Comorbidity of partial and subthreshold ptsd among men and women with eating disorders in the national comorbidity survey‐replication study

Mitchell, Karen S.; Mazzeo, Suzanne E.; Schlesinger, Michelle R.; Brewerton, Timothy D.; Smith, Brian N.

doi:10.1002/eat.20965

Cited by 208 publications

(193 citation statements)

References 49 publications

(62 reference statements)

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“…Partner's response to the pregnancy was reported by women themselves; therefore, results including this variable might be due to shared method variance. A high prevalence of interpersonal trauma and PTSD has been observed among women with ED, and both depression and anxiety are known to be highly comorbid with an ED diagnosis, all of which may also increase vulnerability for IPV 37. Women with ED are known to suffer from high comorbidity; therefore, adjusting for this would result in unrepresentative findings applicable to only a subgroup of women who have experienced ED only, without comorbidity.…”

Section: Discussionmentioning

confidence: 99%

Intimate partner violence among women with eating disorders during the perinatal period

Kothari¹,

Easter²,

Lewis³

et al. 2015

Intl J Eating Disorders

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Objective Prevalence of intimate partner violence (IPV) during pregnancy is estimated to be 4%–8%. Women with mental health difficulties are at increased risk for IPV during the perinatal period. Prevalence of IPV is high among women with eating disorders (ED); however, prevalence of IPV during the perinatal period among women with ED is unknown.Method We studied women from a population‐based cohort, the Avon Longitudinal Study of Parents and Children. Prevalence and odds of physical and emotional IPV during and after the perinatal period was investigated among women with lifetime ED, with (n = 174) or without pregnancy shape and weight concern and/or purging behaviors (n = 189), and women with no ED (n = 8723).Results Women with lifetime ED showed higher prevalence of IPV during and after the perinatal period (physical = 9.6%–14.3% and emotional = 24.1%–28.1%). Lifetime ED was associated with higher odds of physical IPV during the perinatal period (odds ratio: 2.34, 95% confidence interval: 1.11–4.93, p = .03). Lifetime ED with and without pregnancy shape and weight concerns and/or purging was associated with higher odds of IPV after the perinatal period, and higher odds of reporting emotional IPV at all time points. Associations were moderated by partner's response to pregnancy and maternal experience of childhood sexual abuse.Discussion Mothers with ED and their children may be vulnerable to negative effects due to maternal ED and IPV combined, both of which have been associated with severe and long‐lasting harmful consequences. Partner's response to pregnancy and maternal experience of childhood sexual abuse might contribute to the association between ED and IPV perinatally. © 2015 The Authors. International Journal of Eating Disorders published by Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:727–735)

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Section: Discussionmentioning

confidence: 99%

Intimate partner violence among women with eating disorders during the perinatal period

Kothari¹,

Easter²,

Lewis³

et al. 2015

Intl J Eating Disorders

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“…Although they do not share core criteria, numerous features of ED and PTSD overlap (Mitchell, Mazzeo, Schlesinger, Brewerton & Smith, 2012), some of which are discussed below, including trauma history, dissociation, and avoidance.…”

Section: Commonalities Between Ed and Ptsdmentioning

confidence: 99%

“…The majority of research evidence suggests that trauma histories are more often associated with ED with bulimic symptoms such as BN, AN binge-purge type, BED or EDNOS with bulimic features than with AN restricting type or EDNOS not associated with bulimic symptoms (Brewerton, 2004(Brewerton, , 2005(Brewerton, , 2006Grilo & Masheb, 2002;Wonderlich et al, 1997). For example, with data from the National Comorbidity Replication Study with both male (n = 2382) and female (n = 3310) participants, Mitchell et al (2012) demonstrated the rates of nearly all trauma types assessed were higher among participants with BN and BED, compared with the general population. This finding was particularly salient regarding interpersonal traumas suggesting that men and women with ED have high rates of trauma perpetrated by others, especially those participants with BN and BED.…”

Section: Trauma Historymentioning

confidence: 99%

“…In spite of the generally high comorbidity rates between ED and PTSD, this remains a relatively understudied area (Mitchell et al, 2012). As discussed above, histories of CSA are among the most strongly implicated risk factors (Briere & Scott, 2007;Ackard & NeumarkSztainer, 2003;Wonderlich et al, 2001), as well as histories of emotional maltreatment, sexual assault as an adult, and exposure to violence (Dansky, Brewerton, Kirkpatrick & O'Neil, 1997;Neumark-Sztainer et al, 2000;Schmidt, Tiller & Treasure, 1993).…”

Section: Comorbiditymentioning

confidence: 99%

“…As is the case with most complex psychiatric disorders, the etiology of PTSD and ED does not put forward a uniform conceptualization. The origin and maintenance of patterns of comorbidity is likely to depend partly on the interplay between psychosocial and biological factors (Mitchell et al 2012). …”

Section: Comorbiditymentioning

confidence: 99%

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Posttraumatic Eating Disorders (PTED): Perceived Causal Relations Between Trauma-related Symptoms and Eating Disorders

Thornley¹,

Frewen²

2016

Personality and Individual Differences

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Posttraumatic stress disorder (PTSD) and eating disorders (ED) are frequently comorbid psychological conditions in persons who have experienced traumatic life events. This thesis investigates a gendered analysis of the co-occurrence of symptoms of ED, PTSD, and dissociation using Perceived Causal Relations (PCR) scaling in a convenience sample recruited online (n = 523) as well as in persons seeking inpatient treatment for ED (n = 12). Within the internet community sample, re-experiencing, avoidance and dissociative experiences were found to mediate the relationship between trauma history and ED symptoms in men and women.Although dissociation was a consistent mediator in this relationship, it was not perceived as a significantly greater cause of ED-related behaviours than vice versa on PCR. Within the clinical sample, ED-related behaviours were often perceived as effects of trauma-related, anxiety and mood symptoms. The implications of these results for understanding the comorbidity of ED and trauma-related symptoms are discussed.

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Screening for Eating Disorders in Adolescents and Adults

Davidson

Barry

Mangione

et al. 2022

JAMA

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ImportanceEating disorders (eg, binge eating disorder, bulimia nervosa, and anorexia nervosa) are a group of psychiatric conditions defined as a disturbance in eating or eating-related behaviors that impair physical or psychosocial functioning. 1,2 The prevalence of eating disorders in the US has not been well studied; thus, current rates may underestimate the true burden of disease. According to large US cohort studies, estimated lifetime prevalences for anorexia nervosa, bulimia nervosa, and binge eating disorder in adult women are 1.42%, 0.46%, and 1.25%, respectively, and are lower in adult men (anorexia nervosa, 0.12%; bulimia nervosa, 0.08%; binge eating disorder, 0.42%). Eating disorder prevalence ranges from 0.3% to 2.3% in adolescent females and 0.3% to 1.3% in adolescent males. 1,3 Eating disorders are associated with short-term and long-term adverse health outcomes, including physical, psychological, and social problems. 1 IMPORTANCE Eating disorders (eg, binge eating disorder, bulimia nervosa, and anorexia nervosa) are a group of psychiatric conditions defined as a disturbance in eating or eating-related behaviors that impair physical or psychosocial functioning. According to large US cohort studies, estimated lifetime prevalences for anorexia nervosa, bulimia nervosa, and binge eating disorder in adult women are 1.42%, 0.46%, and 1.25%, respectively, and are lower in adult men (anorexia nervosa, 0.12%; bulimia nervosa, 0.08%; binge eating disorder, 0.42%). Eating disorder prevalence ranges from 0.3% to 2.3% in adolescent females and 0.3% to 1.3% in adolescent males. Eating disorders are associated with short-term and long-term adverse health outcomes, including physical, psychological, and social problems. OBJECTIVEThe US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the benefits and harms of screening for eating disorders in adolescents and adults with a normal or high body mass index. Evidence limited to populations who are underweight or have other physical signs or symptoms of eating disorders was not considered. The USPSTF has not previously made a recommendation on this topic.POPULATION Adolescents and adults (10 years or older) who have no signs or symptoms of eating disorders (eg, rapid weight loss, weight gain, or pronounced deviation from growth trajectory; pubertal delay; bradycardia; oligomenorrhea; and amenorrhea). EVIDENCE ASSESSMENTThe USPSTF concludes that the evidence is insufficient to assess the balance of benefits and harms of screening for eating disorders in adolescents and adults. The evidence is limited and the balance of benefits and harms cannot be determined.RECOMMENDATION The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for eating disorders in adolescents and adults. (I statement)

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Comorbidity of partial and subthreshold ptsd among men and women with eating disorders in the national comorbidity survey‐replication study

Cited by 208 publications

References 49 publications

Intimate partner violence among women with eating disorders during the perinatal period

Intimate partner violence among women with eating disorders during the perinatal period

Posttraumatic Eating Disorders (PTED): Perceived Causal Relations Between Trauma-related Symptoms and Eating Disorders

Screening for Eating Disorders in Adolescents and Adults

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