Coping strategies and social support as predictors and mediators of eating disorder carer burden and psychological distress

Purpose Caring for someone with an eating disorder is associated with a high level of burden and psychological distress. Whilemodels for the prediction of carer burden have previously been investigated, these have typically neglected the role of coping strategies and social support. Thus, the current study will examine predictors of both carer burden and carer psychological distress in eating disorder carers. Further, the mediating roles of coping strategies and social support will be investigated. Methods Fifty-six carers completed a self-report questionnaire assessing burden, psychological distress, needs, expressed emotion, coping strategies and social support. Results Use of maladaptive coping strategies was a unique predictor of both burden and psychological distress. Further, maladaptive coping was a consistent mediator on the outcome of carer burden. Social support, however, did not significantly predict, or mediate, carer burden. Conclusions Interventions focusing on teaching appropriate coping strategies would benefit carers