Structural differences in eating disorder psychopathology after history of childhood abuse: Insights from a Bayesian network analysis.

Rodgers, Rachel F.; DuBois, Russell; Thiébaut, Sophie; Jaussent, Isabelle; Maı̈moun, Laurent; Sénèque, Maude; Lefèbvre, Patrick; Renard, Éric; Courtet, Philippe; Guillaume, Sébastien

doi:10.1037/abn0000470

Cited by 36 publications

(41 citation statements)

References 45 publications

(76 reference statements)

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“…Furthermore, the symptom pathway leading to an ED in individuals with a history of childhood maltreatment has been described as specific to this group. Thus, overvaluation of weight and body shape may lead to feelings of loss of control followed by depressive symptoms and, subsequently, overeating [ 48 ]. Tailoring of usual treatment protocols to account for these pathways may help to improve clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Retrospective Childhood Maltreatment on Eating Disorders as Mediated by Food Addiction: A Cross-Sectional Study

et al. 2020

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Background: The current study aimed to test whether food addiction (FA) might mediate the relationship between the presence of a history of childhood maltreatment and eating disorder (ED) symptom severity. Methods: Participants were 231 patients with ED presenting between May 2017 and January 2020 to a daycare treatment facility for assessment and management with mainly the Eating Disorder Inventory-2 (EDI-2), the Child Trauma Questionnaire (CTQ), and the Yale Food Addiction Scale (YFAS 2.0). Results: Participants had a median age of 24 (interquartile range (IQR) 20–33) years and manifested anorexia nervosa (61.47%), bulimia nervosa (16.88%), binge-eating disorders (9.09%), and other types of ED (12.55%). They were grouped into those likely presenting FA (N = 154) and those without FA (N = 77). The group with FA reported higher scores on all five CTQ subscales, as well as the total score of the EDI-2 (p < 0.001). Using mediation analysis; significant indirect pathways between all CTQ subscales and the EDI-2 total score emerged via FA, with the largest indirect effect emerging for physical neglect (standardized effect = 0.208; 95% confidence interval (CI) 0.127–0.29) followed by emotional abuse (standardized effect = 0.183; 95% CI 0.109–0.262). Conclusion: These results are compatible with a model in which certain types of childhood maltreatment, especially physical neglect, may induce, maintain, and/or exacerbate ED symptoms via FA which may guide future treatments.

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Section: Discussionmentioning

confidence: 99%

The Impact of Retrospective Childhood Maltreatment on Eating Disorders as Mediated by Food Addiction: A Cross-Sectional Study

et al. 2020

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“…For instance, people with EDs and childhood abuse (one form of ACEs) have greater ED psychopathology and impairment (Guillaume et al, 2016), lower odds of recovery (Castellini et al, 2018), and greater psychiatric comorbidity (Castellini et al, 2018) compared to peers without childhood abuse. Some research also indicates that the symptoms that maintain EDs among people with a childhood abuse history differ from those that maintain EDs in the absence of childhood abuse history (Rodgers et al, 2019). This suggests that incorporating ACE history into ED case conceptualizations to inform treatment delivery might improve treatment engagement and outcomes.…”

Section: Discussionmentioning

confidence: 99%

Suicide attempts among people with eating disorders and adverse childhood experiences: Results from a nationally representative sample of adults

Forrest

Grilo

Udo

2020

Intl J Eating Disorders

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Objective People with eating disorders (EDs) have elevated rates of suicide attempts. A need exists to identify factors that help predict which people with EDs might be at greater risk for suicidal behavior. Adverse childhood experiences (ACEs) are associated with both EDs and with suicide attempts. Thus, the current study examined whether having histories of ACEs and EDs augments lifetime risk for suicide attempts. Method This study included 36,146 adult participants in the National Epidemiologic Survey on Alcohol and Related Conditions‐III who completed structured diagnostic interviews and answered questions regarding ACEs and suicide attempts. Weighted means, frequencies, and cross‐tabulations were computed for prevalence of ACEs and suicide attempts by ED diagnosis. Multiple logistic regression was used to compare risk of lifetime suicide attempts by ED diagnosis and ACE history. Results Prevalence of ACEs among people with EDs was 54.1–67.8%. ACE history and ED diagnosis were associated with elevated odds of experiencing a lifetime suicide attempt (AORs = 4.64–6.45 and 3.20–4.06, respectively). There was no ACE history‐by‐ED interaction on risk of suicide attempt, regardless of forms of EDs. Discussion ACEs are common among people with EDs and associated significantly with suicide attempts, but ACEs and EDs do not appear to interact to augment risk for suicide attempts. Considering ACE exposure in theoretical models of suicidal behavior in people with and without EDs and in suicide risk assessment and management with people with EDs may prove useful.

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“…Therefore, some authors have suggested that some cases need two treatment levels: one to control harmful and compromising behaviors and a second one to change the specific psychopathology (Corstorphine et al, 2007;Castellini et al, 2018;Todisco et al, 2020). If the extended psychopathological core of ED seems to remain stable and is characterized by an overestimation of weight and shapes, depression (D), anxiety, and interpersonal ineffectiveness, patients with and without a history of trauma history seem to show different psychological phenotypes that require a different specific focus (Solmi et al, 2018b;Rodgers et al, 2019). However, more longitudinal studies are needed to evaluate the specific needs linked to patients' traumatic personal histories to achieve higher rates of effectiveness in treatments, which are now unsatisfactory (Backholm et al, 2013;Olofsson et al, 2020;Scharff et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Associations Between Trauma, Early Maladaptive Schemas, Personality Traits, and Clinical Severity in Eating Disorder Patients: A Clinical Presentation and Mediation Analysis

Meneguzzo

Cazzola²,

Castegnaro³

et al. 2021

Front. Psychol.

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Background: The literature has shown a significant association between traumatic experiences and eating psychopathology, showing a greater symptomatology in patients with trauma history. Less is known about the associations between trauma and cognitive schemas, and personality traits and the differences between childhood and adulthood trauma experiences. Thus, this paper aims to assess the clinical and psychological characteristics of eating disorder (ED) patients, looking for differences between patients without a history of trauma and patients with trauma experiences, as well as at possible differences between exposure in childhood, adulthood, or repeated events. Another aim of the paper is to evaluate the possible mediation role of cognitive schemas and personality traits in the relationship between early trauma and eating psychopathology.Methods: From January to November 2020, 115 consecutive inpatients admitted for a specific multidisciplinary ED treatment in a dedicated Unit were evaluated for trauma, differentiating between trauma occurring in childhood and adulthood. The subjects were evaluated for early maladaptive schemas (EMS), personality traits, trauma symptomatology, quality of life, and specific psychopathologies linked to EDs. Mediation analyses between childhood and adulthood trauma and eating psychopathology were performed, with EMS and personality traits as mediators.Results: Patients with a history of trauma showed higher physical and psychological symptomatology scores, with a more impaired clinical profile in patients with both childhood and adulthood trauma exposure. The mediation analysis showed a specific mediator role for the “disconnection and rejection (DR)” EMS factor in the relationship between childhood trauma (cT) and eating psychopathology.Conclusion: Trauma experiences are associated with more severe clinical symptomatology in EDs and may need a specific assessment in patients with failed outpatient standard treatments. Specific cognitive schemas linked to DR domain should be evaluated in treatments for ED patients with history of trauma due to the mediation role between trauma and eating psychopathology. The need for outcome studies about treatment approaches for ED patients with history of trauma is discussed.

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Structural differences in eating disorder psychopathology after history of childhood abuse: Insights from a Bayesian network analysis.

Cited by 36 publications

References 45 publications

The Impact of Retrospective Childhood Maltreatment on Eating Disorders as Mediated by Food Addiction: A Cross-Sectional Study

The Impact of Retrospective Childhood Maltreatment on Eating Disorders as Mediated by Food Addiction: A Cross-Sectional Study

Suicide attempts among people with eating disorders and adverse childhood experiences: Results from a nationally representative sample of adults

Associations Between Trauma, Early Maladaptive Schemas, Personality Traits, and Clinical Severity in Eating Disorder Patients: A Clinical Presentation and Mediation Analysis

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