Structural equation modeling of adverse childhood experiences, ultra-processed food intake, and symptoms of post-traumatic stress disorder, ultra-processed food addiction, and eating disorder among adults seeking nutrition counseling in Los Angeles, CA

Appetite, Год журнала: 2025, Номер 208, С. 107938 - 107938

Опубликована: Март 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.

Язык: Английский

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Mechanisms by which adverse childhood experiences, other traumas and PTSD influence the health and well-being of individuals with eating disorders throughout the life span

Journal of Eating Disorders, Год журнала: 2022, Номер 10(1)

Опубликована: Ноя. 14, 2022

Abstract Background Multiple published sources from around the world have confirmed an association between array of adverse childhood experiences (ACEs) and other traumatic events with eating disorders (EDs) related outcomes, including higher morbidity mortality. Methods In keeping this Special Issue’s goals, narrative review focuses on ACEs pyramid its purported mechanisms through which child maltreatment forms violence toward human beings influence health well-being individuals who develop EDs throughout life span. Relevant literature posttraumatic stress disorder (PTSD) is highlighted when applicable. Results At every level pyramid, it shown that interact each these proclaimed escalating in a bidirectional manner contributes to predisposition, precipitation perpetuation medical psychiatric comorbidities, then predispose early death. The levels their interactions are discussed include contribution generational embodiment (genetics) historical trauma (epigenetics), social conditions local context, traumas themselves, resultant disrupted neurodevelopment, subsequent social, emotional cognitive impairment, adoption risk behaviors, development disease, disability problems, all resulting premature mortality by means fatal complications and/or suicide. Conclusions implications cascading, evolving, intertwined perspectives important for assessment treatment using trauma-informed care trauma-focused integrated approaches. This overview offers multiple opportunities at palliation prevention associated trauma-related conditions, PTSD.

Язык: Английский

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A Scoping Review on Adverse Childhood Experiences Studies Using Latent Class Analysis: Strengths and Challenges

Trauma Violence & Abuse, Год журнала: 2023, Номер unknown

Опубликована: Авг. 18, 2023

Adverse childhood experiences (ACEs) studies reveal the profound impacts of experiencing trauma and hardships in childhood. However, cumulative risk approach treating ACEs obscures heterogeneity their consequences, making actionable interventions impossible. latent class analysis (LCA) has increasingly been used to address these concerns by identifying underlying subgroups people who experience distinctive patterns co-occurring ACEs. Though LCA its strengths, existing research produces few comparable findings because results are dependent on measures indicators, which vary widely study. Therefore, a scoping review using that focuses measures, is needed inform field. Following Arksey O'Malley's five-stage methodological framework, we first identified 211 articles from databases EBSCOhost, PubMed, Scopus "adverse experiences" for title search "latent analysis" abstract search. Based inclusion criteria peer-reviewed written English published 2012 2022 exclusion nonempirical not analyzing ACEs, finally selected 58 this review. Results showed endorsed community examine associations between human health well-being across culturally diverse populations. overcame limitations traditional methods revealing specific clusters exert potent effects certain outcomes. arbitrary nature selecting limited use theory impedes field moving forward.

Язык: Английский

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Association of adverse childhood experiences with irritable bowel syndrome in Mexican adults: A cross‐sectional study

Neurogastroenterology & Motility, Год журнала: 2024, Номер 36(3)

Опубликована: Янв. 19, 2024

Abstract Background Adverse childhood experiences (ACEs) are linked to the development of gastrointestinal disorders during adulthood, but there is limited research on prevalence ACEs in Latin American populations. This study aimed assess and impact Mexican adults with irritable bowel syndrome (IBS). Methods In this cross‐sectional study, we recruited 290 (aged 18–65), including 90 individuals IBS 200 healthy controls. All participants completed four self‐reported questionnaires: The Childhood Experiences Questionnaire (ACEs), Visceral Sensitivity Index, Irritable Bowel Syndrome Symptom Severity Scale, Hospital Anxiety Depression Scale. Statistical analyses included mean differences using either Student's t ‐test or Wilcoxon test, correlations assessed Spearman's correlation coefficient, logistic regression models. significance was defined as a p ‐value less than 0.05. Key Results Among subjects, 80%, significantly higher 59% observed controls ( < 0.0001). Individuals exhibited elevated levels anxiety depression. Seventy‐five percent subjects severe symptoms reported more ACEs. presence found be associated an increased risk IBS. Conclusions Inferences notably prevalent among positively correlated severity pain. These findings underscore critical evaluating addressing comprehensive management within

Язык: Английский

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Biological treatments for co-occurring eating disorders and psychological trauma: a systematic review

Frontiers in Psychiatry, Год журнала: 2025, Номер 16

Опубликована: Фев. 21, 2025

Introduction Many people with eating disorders report having experienced childhood maltreatment or a traumatic event prior to developing an disorder. Although many have significant exposure symptoms of post-traumatic stress disorder, very little research has examined the effects combined treatments for this group. The purpose systematic review was synthesize all existing on biological those and psychological trauma, evaluate their safety, identify future areas in area support patients trauma. Method A multi-step literature search, according priori protocol performed PubMed, Embase, APA PsycINFO, Web Science, Scopus Cochrane Central. Studies needed include intervention at least one disorder trauma outcome. Given limited area, minimal exclusion criteria were applied. quality assessment included studies completed using Risk Bias Non-Randomized Studies-or Interventions (ROBINS-I) tool. Results After removing duplicates, 2623 article titles abstracts screened, 43 articles selected full-text review. Following review, 11 met inclusion criteria. repurposed medications (n = 3), ketamine 2), repetitive transcranial magnetic stimulation (rTMS; n deep brain =1) electroconvulsive therapy (ECT; 1), 3,4-methylenedioxymethamphetamine (MDMA; neurofeedback 1). All reported some improvement either pathology, strongest effect MDMA. While promising, missing data selective reporting interpretability findings. Adverse events across interventions common. Conclusion is common disorders, few been evaluated population. Future work should aim investigate co-occurring as these evolving show potential benefits complex

Язык: Английский

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The association between cumulative adverse childhood experiences and ultra-processed food addiction is moderated by substance use disorder history among adults seeking outpatient nutrition counseling

Frontiers in Psychiatry, Год журнала: 2025, Номер 16

Опубликована: Март 27, 2025

Adverse childhood experiences (ACEs), such as maltreatment and household dysfunction, are positively linked to substance use disorders (SUD), weight loss efforts, maladaptive eating behaviors, including ultra-processed food addiction (UPFA) disorder (ED) symptoms. However, the differential association of ACEs with UPFA by lifetime SUD history EDs suppression— discrepancy between an individual’s highest current weight/BMI in adulthood— have not been examined. Using logistic regression marginal effects analysis, this cross-sectional study aimed assess (1) cumulative a risk factor for screening positive EDs, (2) moderator ACE-UPFA relationship, (3) suppression ACE-ED relationship. Among 287 adults presenting private practice offering nutrition counseling recovery, presence 4 or more (compared &lt;4 ACEs) significantly increased odds UPFA-positive screens (OR=1.99; CI=1.19-3.35; p=0.01) but ED-positive (OR=1.36; CI=0.80-2.30, p=0.25). Additionally, interaction was significant outcome (p&lt;0.01). Those self-reported exhibited probability ACEs. Meanwhile, remained unchanged among those who did report history. Cumulative predict screens, ACE-weight meet threshold significance. Overall findings underscore cross-vulnerability addictive behaviors potential importance integrating interventions treatment

Язык: Английский

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Adverse childhood experiences, adult emotional eating, and the role of self-compassion

Eating Behaviors, Год журнала: 2025, Номер 57, С. 101978 - 101978

Опубликована: Апрель 1, 2025

Язык: Английский

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The role of discrimination and adverse childhood experiences in disordered eating

Journal of Eating Disorders, Год журнала: 2023, Номер 11(1)

Опубликована: Фев. 27, 2023

In clinical research, there has been a call to move beyond individual psychosocial factors towards identifying cultural and social that inform mental health. Similar calls have made in the eating disorders (ED) field underscoring need understand larger sociocultural influences on EDs. Discrimination is stressor may influence health similar ways traumatic or adverse childhood experiences (ACEs). Given high rates of EDs discrimination among marginalized groups, it vital role ACEs as predictors ED symptoms these populations. The aim this study examine how perceived predicts pathology when statistically adjusting for gender, race, ACEs.The diverse sample consisted 331 undergraduate students from longitudinal cohort (ages 18-24; 66% female; 35% White/non-Hispanic). Participants completed measures everyday discrimination, ACEs, pathology.Following adjustment multiple statistical comparisons, frequency daily predicted all above history ACEs. follow-up analyses, number reasons cognitive restraint purging. Differences symptomatology were found based reason race. Specifically, those who experienced weight endorsed higher scores symptoms, experiencing gender body dissatisfaction, restraint, restriction. People color restriction, while female participants symptom with exception restraint.Discrimination salient risk factor even accounting individuals' Future research should utilize an intersectional approach affects over time. (Word count: 234).Adverse (ACEs) increase (EDs). sexual identity also linked behaviors. This paper examined whether impacted behaviors considered they both might play Findings suggest greater impact disorder college than More needed negative impacts disorders, addition trauma. Clinicians attend their clients’ behaviors, individuals experience bias seeking treatment.

Язык: Английский

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Belief Inflexibility and Cognitive Biases in Anorexia Nervosa—The Role of the Bias against Disconfirmatory Evidence and Its Clinical and Neuropsychological Correlates

Journal of Clinical Medicine, Год журнала: 2023, Номер 12(5), С. 1746 - 1746

Опубликована: Фев. 22, 2023

The aim of this study was to explore, in a sample patients with diagnosis AN, the ability question their first impression and, particular, willingness integrate prior ideas and thoughts additional progressive incoming information. A total 45 healthy women 103 consecutively admitted Eating Disorder Padova Hospital–University Unit, underwent broad clinical neuropsychological assessment. All participants were administered Bias Against Disconfirmatory Evidence (BADE) task, which specifically investigates belief integration cognitive bias. Acute AN showed significantly greater bias toward disconfirming previous judgment, comparison (BADE score, respectively, 2.5 ± 2.0 vs. 3.3 1.6; Mann–Whitney test, p = 0.012). binge-eating/purging subtype individuals, compared restrictive controls, disconfirmatory also significant propensity uncritically accept implausible interpretations 1.55 1.6 2.70 1.97 3.33 1.63; Kruskal–Wallis 0.002 liberal acceptance 1.32 0.93 0.92 1.21 0.98 0.75; test 0.03). Abstract thinking skills flexibility, as well high central coherence, are aspects positively correlated bias, both controls. Research into population could enable us shed light on hidden dimensional aspects, facilitating better understanding psychopathology disorder that is so complex difficult treat.

Язык: Английский

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Childhood trauma and outcome trajectories in patients with longstanding eating disorders across 17 years

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.

Язык: Английский

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