Abstract
Our
clinical
experience
in
psychoanalytic
family
therapy
with
families
where
one
member
has
anorexic
symptoms
shown
that
the
space
is
often
invaded
by
deathly
dimension,
an
absence
of
historicity,
and
a
lack
autonomy.
These
different
elements
appear
as
“voids,”
missing
pieces
puzzle,
reflect
psychic
container
damaged
weight
inherited
intergenerational
trauma.
Rather
than
disappear,
these
are
passed
down
from
generation
to
next,
their
effects
weakening
current
group
whose
envelope
develops
“holes”
becomes
“elastic.”
This
paper
will
focus
on
changes
this
container,
which
shift
according
rhythm
functioning,
oscillating
between
activation
toxic
function
within
group,
hand,
tension
isomorphic
homomorphic
mode,
other.
We
show
how
identification
around
quality
its
valuable
for
therapy.
Journal of Eating Disorders,
Год журнала:
2022,
Номер
10(1)
Опубликована: Май 20, 2022
Abstract
Background
Adverse
childhood
experiences
(ACEs)
are
prevalent,
impact
long-term
physical
and
mental
health,
associated
with
eating
disorders
(EDs)
in
adulthood.
The
primary
objectives
of
the
current
study
were:
(1)
to
examine
compare
ACEs
between
two
samples:
treatment-seeking
adults,
a
nationally
representative
sample
(2)
characterize
items
total
scores
across
demographic
diagnostic
information
adults
seeking
treatment
for
an
ED,
(3)
statistically
classify
profiles
using
latent
class
analysis,
(4)
associations
diagnosis.
Methods
This
cross-sectional
assessed
patients
DSM-5
ED
receiving
October
2018
April
2020
at
inpatient,
residential,
or
partial
hospitalization
levels
care
one
private
facilities.
were
Childhood
Experiences
Survey
admission.
Generalized
linear
models
Welch’s
t-tests
used
national
estimates.
A
analysis
was
conducted
subgroups
responses,
differences
these
classes
by
diagnoses
examined
multinomial
logistic
regression.
Results
Patients
EDs
had
significantly
higher
(
M
=
1.95,
SD
1.90)
than
1.57,
4.72;
t
6.42,
p
<
.001).
Within
EDs,
four
item
endorsement
identified.
other
specified
feeding
disorder
(OSFED)
binge
(BED)
more
likely
fall
into
“Household
ACEs”
“Abuse
groups,
respectively,
compared
anorexia
nervosa—restricting
subtype
(AN-R).
Conclusions
reported
sample,
membership
found
diagnoses.
can
inform
development
trauma-informed
EDs.
Journal of Eating Disorders,
Год журнала:
2022,
Номер
10(1)
Опубликована: Ноя. 16, 2022
Abstract
Background
Adverse
childhood
experiences
(ACEs)
are
common
and
linked
to
negative
health
outcomes.
Previous
studies
have
found
associations
between
ACEs
binge-eating
disorder
(BED),
though
they
mainly
focused
on
adults
use
cross-sectional
data.
The
objective
of
this
study
was
examine
the
BED
in
a
large,
national
cohort
9–14-year-old
early
adolescents
US.
Methods
We
analyzed
prospective
data
from
Adolescent
Brain
Cognitive
Development
(ABCD)
Study
(N
=
10,145,
2016–2020).
Logistic
regression
analyses
were
used
determine
self-reported
based
Kiddie
Schedule
for
Affective
Disorders
Schizophrenia
at
two-year
follow-up,
adjusting
sex,
race/ethnicity,
baseline
household
income,
parental
education,
site,
disorder.
Results
In
sample,
(49%
female,
46%
racial/ethnic
minority),
82.8%
reported
least
one
ACE
1.2%
had
diagnosis
follow-up.
mean
number
higher
those
with
compared
without
(2.6
±
0.14
vs
1.7
0.02).
association
general
dose–response
relationship.
One
(adjusted
odds
ratio
[aOR]
3.48,
95%
confidence
interval
[CI]
1.11–10.89),
two
(aOR
3.88,
CI
1.28–11.74),
three
or
more
8.94,
3.01–26.54)
all
associated
When
stratified
by
types
ACEs,
history
mental
illness
2.18,
1.31–3.63),
violence
2.43,
1.42–4.15),
criminal
member
2.14,
1.23–3.73)
most
Conclusions
Children
who
experienced
particularly
challenges,
developing
BED.
Clinicians
may
consider
screening
providing
trauma-focused
care
when
evaluating
patients
International Journal of Eating Disorders,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 25, 2025
To
examine
the
independent
association
of
adverse
childhood
experiences
(ACEs)
and
lifestyle
patterns
with
incident
probable
eating
disorders
among
adolescents,
to
explore
whether
healthy
affects
that
vary
by
ACEs
exposure
levels.
This
longitudinal
study
included
7726
adolescents
(mean
[SD]
age
at
baseline,
15.89
[0.60]
years)
without
baseline.
At
we
collected
11
ACE
indicators
6
behaviors
(i.e.,
appropriate
sleep
duration,
sufficient
moderate-to-vigorous
physical
activity,
less
screen
time,
no
smoking,
drinking,
a
balanced
diet).
The
Sick,
Control,
One,
Fat,
Food
(SCOFF)
questionnaire
was
used
measure
baseline
4-month
follow-up.
Generalized
mixed
logistic
models,
as
well
stratified
joint
analyzes,
were
performed,
mediation
interaction
analyzes.
Among
participants,
917
(11.87%)
developed
during
Accumulation
independently
associated
an
increased
risk
(OR
=
1.20,
95%
CI:
1.14-1.27),
even
after
adjusting
for
behaviors.
Conversely,
higher
score
lower
0.82,
0.76-0.88).
Stratified
analyzes
showed
favorable
had
consistently
reduced
compared
those
unfavorable
lifestyle,
particularly
pronounced
exposed
ACEs.
results
highlight
reducing
encouraging
may
help
prevent
adolescents.
International Journal of Eating Disorders,
Год журнала:
2023,
Номер
57(1), С. 81 - 92
Опубликована: Окт. 27, 2023
Abstract
Background
A
large
proportion
of
patients
with
eating
disorders
(ED)
report
experiences
childhood
trauma.
Latent
trajectory
analysis
in
ED
samples
reveals
the
complexities
course
and
outcome
can
explore
long‐term
impact
adverse
childhood.
Method
total
84
longstanding
were
included.
symptoms
assessed
by
Eating
Disorder
Examination
interview
at
discharge
from
inpatient
treatment,
1‐,
2‐,
5‐,
17‐year
follow‐up,
respectively.
Change
over
time
was
examined
using
growth
mixture
modeling,
allowing
number
trajectories
to
emerge
through
data.
Prevalence
trauma
assessed,
its
relation
class
membership
tested.
Results
We
identified
four
distinct
classes:
(a)
a
continuous
improvement
entire
follow‐up
period,
scores
within
normal
range
end,
“continuous
improvement”
(54.8%);
(b)
high
symptom
level
baseline
moderate
decrease
time,
“high
declining”
(22.6%);
(c)
initial
below
clinical
cut‐off
stable
throughout
course,
“consistently
low”
(14.3%);
(d)
initially,
significant
increase
increasing”
(8.3%).
history
sexual
abuse
(CSA)
overrepresented
classes
persistently
levels
poor
Discussion
Patients
displayed
considerable
diversity
change
across
17
years.
To
improve
outcome,
enhanced
treatment
sequelae
CSA
seems
essential.
Public
Significance
different
study.
Although
there
changes
majority
remained
similar
as
they
presented
treatment.
Exposure
maltreatment
common
sample.
Childhood
predicted
which
highlights
importance
informed
care.
Child and Adolescent Psychiatry and Mental Health,
Год журнала:
2022,
Номер
16(1)
Опубликована: Дек. 9, 2022
All
available
scales
to
screen
for
child
abuse
may
be
challenging
administer
due
their
length.
Indeed,
a
higher
number
of
items
is
associated
with
more
administration
time
and
less
motivation
engage
in
responding.
We
aimed
through
this
study
examine
the
psychometric
properties
brief
Arabic
version
Child
Abuse
Self
Report
Scale
(CASRS-12)
terms
factorial
structure,
internal
consistency,
divergent
validity,
correlations
measures
bullying
victimization,
eating
attitudes
perceived
social
support.
Eating Disorders,
Год журнала:
2023,
Номер
unknown, С. 1 - 15
Опубликована: Янв. 1, 2023
The
aim
of
this
chapter
is
to
provide
a
comprehensive
overview
psychological
trauma
as
risk
factor
for
eating
disorders
(EDs).
In
addition
summarizing
research
on
the
association
between
and
EDs,
potential
mechanisms
clinical
implications
are
reviewed.
role
trauma-related
symptoms
posttraumatic
stress
disorder
(PTSD)
in
ED
development
maintenance
described,
treatment
discussed.
summary,
findings
from
review
support
that
there
significant
childhood
exposure
EDs
indicate
associations
may
be
strongest
among
binge/purge
symptom
presentations
vary
across
periods.
Trauma
populations
also
associated
with
more
severe
symptoms,
psychiatric
comorbidity,
possibly,
poorer
response.
Finally,
or
highly
implicated
trauma-ED
point
additional
considerations
effective
treatment.
Child & Family Social Work,
Год журнала:
2023,
Номер
28(3), С. 681 - 689
Опубликована: Янв. 4, 2023
Abstract
Whereas
the
desire
for
revenge
an
unjust
deed
is
considered
natural,
its
use
within
therapeutic
setting
scarce,
specifically
in
sexually
victimized
children.
The
study
aimed
to
find
how
experiencing
sexual
molestation
during
childhood
and
fantasy
reflected
drawings
narratives
of
Following
ethical
approval
signing
a
consent
form,
14
children
who
experienced
abuse
were
psychologically
treated
(ages
11–18)
recruited.
They
asked
draw
two
drawings:
“draw
event
that
had
happened
you”
what
you
would
have
liked
happen
person
unjustly
you.”
At
completion,
participants
give
narrative
each
drawing.
Phenomenological
analysis
indicated
most
refrained
from
using
more
than
colours,
did
not
perpetrator
drew
schematic
figures.
main
themes
emerged
feeling
loneliness,
aloneness,
role
reversal.
Frontiers in Psychiatry,
Год журнала:
2022,
Номер
13
Опубликована: Май 13, 2022
Background
Clinicians
need
an
instrument
that
helps
their
patients
with
eating
disorders
(ED)
to
explore
agent’s
inner
intentions
and
confront
negative
behaviour
control
styles.
Objectives
To
assess
the
feasibility
impact
of
styles
axis
(ECOSA)
during
first
8
months
mentalisation-based
psychotherapy
a
community-based
sample
ED
patients.
Methods
Six
experienced
therapists
consecutively
admitted
were
randomly
allocated
intervention
groups.
A
total
94
women,
M
age
=
24
recruited
between
June
2020
October
2021.
Ninety
completed
it.
Both
groups
received
psychotherapy,
but
only
group
used
ECOSA
repeatedly.
Therapists
participants
blinded
study
aims
hypothesis.
Fidelity
assessment
was
applied
ensure
two
differed
mainly
in
terms
usage.
Results
The
use
ECOSA,
although
less
than
advised,
reported
as
feasible.
effect
size
improvement
reflective
functioning
larger
correlated
significantly
EDE-Q
score
(
r
0.46;
p
0.001).
Conclusion
Although
limitations:
selective
population,
relatively
small
lack
controlled
confounder,
combined
quantitative
qualitative
results
lend
preliminary
evidence
for
validity
contribution
possible
may
upgrade
clinician’s
toolbox
treatment
ED.
more
rigorous
design
is
needed
potential
usage
clinical
tool
enhance
mentalisation
among
people