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Comparing the clinical presentation of eating disorder patients with and without trauma history and/or comorbid PTSD

Eating Disorders Jul 31, 2019

Scharff A, et al. - Researchers surveyed 699 girls and women to investigate how patients’ trauma history and current PTSD diagnostic status influence clinical features among patients presenting to residential eating disorder (ED) treatment. Three groups of patients were analyzed for cross-sectional differences: those reporting no trauma history (No Trauma, n = 185), those with trauma history but without PTSD (Trauma, n = 263), and those with current PTSD (PTSD, n = 251). Outcomes revealed more symptoms and other psychopathology among ED patients with any history of trauma vs patients who did not report trauma history. Symptom severity was even greater among patients with current PTSD. ED patients with trauma histories may particularly benefit from interventions focusing on improving emotional functioning. Greater ED symptoms, anxiety and depressive symptoms, experiential avoidance, anxiety sensitivity, and lower mindfulness was reported among the combined Trauma and PTSD groups vs the No Trauma group Greater ED, anxiety and depressive symptoms, greater anxiety sensitivity, and lower mindfulness was reported by the PTSD group vs the Trauma group.

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