2018
DOI: 10.1002/cpp.2324
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Disorder‐specific attachment characteristics and experiences of childhood abuse and neglect in adolescents with anorexia nervosa and a major depressive episode

Abstract: For the first time, the present study investigates disorder-specific attachment characteristics and childhood trauma in adolescent inpatients with anorexia nervosa (n = 30, girls/boys: 28/2, age: M = 14.84, SD = 1.20), a major depressive episode (n = 30, girls/boys: 27/3, age: M = 15.14, SD = 1.50), and controls (n = 60, girls/boys: 44/16, age: M = 16.10, SD = 1.20). We used the Structured Clinical Interview to diagnose Axis I disorders, the Adult Attachment Projective Picture System to classify attachment rep… Show more

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Cited by 21 publications
(17 citation statements)
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References 56 publications
(172 reference statements)
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“…Our findings showed that emotional abuse and neglect, and sexual abuse could increase the risk of depression and predict depression scores in regression analyses of depression scores by childhood abuse or neglect. A recent study has shown that adolescents with a major depressive episode were inclined to report higher levels of emotional abuse and neglect (Gander, Sevecke, & Buchheim, 2018). Unlike prior studies (Lindert et al, 2014, Yildiz Inanici et al, 2017), our study found that physical abuse was not significantly associated with increased risk of depression.…”
Section: Discussionmentioning
confidence: 99%
“…Our findings showed that emotional abuse and neglect, and sexual abuse could increase the risk of depression and predict depression scores in regression analyses of depression scores by childhood abuse or neglect. A recent study has shown that adolescents with a major depressive episode were inclined to report higher levels of emotional abuse and neglect (Gander, Sevecke, & Buchheim, 2018). Unlike prior studies (Lindert et al, 2014, Yildiz Inanici et al, 2017), our study found that physical abuse was not significantly associated with increased risk of depression.…”
Section: Discussionmentioning
confidence: 99%
“…This is comparable to a study conducted in females with h/o sexual and physical abuse in which the results highlighted the symptoms of depression, PTSD and suicide attempts as the co-morbid psychiatric conditions in groups of individuals with EDs symptoms [20]. Talking about the subtypes of childhood abuse , emotional maltreatment showed strong impact on EDs in AN but there has also been evident association between physical abuse and AN; however sexual abuse was not reported to be a significant factor in the development of restrictive symptoms in AN, although they were reported in AN-binge-eating/purging type [7,37]. This is in contrast to sexual abuse impact on the development of Eds in other studies [37-39].…”
Section: Reviewmentioning
confidence: 99%
“…Talking about the subtypes of childhood abuse , emotional maltreatment showed strong impact on EDs in AN but there has also been evident association between physical abuse and AN; however sexual abuse was not reported to be a significant factor in the development of restrictive symptoms in AN, although they were reported in AN-binge-eating/purging type [7,37]. This is in contrast to sexual abuse impact on the development of Eds in other studies [37-39].…”
Section: Reviewmentioning
confidence: 99%
“…The Adult Attachment Projective Picture System (AAP) by George and colleagues 23,26 is one of only a few internationally accepted instruments available to assess AR in adolescents and adults in clinical populations and control cohorts [27][28][29][30][31][32][33][34][35][36][37][38] . These studies demonstrated the high potential of the AAP as a valid attachment measure to identify the individuals' attachment-related risk and protective factors in association with psychopathological dimensions, stress response, and differential personalized resources.…”
Section: Adult Attachment Representation and High-risk Sportsmentioning
confidence: 99%