Coping with childhood maltreatment: Avoidance and eating disorder symptoms

Rosenbaum, Diane L.; White, Kamila S.; Artime, Tiffany M.

doi:10.1177/1359105320937068

Cited by 8 publications

(5 citation statements)

References 40 publications

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“…Findings underscore that CT in itself does not equal post-traumatic sequelae, but that mediators such as PTSD, emotion dysregulation, and/or interpersonal difficulties may be at play to complicate and prolong the treatment course. This concurs with research suggesting that PTSD, emotional dysregulation, interpersonal difficulties, and avoidant personality styles mediate CT’s impact on ED development, severity, and chronicity [ 2 , 10 , 12 , 13 ].…”

Section: Discussionsupporting

confidence: 87%

“…A network analysis of ED and PTSD bridge symptoms found associations between bingeing and irritability, body dissatisfaction and distressing dreams, and shape difficulties and concentration difficulties [ 11 ]. CT in EDs also associate with avoidant coping and ED symptoms in a dose–response manner [ 12 ], supporting that childhood sexual abuse with avoidant personality predict ED chronicity [ 13 ]. In fact, avoidance, rumination and suppression of emotional expression are all linked to increased ED severity.…”

Section: Introductionmentioning

confidence: 99%

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Covert therapeutic micro-processes in non-recovered eating disorders with childhood trauma: an interpersonal process recall study

et al. 2022

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Method To uncover therapeutic micro-processes from the perspectives of eating disorder (ED) treatment non-responders with childhood trauma (CT) late effects, we explored in-session experiences of poor long-term outcome patients. Female inpatients aged 28–59 (M = 40.2, SD = 5.0) from a randomised trial comparing Compassion Focused Therapy for EDs (n = 3) with Cognitive Behavioural Therapy for EDs (n = 3) were interviewed with video-assisted recall about a self-selected session. Data were analysed through Interpretative Phenomenological Analysis (IPA) with Grounded Theory (GT) elements. Results Covert patient strategies included self-effacement, regulating therapeutic distance to open up, and engaging with reflective rather than experiential interventions. First, self-effacement included submissive, passive or pretend responses to perceived criticising or violating therapist behaviours as well as other orientation and submission for approval. Second, some preferred a close patient–therapist alliance with therapist self-disclosure and reciprocity was a requirement for opening up; others required distance. Third, informants detached from experiential trauma work while engaging in joint reflection on post-trauma responses. Conclusion Informants were preoccupied with calibrating the emotional–relational landscape in session; we hypothesized that psychological insecurity and affective intolerance from CT limit their freedom to explore own in-session experiences.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Covert therapeutic micro-processes in non-recovered eating disorders with childhood trauma: an interpersonal process recall study

et al. 2022

View full text Add to dashboard Cite

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“…Another meta-analysis by Molendjik et al [14] demonstrated that individuals with EDs have experienced CT twice to four times more frequently, and more severely compared to healthy controls. Individuals with EDs who have been exposed to CT were found to experience an early onset and severe pathology of the disease, poor treatment outcomes, as well as high dropout rates [14,[16][17][18][19]. This implies that the treatments available and recommended for individuals with EDs (e.g., [20]) may be less suitable for treating the complex clinical presentations of EDs combined with CT.…”

Section: The Relationship Between Ct and Eds Among Adolescentsmentioning

confidence: 99%

The mediating effect of social support and body appreciation between child abuse and disordered eating symptoms among Lebanese adolescents

Kanj,

Hallit,

Dabbous

et al. 2024

Middle East Curr Psychiatry

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Objective The current study examines the mediating effect of social support and body appreciation between child abuse and disordered eating symptoms among Lebanese adolescents. Methods This study, involving 403 participants, was cross-sectional and conducted between August and September 2022. Lebanese adolescents from all of Lebanon’s governorates were recruited through the “Snowball Sampling” method. The measuring instruments composing the questionnaire included the Eating Attitudes Test (EAT-7) which identifies the presence of risk for eating disorders based on eating-related attitudes, behaviors and feelings; the “Multidimensional Scale of Perceived Social Support (MSPSS)” which measures, from three separate sources, the extent of one’s perception of social support; the “Body Appreciation Scale (BAS)” which assesses the care and respect one has for their own body, along with the acceptance and protection of one’s body from unrealistic beauty ideals; and the “Child Abuse Self-Report Scale (CASRS-12)” which detects lifelong child abuse. Results Participants’ mean age was 16.63 ± 1.46 years with 57.3% of females. The results highlight the effect of mediation of social support and body appreciation in the association between all types of child abuse and disordered eating symptoms. Additionally, a significant association was indicated between more abuse and lower social support and body appreciation, whereas another was underscored between higher social support and body appreciation and more appropriate eating attitudes. Lastly, all types of child abuse were observed to be notably associated with further inappropriate eating attitudes. Conclusion The current mediation findings preliminarily indicate that experiences of all forms of child abuse may have possibly triggered perceived lack of social support and low levels of body appreciation, which have in turn resulted in more severe disordered eating symptoms in predisposed adolescents. This cautiously suggests that both social support and body appreciation may be regarded as key targets for community-based prevention and intervention strategies aiming at reducing the risk of developing severe eating disorders in adolescents.

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“…Given the increasingly high prevalence rates of overweight and obesity worldwide, 40 and related morbidity and mortality risks, it is crucial to better understand which factors contribute to increased BMI in later adulthood. 41 It has been proposed that alterations in emotional regulation and resulting psychological distress 42 , 43 , 44 , 45 arising from early maltreatment experiences 46 may lead to the development of unhealthy behaviours, such as substance use, poor eating habits, and binge eating, in attempts to cope with life challenges, 47 , 48 thus increasing the risk for overweight and obesity. 45 , 49 Yet, only a few studies have focused on whether psychological distress mediates the relation between childhood maltreatment and BMI in adulthood.…”

mentioning

confidence: 99%

Childhood Maltreatment and Body Mass Index in Older Adults With Chronic Illness

St-Arnaud,

Chicoine,

Tardif

et al. 2024

CJC Pediatric and Congenital Heart Disease

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Coping with childhood maltreatment: Avoidance and eating disorder symptoms

Cited by 8 publications

References 40 publications

Covert therapeutic micro-processes in non-recovered eating disorders with childhood trauma: an interpersonal process recall study

Covert therapeutic micro-processes in non-recovered eating disorders with childhood trauma: an interpersonal process recall study

The mediating effect of social support and body appreciation between child abuse and disordered eating symptoms among Lebanese adolescents

Childhood Maltreatment and Body Mass Index in Older Adults With Chronic Illness

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