This time- and resource-efficient programme has the potential for easy dissemination.
Publisher
Cambridge University Press
