Relationship between Trauma History and Eating Disorders in Adolescents

Groth, Taylor; Hilsenroth, Mark J.; Boccio, Dana E.; Gold, Jerry

doi:10.1007/s40653-019-00275-z

Cited by 31 publications

(26 citation statements)

References 51 publications

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“…Individuals with BN and/or BED (BN/BED n = 180) were combined in one group due to the considerable overlap between the two subtypes in lifetime diagnoses. In addition, previous research has found associations between SLEs and the shared symptomatology of these subtypes (i.e., bingeeating), suggesting that there may be underlying processes that are distinct for binge-eating/purging type disorders when compared to EDs characterised by restricting behaviours [4,32]. AN was divided into the two subtypes (AN-R n = 65 and AN-BP n = 114) to further explore this hypothesis.…”

Section: Participants and Proceduresmentioning

confidence: 99%

Stressful life events among individuals with a history of eating disorders: a case-control comparison

et al. 2021

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Background Experiencing stressful life events (SLEs) can negatively impact mental health and increase risk for psychiatric disorders including eating disorders (EDs). Previous research has shown that childhood sexual abuse is associated with some EDs, but less is known about the association between other non-sexual SLEs and EDs. Method A case-control study of individuals with (n = 495, age mean ± SD = 29.1 ± 9.8 years) and without (n = 395, age = 30.2 ± 11.7) self-reported lifetime history of EDs was conducted to compare history of self-reported SLEs. Participants reported history of sexual (e.g., rape, other sexual assault) and non-sexual (e.g., emotional abuse, assault, bereavement) life events using an adaptation of the Stressful Life Events Screening Questionnaire. Individuals with EDs were divided into ED subtypes along the restricting – binge eating/purging spectrum to examine subtype differences. Logistic regressions were conducted for each SLE and ED subtype to obtain odds ratios (ORs). We report p-values corrected for multiple comparisons. Results Exposure to any SLE was significantly more common in individuals with EDs than in controls (OR = 2.47, p < .001). Specifically, rape, other sexual assault, and emotional abuse were significantly more common among individuals with a history of binge-eating/purging ED subtypes (ORs = 2.15–3.58, p’s < .01) compared with controls. Furthermore, history of life-threatening disease and loss of a close relative/partner/friend were associated with some ED subtypes. The association between SLEs and EDs was stronger for individuals who had experienced multiple SLEs. Conclusion By investigating a range of different SLEs, we showed that both sexual and non-sexual SLEs were more common in individuals with a history of EDs (binge-eating/purging subtypes) than controls. Results highlight the importance of assessing a variety of past SLEs in risk assessment for different EDs.

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Section: Participants and Proceduresmentioning

confidence: 99%

Stressful life events among individuals with a history of eating disorders: a case-control comparison

et al. 2021

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“…Eating disorders (ED) present serious psychiatric impairment and carry an elevated mortality risk (American Psychiatric Association, 2013; Smink et al, 2012). A history of childhood maltreatment, which encompasses physical, sexual, and emotional abuse, as well as neglect, prior to age 18 (World Health Organization, 2016), is linked with eating disorders during adulthood (Afifi et al, 2017; Feldman and Meyer, 2007; Groth et al, 2019; Jacobi et al, 2004; Smolak and Murnen, 2002). Men and women with a history of childhood maltreatment are approximately three times more likely to experience an ED diagnosis (Caslini et al, 2016; Rayworth et al, 2004); moreover, individuals who experience multiple forms of maltreatment are at elevated risk for ED symptoms (Hazzard et al, 2019), with some estimates indicating women who experience sexual and physical abuse during childhood have nearly four times greater odds for EDs (Rayworth et al, 2004).…”

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confidence: 99%

Coping with childhood maltreatment: Avoidance and eating disorder symptoms

2020

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Childhood maltreatment is associated with eating disorder symptoms; however, the nature of this association is unclear. We found those who experienced childhood maltreatment had higher avoidant coping and eating disorder symptoms. We also found an additive effect for maltreatment, such that with more types of maltreatment experienced, avoidant coping and eating disorder symptoms were greater. We also found evidence of an indirect effect such that childhood maltreatment was related to eating disorder symptoms through avoidant coping. Future research is needed to better understand factors that may promote development of adaptive coping patterns and prevention of eating disorder symptoms.

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“…This invitation included a solicitation flyer, which briefly described the study, including the aims of the study and what the therapists would be asked of if they consented. With this, the solicitation presented participants with the option to anonymously complete an online Qualtrics survey (Groth & Hilsenroth, 2019) at a website address whenever and wherever they felt most comfortable to do so (uncompensated). Therapists were also informed that their decision to participate would have no impact on the treatment they provide and were encouraged to contact the principal investigator with any questions about the investigation.…”

Section: Methodsmentioning

confidence: 99%

Psychotherapy techniques related to therapist alliance among adolescents with eating disorders: The utility of integration.

Groth¹,

Hilsenroth²

2021

Journal of Psychotherapy Integration

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This study is the 1st to explore specific therapeutic techniques clinicians find helpful in establishing and maintaining alliance with adolescents with eating disorders. Data was collected from 107 experienced therapists (M years ϭ 16) currently treating an eatingdisordered adolescent. Therapists held degrees in various disciplines in mental health (MA, MS, MSW, MHC, PhD, PsyD) or in medicine (MD), who came from various theoretical orientations (cognitive-behavioral [CB] ϭ 46.7%, psychodynamic ϭ 13.1%, interpersonal ϭ 13.1%, family ϭ 7.5%, humanistic ϭ 3.7%, and other ϭ 15.9%). Therapists rated the utility of various psychodynamicϪinterpersonal, CB, and adjunctive eating disorder interventions, as well as their alliance with that patient. The majority of the patients (N ϭ 107) reported on were female (n ϭ 102) and diagnosed with anorexia (n ϭ 70), bulimia (n ϭ 14), binge eating (n ϭ 9), or other specified feeding or eating disorders (n ϭ 14). Therapists reported a constellation of integrative treatment interventions related to alliance. Specifically, a forward stepwise regression yielded a final, 7-step model predicting therapist alliance (R ϭ .704, r 2 ϭ .495), F(102) ϭ 4.599, p ϭ .035. The final regression model revealed specific items from each treatment approach to be significantly related to alliance, with the most important item being an in-session focus on the therapeutic relationship. Findings highlight how an integrative model of treatment interventions, with emphasis on the focus of the therapistϪpatient relationship in session, might be explored in future work to help facilitate the alliance in the treatment of adolescents with eating disorders.

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Relationship between Trauma History and Eating Disorders in Adolescents

Cited by 31 publications

References 51 publications

Stressful life events among individuals with a history of eating disorders: a case-control comparison

Stressful life events among individuals with a history of eating disorders: a case-control comparison

Coping with childhood maltreatment: Avoidance and eating disorder symptoms

Psychotherapy techniques related to therapist alliance among adolescents with eating disorders: The utility of integration.

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