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Posttraumatic stress disorder in anorexia nervosa
Mae Lynn Reyes-Rodríguez1, Ann Von Holle, Teresa Frances Ulman
1Department of Psychiatry, University of North Carolina at Chapel Hill, 101 Manning Drive, CB #7160, Chapel Hill, NC 27599-7160, USA.
Psychosomatic Medicine
|July 1, 2011
Summary
Anorexia nervosa (AN) frequently co-occurs with posttraumatic stress disorder (PTSD). Traumatic events, particularly sexual traumas, often precede AN onset, suggesting a need for trauma assessment in AN treatment.
Area of Science:
- Psychiatry
- Clinical Psychology
- Trauma Studies
Background:
- Comorbidity between eating disorders, trauma, and PTSD is well-documented.
- Understanding the specific relationship between PTSD and anorexia nervosa (AN) is crucial for effective treatment.
Purpose of the Study:
- To characterize traumatic events in women with AN.
- To investigate the association between PTSD and AN in a female cohort.
Main Methods:
- Utilized data from 824 participants in the Genetics of Anorexia Nervosa Collaborative Study.
- Assessed eating disorders, PTSD, and personality characteristics in a sample of 753 women with AN.
Main Results:
- 13.7% of women with AN met criteria for PTSD.
- PTSD was less common in restricting AN compared to purging AN without binge eating.
- Most PTSD cases reported trauma before AN onset, with sexual trauma being most common.
Conclusions:
- AN and PTSD frequently co-occur, with trauma often preceding AN.
- Clinical assessment of trauma history and PTSD is vital for individuals with AN.
- Treatment for AN may require modifications to address co-occurring PTSD psychopathology.
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