Comorbidity among eating disorders, traumatic events, and post traumatic stress disorder (PTSD) has been reported in several studies. The main objectives of this study were to describe the nature of traumatic events experienced and to explore the relation between PTSD and anorexia nervosa (AN) in a sample of women

Berrettini, Wade H.

Brandt, Harry

Bulik, Cynthia M.

Crawford, Steve

Fichter, Manfred M.

Halmi, Katherine A.

Huber, Thomas

Johnson, Craig

Jones, Ian

Kaplan, Allan S.

Kaye, Walter H.

Klump, Kelly L.

Mitchell, James E.

Reyes-Rodríguez, Mae Lynn

Strober, Michael

Thornton, Laura M

Treasure, Janet

Ulman, Teresa Frances

Von Holle, Ann

Woodside, D. Blake

PubMed

Carolina Digital Repository

Posttraumatic Stress Disorder in Anorexia Nervosa

Objectives: Comorbidity among eating disorders, traumatic events, and posttraumatic stress disorder (PTSD) has been reported inseveral studies. The main objectives of this study were to describe the nature of traumatic events experienced and to explore the relationship between PTSD and anorexia nervosa (AN) in a sample of women. Methods: Eight hundred twenty-four participants from the National Institutes of HealthYfunded Genetics of Anorexia Nervosa Collaborative Study were assessed for eating disorders, PTSD, and personality characteristics. Results: From a final sample of 753 women with AN, 13.7% (n = 103) met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria for PTSD. The sample mean age was 29.5 (standard deviation = 11.1) years. In pairwise comparisons across AN subtypes, the odds of having a PTSD diagnosis were significantly lower in individuals with restricting AN than individuals with purging AN without binge eating (odds ratio = 0.49, 95% confidence interval = 0.30-0.80). Most participants with PTSD reported the first traumatic event before the onset of AN (64.1%, n = 66). The most common traumatic events reported by those with a PTSD diagnosis were sexually related traumas during childhood (40.8%) and during adulthood (35.0%). Conclusions: AN and PTSD do co-occur, and traumatic events tend to occur before the onset of AN. Clinically, these results underscore the importance of assessing trauma history and PTSD in individuals with AN and raise the question of whether specific modifications or augmentations to standard treatment for AN should be considered in a subgroup to address PTSD-related psychopathology

Klump, Kelly L

Fichter, Manfred M

Halmi, Katherine A

Kaplan, Allan S

Mitchell, James E

Woodside, D Blake

Berrettini, Wade H

Kaye, Walter H

Bulik, Cynthia M

King's Research Portal

Mae Lynn Reyes-Rodríguez

Ann Von Holle

Teresa Frances Ulman

Laura M Thornton

Kelly L. Klump

Harry Brandt

Steve Crawford

Manfred M. Fichter

Katherine A. Halmi

Thomas Huber

Craig Johnson

Ian Jones

Allan S. Kaplan

James E. Mitchell

Michael Strober

Janet Treasure

D. Blake Woodside

Wade H. Berrettini

Walter H. Kaye

Cynthia M. Bulik

Crossref

Psychosomatic Medicine

OBJECTIVES: 



Comorbidity among eating disorders, traumatic events, and posttraumatic stress disorder (PTSD) has been reported in several studies. The main objectives of this study were to describe the nature of traumatic events experienced and to explore the relationship between PTSD and anorexia nervosa (AN) in a sample of women.



METHODS: 



Eight hundred twenty-four participants from the National Institutes of Health-funded Genetics of Anorexia Nervosa Collaborative Study were assessed for eating disorders, PTSD, and personality characteristics.



RESULTS: 



From a final sample of 753 women with AN, 13.7% (n = 103) met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria for PTSD. The sample mean age was 29.5 (standard deviation = 11.1) years. In pairwise comparisons across AN subtypes, the odds of having a PTSD diagnosis were significantly lower in individuals with restricting AN than individuals with purging AN without binge eating (odds ratio = 0.49, 95% confidence interval = 0.30-0.80). Most participants with PTSD reported the first traumatic event before the onset of AN (64.1%, n = 66). The most common traumatic events reported by those with a PTSD diagnosis were sexually related traumas during childhood (40.8%) and during adulthood (35.0%).



CONCLUSIONS: 



AN and PTSD do co-occur, and traumatic events tend to occur before the onset of AN. Clinically, these results underscore the importance of assessing trauma history and PTSD in individuals with AN and raise the question of whether specific modifications or augmentations to standard treatment for AN should be considered in a subgroup to address PTSD-related psychopathology

Jones, Ian Richard

Online Research @ Cardiff

Posttraumatic stress disorder in anorexia nervosa

https://cdr.lib.unc.edu/downloads/xd07h1863

Posttraumatic Stress Disorder in Anorexia Nervosa

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Carolina Digital Repository

King's Research Portal

Crossref

Online Research @ Cardiff