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Treating PTSD with Imagery Rescripting in underweight eating disorder patients: a multiple baseline case series study
Marieke C Ten Napel-Schutz1,2,3, Maartje Vroling4, Suzanne H W Mares4
1Department of Eating Disorders (Amarum), GGNet Mental Health, Warnsveld, The Netherlands. m.tennapel@ggnet.nl.
Journal of Eating Disorders
|March 10, 2022
Summary
Imagery Rescripting effectively treats posttraumatic stress disorder (PTSD) in underweight eating disorder patients without hindering eating disorder recovery. This trauma intervention shows significant improvements in PTSD symptoms and secondary emotional measures.
Area of Science:
- Psychiatry
- Clinical Psychology
- Trauma Studies
Background:
- Co-occurring posttraumatic stress disorder (PTSD) negatively impacts eating disorder (ED) treatment outcomes.
- Underweight ED patients with PTSD often do not receive concurrent trauma treatment.
- This study explores the feasibility and impact of treating PTSD in underweight ED patients.
Purpose of the Study:
- To investigate the efficacy of Imagery Rescripting for PTSD symptoms in underweight ED patients.
- To assess whether trauma treatment influences ED pathology and weight gain.
- To determine if PTSD treatment is safe and effective during underweight status.
Main Methods:
- A multiple baseline design study involving ten underweight ED patients (BMI 14-16.5).
- Included a 6-week Imagery Rescripting treatment phase and follow-up measurements.
- Data analyzed using mixed regression models.
Main Results:
- Imagery Rescripting demonstrated significant positive effects on PTSD symptoms.
- No interference with ongoing ED treatment was observed.
- Positive effects were noted on secondary emotional and cognitive measures.
Conclusions:
- Imagery Rescripting is a viable and safe intervention for underweight ED patients with PTSD.
- The intervention yields positive clinical effects on trauma symptoms.
- This approach supports integrated treatment for complex mental health conditions.
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