Asian Journal of Psychiatry, Journal Year: 2023, Volume and Issue: 89, P. 103749 - 103749
Published: Aug. 23, 2023
Language: Английский
Child Abuse & Neglect, Journal Year: 2025, Volume and Issue: 161, P. 107244 - 107244
Published: Jan. 26, 2025
Language: Английский
Citations
1
Eating Disorders, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 17
Published: Feb. 26, 2025
Quantitative research has demonstrated that many individuals with eating disorders (EDs) present PTSD (ED-PTSD). Cognitive processing therapy (CPT) been integrated into the overall treatment for ED-PTSD, but qualitative data on effectiveness of this approach is lacking. Ten patients ED-PTSD completed 12 sessions CPT during residential (RT). After 1 and 11, wrote an "impact statement" clarifying their beliefs about why trauma occurred how it impacted life. Two coders using MAXQDA2020 software evaluated these statements a structured coding protocol to assess changes in trauma-related cognitions over time. Analyses cognitive shifts appraisal process regarding from stances self-blame external fault. Exploratory analyses also indicated perceptions control safety were associated greater frequency reference EDs body image. Qualitative findings became more realistic adaptive following as evidenced by significant reduction assimilated overaccommodated cognitions, increase accommodated cognitions. Last, there was notable shift perceived responsibility improvements relation EDs.
Language: Английский
Citations
1
Appetite, Journal Year: 2025, Volume and Issue: 208, P. 107938 - 107938
Published: March 2, 2025
Adverse childhood experiences (ACEs), such as abuse, neglect, or household violence, have been identified significant risk factors for a multitude of physical and psychological conditions, motivating research to identify contributing mechanisms conditions. Substantial evidence exists that supports strong associations between ACEs symptoms post-traumatic stress disorder (PTSD), eating disorders (EDs), addictive disorders. Recent has also elucidated link ultra-processed food addiction (UPFA), clinical presentation resembling substance use with foods (UPFs; e.g., pastries, packaged snacks, sweetened beverages). Yet, no our knowledge explored causal mediation pathways ACEs, consumption patterns UPFs, PTSD, UPFA, ED. In sample 304 adults seeking dietary counseling in private practice specializing mental health nutrition, this study conducted analyses structural equation modeling test conceptual model the hypothesized contributions UPF intake UPFA explaining relationships PTSD Symptoms fully mediated (99.4%) positive relationship ED 51.0% ACE-UPFA association. Greater frequency 23.7% symptoms, 73.8% symptomology. Relatedly, explained 46.0% association indicators pathology. Structural indicated all when analyzed simultaneously. This found influences represent blind spot current trauma-informed treatment approaches disordered eating.
Language: Английский
Citations
1
Journal of Eating Disorders, Journal Year: 2023, Volume and Issue: 11(1)
Published: March 27, 2023
We studied whether provisional posttraumatic stress disorder (PTSD) moderated discharge (DC) and 6-month follow-up (FU) outcomes of multi-modal, integrated eating (ED) residential treatment (RT) based upon principles cognitive processing therapy (CPT).ED patients [N = 609; 96% female; mean age (± SD) 26.0 ± 8.8 years; 22% LGBTQ +] with without PTSD completed validated assessments at admission (ADM), DC FU to measure severity ED, PTSD, major depressive (MDD), state-trait anxiety (STA) symptoms, quality life (EDQOL). tested the course symptom change using mixed models analyses if ED diagnosis, ADM BMI, onset + orientation were significant covariates change. Number days between was used as a weighting measure.Despite sustained improvements RT in total group, group had significantly higher scores on all measures time points (p ≤ .001). Patients (n 261) 348) showed similar from remained statistically improved compared ADM. The only worsening observed MDD yet lower than There no by interactions for any measures. Age covariate EDI-2, PHQ-9, STAI-T, EDQOL such that an earlier associated worse outcome. BMI also EDE-Q, models, outcome.Integrated approaches address comorbidity can be successfully delivered are FU. Improving strategies prevent post-DC recurrence symptoms is important challenging area future work.Posttraumatic common disorders outcomes. However, this has not been extensively admitted levels care, treatment. Using clinical approach (CPT) other evidence-based treatments, we 6 months following 609 [96% PTSD. All admission. measured including those disorder, depression, state trait anxiety, life, every point (admission, discharge, follow-up). depression follow-up. In conclusion, related problems discharge. post-discharge work.
Language: Английский
Citations
20
Frontiers in Psychiatry, Journal Year: 2023, Volume and Issue: 14
Published: May 12, 2023
Psychiatric comorbidity is the norm in assessment and treatment of eating disorders (EDs), traumatic events lifetime PTSD are often major drivers these challenging complexities. Given that trauma, PTSD, psychiatric significantly influence ED outcomes, it imperative problems be appropriately addressed practice guidelines. The presence associated noted some but not all sets existing guidelines, they mostly do little to address problem other than referring independent guidelines for disorders. This disconnect perpetuates a “silo effect,” which each set complexity comorbidities. Although there several published EDs, likewise, none them specifically + PTSD. result lack integration between providers, leads fragmented, incomplete, uncoordinated ineffective care severely ill patients with situation can inadvertently promote chronicity multimorbidity may particularly relevant treated higher levels care, where prevalence rates concurrent reach as high 50% many more having subthreshold has been progress recognition recommendations treating this common remain undeveloped, when co-occurring disorders, such mood, anxiety, dissociative, substance use, impulse control, obsessive–compulsive, attention-deficit hyperactivity, personality also trauma-related. In commentary, assessing related critically reviewed. An integrated principles used planning trauma-related recommended context intensive therapy. These strategies borrowed from evidence-based approaches. Evidence suggests continuing traditional single-disorder focused, sequential models prioritize integrated, trauma-focused approaches short-sighted perpetuate dangerous multimorbidity. Future would well illness depth.
Language: Английский
Citations
20
Journal of Eating Disorders, Journal Year: 2024, Volume and Issue: 12(1)
Published: Jan. 11, 2024
Eating disorder (ED) symptoms have been associated with different types of traumatic events, such as exposure to sexual and physical violence, emotional abuse. However, the relation between ED community violence (CVE) is underexplored, despite latter's adverse effects on many aspects adolescent functioning. The primary aim this study was evaluate CVE in adolescents, while also investigating potential mediating moderating roles posttraumatic stress (PTS) symptoms, gender, ethnicity. Data were collected longitudinally over two consecutive years city New Haven, CT, United States. Participants 2612 students from public school system (1397 girls 1215 boys) an average age 12.8 (SD = 1.29). comprised several ethnic groups, including Caucasians, African Americans Hispanic Americans. Associations (no exposure, witnessing, victimization) PTS at year one, (thoughts compensatory behaviors) two, assessed self-rating instruments. Moderation mediation analyses conducted using a variant linear regression (Hayes PROCESS macro). significantly both witnessing being victim most or all relations explained by symptoms. Overall, neither gender nor ethnicity had meaningful effect observed relations. findings support notion that assessing addressing might be beneficial when treating individuals who experienced irrespective
Language: Английский
Citations
5
BMC Medicine, Journal Year: 2024, Volume and Issue: 22(1)
Published: Feb. 8, 2024
Abstract Background Adverse childhood experiences (ACEs), including maltreatment, have been linked with increased risk of diabetes and obesity during adulthood. A comprehensive assessment on the associations between maltreatment all major endocrine diseases, as well relative importance different proposed mechanistic pathways these associations, is currently lacking. Methods Based UK Biobank, we constructed a cohort 151,659 participants self-reported data who were 30 years age or older on/after January 1, 1985. All followed from index date (i.e., 1985, their 30th birthday, whichever came later) until first diagnosis any specific (12 individual diagnoses 9 subtypes) death, end follow-up (December 31, 2019), occurred first. We used Cox models to examine association treated continuous cumulative number experienced maltreatment), ordinal 0, 1 ≥ 2), binary (< 2 2) variable, adjusted for multiple covariates. further examined having diseases using Linear Logistic Regression models. Then, sequential mediation analyses performed assess contribution four possible mechanisms suboptimal socioeconomic status (SES), psychological adversities, unfavorable lifestyle, biological alterations) observed associations. Results During an average 30.8 years, 20,885 received diseases. being diagnosed disease (adjusted hazard ratio (HR) = 1.10, 95% confidence interval 1.09–1.12). The HR was 1.26 (1.22–1.30) when comparing individuals those < maltreatment. noted most pronounced type (1.40 (1.33–1.48)) hypothalamic–pituitary–adrenal (HPA)-axis-related (1.38 (1.17–1.62)), stronger compared one (odds (95% CI) 1.24 (1.19–1.30), 1.35 (1.27–1.44), 1.52 (1.52–1.53) 2, 3, respectively). Sequential showed that consistently distinctly mediated by adversities (15.38 ~ 44.97%), while lifestyle (10.86 25.32%) additionally whereas SES (14.42 39.33%) HPA-axis-related Conclusions Our study demonstrates adverse sequel constitutes main pathway particularly Therefore, access evidence-based mental health services may also be pivotal in reducing among maltreatment-exposed individuals.
Language: Английский
Citations
4
Current Obesity Reports, Journal Year: 2024, Volume and Issue: 13(3), P. 574 - 583
Published: June 14, 2024
Language: Английский
Citations
4
Journal of Psychopharmacology, Journal Year: 2025, Volume and Issue: unknown
Published: Jan. 2, 2025
Introduction: Eating disorders are characterized by maladaptive eating behaviors and preoccupations around body shape, weight, eating. The serotonin system has been among the most widely studied neurobiological factors in relation to disorders. Recent research also highlighted role of oxytocin. Aims methods: This article aims review animal human studies on involvement central oxytocin, their interplay particular. We synthesize results from using models conducted healthy individuals clinical populations. Results/Outcomes: Altered neurotransmission oxytocin levels brain—particularly hypothalamus, brainstem, limbic regions—were associated with disturbances related cognitions emotions. These brain regions were found constitute a typical neural network through which both might operate bidirectional manner. Conclusions/Interpretation: Based preceding findings, we describe developmental biopsychosocial model relevant disorders, including serotonin–oxytocin interactions brain. While it is clear that multifactorial many pathways involved, current highlights importance well-designed translational when studying mechanisms Such would help better understand effects joint administration as possible preventive or therapeutic intervention for
Language: Английский
Citations
0
Journal of Eating Disorders, Journal Year: 2025, Volume and Issue: 13(1)
Published: Jan. 9, 2025
Current research on the transmission of trauma and eating disorders across generations is limited. However, quantitative studies suggest that influence parents' grandparents' their prior exposure to are associated with development in future generations. Qualitative exploring personal accounts impact transgenerational has been largely unexplored. The aim current qualitative study was explore meaning participants ascribed context three Six adult female who had received a diagnosis anorexia nervosa and/or bulimia completed multiple unstructured interviews, informed by psychoanalytical methodology. Four themes were developed from material emerged interviews: (1) toll undigested emotions (2), A need for safety (3), "It's not just me" – making connections past, (4) "Last link" chain? discussed respect previous literature, particular emphasis Gerson's concept dead third, which emphasises an unconscious compulsion repeat unprocessed traumas. Clinical implications underscores importance holistic approach treatment disorders, recognising both individual familial traumas within family system. Moreover, demonstrates significant mental health clinicians can have disorder fostering supportive, safe trusting therapeutic relationship. Previous field shown might be passed down through families, possibly because past experienced parents grandparents. there few asked people experience how they understand families histories. women diagnosed spoke about thoughts feelings relation trauma. results showed this study, helped them manage feel safe. Participants struggled overwhelming felt lack childhoods. These experiences connected grandparents experienced. hopes stopping engagement recovery. Overall, highlights considering when treating disorders. It also emphasizes crucial supportive relationships professionals treatment.
Language: Английский
Citations
0