Childhood Trauma in Eating Disorders

Anaya, Carolina; Anam, Seeba; Zickgraf, Hana F.; O'Connor, Shannon M.; Wildes, Jennifer E.

doi:10.1007/978-3-030-49414-8_15

Cited by 3 publications

(2 citation statements)

References 77 publications

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“…Although CBT-E is an effective evidence-based approach in ED treatment, complete remission has only been achieved in half of the cases, and premature ending of treatment stands out as an important problem (Byrne et al, 2011;Frostad et al, 2018). Childhood trauma is one of the prominent predictors of high drop-out rate in this population (Anaya et al, 2020). Trauma, adverse childhood experiences, and attachment problems with caregivers are common in ED participants, and Zaccagnino et al (2017b) argue that this reflects the necessity of a traumatic approach for ED treatment.…”

Section: Traumatic Conceptualization Of Edsmentioning

confidence: 99%

Integrating EMDR With Enhanced Cognitive Behavioral Therapy in the Treatment of Bulimia Nervosa: A Single Case Study

Ergüney-Okumuş

2021

J EMDR Prac Res

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Eating disorders (EDs) are complex and treatment-resistant problems. Despite evidence-based methods like enhanced cognitive behavioral therapy (CBT-E), the number of clients who do not respond positively to treatment is also remarkable. Eye movement desensitization and reprocessing (EMDR) therapy has been adapted for EDs. As far as it is known, no case study has been reported in which EMDR was integrated with CBT-E in the treatment of EDs. This study provides a detailed description of the treatment of a participant with bulimia nervosa (BN) who received 20 sessions of CBT-E followed by five sessions of EMDR with a focus on body image. Presenting symptoms were measured on the Eating Attitudes Test-26, Eating Disorder Examination Questionnaire, Eating Disorder Belief Questionnaire, Bulimia Nervosa Stages of Change Questionnaire, and Body Satisfaction Scale. Results showed that the client had important improvements in terms of symptoms (binge-eating, restricting, and preoccupation with weight, shape, and eating) as well as motivation, body satisfaction, and social relations. This single case study provides preliminary evidence for the possible effectiveness of CBT-E plus EMDR in the treatment of BN. It also indicates that EMDR can make unique positive contributions to treatment. In this context, the use of EMDR as an integrative method appeared to increase the effectiveness of treatment results.

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Section: Traumatic Conceptualization Of Edsmentioning

confidence: 99%

Integrating EMDR With Enhanced Cognitive Behavioral Therapy in the Treatment of Bulimia Nervosa: A Single Case Study

Ergüney-Okumuş

2021

J EMDR Prac Res

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“…ACEs and discrimination may also be linked to ED pathology through maladaptive beliefs about oneself or one’s body. Internalized views of oneself, self-criticism, and low self-esteem have been shown to mediate the relationship between ACEs and eating pathology [ 27 – 31 ]. In line with these studies, discrimination has been shown to influence negative internalized beliefs toward oneself [ 32 – 34 ].…”

Section: Introductionmentioning

confidence: 99%

The role of discrimination and adverse childhood experiences in disordered eating

et al. 2023

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

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