Impact of trauma in childhood and adulthood on eating-disorder symptoms.

Autor: Vidaña AG; Department of Psychology, University of Toledo, United States of America., Forbush KT; Department of Psychology, University of Kansas, United States of America. Electronic address: kforbush@ku.edu., Barnhart EL; Department of Psychology, University of Kansas, United States of America., Mildrum Chana S; Department of Psychology, University of Kansas, United States of America., Chapa DAN; Department of Psychology, University of Kansas, United States of America., Richson B; Department of Psychology, University of Kansas, United States of America., Thomeczek ML; Department of Psychology, University of Kansas, United States of America.
Jazyk: angličtina
Zdroj: Eating behaviors [Eat Behav] 2020 Dec; Vol. 39, pp. 101426. Date of Electronic Publication: 2020 Aug 27.
DOI: 10.1016/j.eatbeh.2020.101426
Abstrakt: Exposure to a traumatic event is concurrently and prospectively associated with disordered-eating behaviors such as binge eating, restricting, and purging. Specifically, purging has been found to be elevated in individuals with trauma histories, suggesting that purging may be a method for coping with trauma-related distress. However, there has been limited research investigating whether the time at which trauma occurs during development is differentially associated with disordered-eating behaviors and internalizing psychopathology. The purpose of this study was to examine the effect of trauma that occurred in childhood, adulthood, or childhood and adulthood on eating disorder (ED) and internalizing psychopathology. Participants were community-recruited adults with a current DSM-5 ED (N = 225) and were subsequently grouped into categories based on the time at which trauma occurred. Groups included: no trauma exposure ED controls (n = 54), child trauma group (n = 53), adult trauma group (n = 53), and child+adult trauma group (n = 65). We compared groups on their level of disordered-eating symptoms. Participants were administered the Structured Clinical Interview for DSM-IV, the Eating Pathology Symptoms Inventory (EPSI), and the Inventory of Depression and Anxiety Symptoms-II (IDAS-II). Univariate analyses revealed significantly higher levels of purging symptomatology in the child+adult trauma group compared to the no trauma, child trauma, and adult trauma groups. The current study highlights the importance of assessing the timing of trauma among individuals with EDs. In particular, our study indicates a need for further investigation to explain why individuals with ED and trauma histories engage in greater purging.
(Copyright © 2020 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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