A Systematic Review of the Effect of PTSD and Trauma on Treatment Outcomes for Eating Disorders.

Autor:	Day S; Translational Health Research Institute, Western Sydney University, Penrith, NSW, Australia., Hay P; Translational Health Research Institute, School of Medicine, Western Sydney University, Penrith, NSW, Australia.; Mental Health Services Camden and Campbelltown Hospitals, South West Sydney Local Health District, NSW, Australia., Tannous WK; Translational Health Research Institute, School of Business, Western Sydney University, Penrith, NSW, Australia., Fatt SJ; Translational Health Research Institute, Western Sydney University, Penrith, NSW, Australia., Mitchison D; Translational Health Research Institute, Western Sydney University, Penrith, NSW, Australia.
Jazyk:	angličtina
Zdroj:	Trauma, violence & abuse [Trauma Violence Abuse] 2024 Apr; Vol. 25 (2), pp. 947-964. Date of Electronic Publication: 2023 Apr 26.
DOI:	10.1177/15248380231167399
Abstrakt:	There is growing evidence of prior experiences of trauma and trauma-related symptoms among people with eating disorders; however, there is little understanding as to how post-traumatic stress disorder (PTSD) and exposure to traumatic events affect treatment outcomes. Without this knowledge, eating disorder clinicians are unable to tailor treatment to ensure good outcomes for the large percentage of this population that is affected by PTSD and trauma. This systematic review aimed to identify how PTSD and trauma exposure influence outcomes in eating disorder treatment. Systematic searches of PsycINFO, MEDLINE, PubMed, and Scopus databases identified 16 articles that met the inclusion criteria. The results indicated a negative effect on rates of eating disorder treatment completion and eating disorder psychopathology posttreatment. These findings were evident across studies that investigated the impact of a history of traumatic events as well as studies that investigated the impact of the presence of trauma-related symptoms seen in PTSD. Several methodological limitations were identified in the literature. These include: heterogeneous and unstandardized measures of PTSD and trauma, high attrition rates with follow-up, and insufficient data to enable comparisons by treatment setting, diagnostic presentation, and type of trauma exposure. The findings of this review have implications for future research and clinical care, including the importance of considering PTSD and trauma in assessment, treatment planning, and provision of both trauma-informed care and trauma-focused treatments for individuals with eating disorders. Competing Interests: Declaration of Conflicting InterestsProfessor Hay receives sessional fees and lecture fees from the Australian Medical Council, Therapeutic Guidelines publication, and New South Wales HETI and royalties from Hogrefe and Huber, McGraw Hill Education, and Blackwell Scientific Publications, and she has received research grants from the NHMRC and ARC. She is Chair of the National Eating Disorders Collaboration Steering Committee in Australia and was a Member of the ICD-11 Working Group for Eating Disorders and was Chair Clinical Practice Guidelines Project Working Group (Eating Disorders) of RANZCP (2012-2015). She has prepared a report under contract for Takeda Pharmaceuticals and been funding for educational activities and is a consultant to Takeda Pharmaceuticals. All views in this paper are her own. The author(s) have no other potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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