Article ; Online: The relationship between trauma and weight status among adolescents in eating disorder treatment.
Appetite
2018 Volume 129, Page(s) 62–69
Abstract: A relationship between trauma and eating disorders in adolescence is well established, though less is known about how different types of trauma, apart from childhood sexual abuse, associate with eating disorders. The purpose of this study is to describe ... ...
| Abstract | A relationship between trauma and eating disorders in adolescence is well established, though less is known about how different types of trauma, apart from childhood sexual abuse, associate with eating disorders. The purpose of this study is to describe the prevalence of various trauma types in a clinical sample of adolescents presenting at an outpatient eating disorder treatment facility (N = 182). Thirty-five percent of the sample reported experiencing one or more traumatic events during their lifetime. Bullying was the most prevalent type of trauma (10%), followed by significant death/loss (9%), and sexual abuse (8%). Adolescents with any trauma exposure had higher body mass index (BMI), BMI percentile, and percent expected body weight (%EBW) compared to those without any trauma exposure. Specifically, patients who were exposed to bullying and domestic violence reported a significantly higher %EBW than those who were not exposed. On average, adolescents exposed to bullying had a %EBW that was 7 percentage points higher than their non-exposed peers. Patients with bulimia nervosa were more likely to report trauma exposure than those with other eating disorder diagnosis. Providers working with adolescents diagnosed with eating disorders of all weight statuses should consider assessing for past and current trauma, including bullying and exposure to domestic violence. Trauma informed approaches to eating disorder treatment are needed to avoid potentially activating or exacerbating trauma related distress for adolescents in eating disorder treatment. |
|---|---|
| MeSH term(s) | Adolescent ; Anorexia Nervosa ; Anxiety/complications ; Body Mass Index ; Body Weight ; Bulimia Nervosa ; Bullying ; Child Abuse, Sexual ; Comorbidity ; Depression/complications ; Domestic Violence ; Feeding and Eating Disorders/psychology ; Feeding and Eating Disorders/therapy ; Female ; Grief ; Humans ; Male ; Obsessive Behavior/complications ; Psychological Trauma/complications ; Stress Disorders, Post-Traumatic/complications |
| Language | English |
| Publishing date | 2018-06-30 |
| Publishing country | England |
| Document type | Journal Article |
| ISSN | 1095-8304 |
| ISSN (online) | 1095-8304 |
| DOI | 10.1016/j.appet.2018.06.034 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.
Inter-library loan at ZB MED
Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.