Stress, Trauma, and Adversity as Risk Factors in the Development of Eating Disorders

Brewerton, Timothy D.

doi:10.1002/9781118574089.ch34

Cited by 18 publications

(21 citation statements)

References 83 publications

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“…34). Individuals with eating disorders often suffer from primary anxiety and depressive disorders that began before the onset of the ED [ 35 , 37 , 68 ] and demonstrate high levels of comorbid anxiety and mood disorders [ 18 ]. A history of trauma has been documented in many patients with ED [e.g.…”

Section: Discussionmentioning

confidence: 99%

“…A history of trauma has been documented in many patients with ED [e.g. 69 ] and traumatic experiences have long been considered a significant, albeit non-specific, risk factor for disordered eating behaviors [ 68 ]. Two major studies with adults have reported significantly higher rates of PTSD in individuals with bulimia nervosa [ 3 , 70 ], while Swanson et al [ 18 ] found that adolescents with bulimia nervosa were 7.6 times more likely to have comorbid PTSD.…”

Section: Discussionmentioning

confidence: 99%

“…Two major studies with adults have reported significantly higher rates of PTSD in individuals with bulimia nervosa [ 3 , 70 ], while Swanson et al [ 18 ] found that adolescents with bulimia nervosa were 7.6 times more likely to have comorbid PTSD. In addition, there is some evidence that patients with disordered eating behaviors may be more vulnerable to stress and its consequences, as well as exhibit high levels of anxiety sensitivity in general [ 68 ]. As individuals with an ED complicated by PTSD require treatment for both conditions, using a trauma-informed, integrated approach [ 71 ] then not addressing trauma during the treatment of an eating disorder makes it more likely that successful recovery will be thwarted [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, there is some evidence that patients with disordered eating behaviors may be more vulnerable to stress and its consequences, as well as exhibit high levels of anxiety sensitivity in general [ 68 ]. As individuals with an ED complicated by PTSD require treatment for both conditions, using a trauma-informed, integrated approach [ 71 ] then not addressing trauma during the treatment of an eating disorder makes it more likely that successful recovery will be thwarted [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

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Bulimia symptoms in Czech youth: prevalence and association with internalizing problems

et al. 2019

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Objective Although clinical studies suggest that bulimia symptoms are common in youth, research on the prevalence of such symptoms and of their association with comorbid internalizing problems in the general population has been limited. This study aimed to evaluate the gender-specific prevalence of bulimia symptoms in Czech youth and explored the association between a clinical level of self-reported bulimia symptoms (CLBS) and internalizing problems by gender, controlling for age, socioeconomic status and puberty status. Method The study was conducted on a representative national sample of Czech youth (N = 4430, 57.0% female) using selfreport scales. Multivariate analysis of covariance (MANCOVA) was used to examine the associations. Results The 3-month CLBS prevalence was higher in girls (11.4%) than in boys (3.8%) and in both genders a CLBS was associated with higher levels of comorbid internalizing problems. Discussion Timely recognition of bulimia symptoms and associated risk factors is important for early prevention and intervention strategies. Level of evidence V, cross-sectional descriptive study (according to Oxford (UK) CEBM Levels of Evidence, 2011).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Bulimia symptoms in Czech youth: prevalence and association with internalizing problems

et al. 2019

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“…Mixed findings are observed regarding eating disorders in childhood interpersonal trauma survivors. Documented in children and adolescent survivors, eating disorders are also known to persist in adulthood [110]. A recent study using a representative sample of men and women across the United States [111] found that the vast majority of women and men with anorexia nervosa, bulimia nervosa, and binge eating disorder reported a history of childhood interpersonal trauma.…”

Section: Eating Disordersmentioning

confidence: 99%

Childhood Interpersonal Trauma and its Repercussions in Adulthood: An Analysis of Psychological and Interpersonal Sequelae

Dugal¹,

Bigras²,

Godbout³

et al. 2016

A Multidimensional Approach to Post-Traumatic Stress Disorder - From Theory to Practice

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Despite decades of prevention campaigns and research, childhood interpersonal trauma (i.e., psychological, physical and sexual abuse, psychological and physical neglect, witnessing interparental violence) remains an endemic problem with longstanding and deleterious negative effects on adult psycho-relational functioning. This chapter aims to present a comprehensive literature review of the repercussions associated with exposure to childhood interpersonal trauma. First, the nature and various forms of childhood interpersonal trauma are described. Subsequently, a review of the studies documenting disruptions in psychological and interpersonal functioning and the mechanisms explaining the development of each of these repercussions is unraveled. These repercussions include posttraumatic stress disorder, anxiety disorders, depression, personality disorders, affect dysregulation, substance use disorders, eating disorders, suicidal behaviors, alterations in attention and consciousness, disruptions in attributions, attachment, sexuality and violence in intimate relationships. Finally, suggestions for future research and intervention guidelines with childhood interpersonal trauma survivors are discussed.

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Eating disorder onset during childhood is associated with higher trauma dose, provisional PTSD, and severity of illness in residential treatment

Brewerton

Gavidia²,

Suro³

et al. 2022

Euro Eating Disorders Rev

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Objective: Age of eating disorder (ED) onset has been of significant interest to both researchers and clinicians. The identification of factors associated with early or child onset has important prevention and treatment implications. The presence of prior trauma, resultant posttraumatic stress disorder (PTSD), ED severity, and comorbid psychopathology are of particular relevance to age of ED onset, but data are limited. Methods: Adults (≥18 years, 93% female, total n = 1283) admitted to residential ED treatment self-reported age of ED onset. Patients were divided into child onset (ages 5-10 years), adolescent onset (11-17 years), and adult onset (≥18 years) groups and compared on a number of clinical features and assessment measures. Results:The child onset group had significantly higher rates and doses of traumatic life events; higher current PTSD prevalence; higher BMIs, higher severity of ED, depression and state-trait anxiety symptoms; worse quality of life; and more prior inpatient and residential admissions for ED treatment, in comparison to both the adolescent and adult onset groups. Similarly, the adolescent onset group had significantly higher rates than the adult onset group. Conclusions: These results have important implications for prevention, treatment and long-term follow-up and highlight the need for early traumafocussed treatment of ED patients.

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Stress, Trauma, and Adversity as Risk Factors in the Development of Eating Disorders

Cited by 18 publications

References 83 publications

Bulimia symptoms in Czech youth: prevalence and association with internalizing problems

Bulimia symptoms in Czech youth: prevalence and association with internalizing problems

Childhood Interpersonal Trauma and its Repercussions in Adulthood: An Analysis of Psychological and Interpersonal Sequelae

Eating disorder onset during childhood is associated with higher trauma dose, provisional PTSD, and severity of illness in residential treatment

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