The impact of comorbid posttraumatic stress disorder on eating disorder treatment outcomes: Investigating the unified treatment model

Author(s):  
Karen S. Mitchell ◽  
Simar Singh ◽  
Sabrina Hardin ◽  
Heather Thompson‐Brenner
2021 ◽  
Author(s):  
Marieke ten Napel ◽  
Maartje Vroling ◽  
Suzanne HW Mares ◽  
Arnoud Arntz

Abstract Background; Eating disorder patients with a posttraumatic stress disorder have worse treatment results regarding their eating disorder than patients without a posttraumatic stress disorder. Many underweight eating disorder patients with co-morbid posttraumatic stress disorder symptoms are not treated for their posttraumatic stress disorder symptoms during underweight. We pose that posttraumatic stress disorder treatment in underweight eating disorder is possible, and tested whether posttraumatic stress disorder symptoms decrease with Imagery Rescripting, and secondary whether the treatment of trauma has an effect on the process of weight gain and on eating disorder pathology in general.Method; Ten patients in clinical treatment (BMI 14-16.5) participated. A multiple baseline design was used, with baseline varying from six to 10 weeks, a six-week treatment phase, a three-week follow-up period and a three month follow-up measurement. Data were analyzed with mixed regression. Results; Evidence was found for strong effects of treating posttraumatic stress disorder symptoms with imagery rescripting without interfering with the eating disorder treatment. Positive effects were also found on a range of emotional and cognitive secondary measures.Conclusion;Imagery rescripting of traumatic memories at times of underweight was possible, safe and had positive clinical effects. Trial registrationNetherlands trial register (NTR) Trial NL5906 (NTR6094). Date of registration 09/23/2016. https://www.trialregister.nl/trial/5906


2020 ◽  
Vol 33 (3) ◽  
pp. 345-352 ◽  
Author(s):  
Kristen H. Walter ◽  
Lisa H. Glassman ◽  
Stephanie Y. Wells ◽  
Steven R. Thorp ◽  
Leslie A. Morland

2006 ◽  
Vol 22 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Eelco Olde ◽  
Rolf J. Kleber ◽  
Onno van der Hart ◽  
Victor J.M. Pop

Childbirth has been identified as a possible traumatic experience, leading to traumatic stress responses and even to the development of posttraumatic stress disorder (PTSD). The current study investigated the psychometric properties of the Dutch version of the Impact of Event Scale-Revised (IES-R) in a group of women who recently gave birth (N = 435). In addition, a comparison was made between the original IES and the IES-R. The scale showed high internal consistency (α = 0.88). Using confirmatory factor analysis no support was found for a three-factor structure of an intrusion, an avoidance, and a hyperarousal factor. Goodness of fit was only reasonable, even after fitting one intrusion item on the hyperarousal scale. The IES-R correlated significantly with scores on depression and anxiety self-rating scales, as well as with scores on a self-rating scale of posttraumatic stress disorder. Although the IES-R can be used for studying posttraumatic stress reactions in women who recently gave birth, the original IES proved to be a better instrument compared to the IES-R. It is concluded that adding the hyperarousal scale to the IES-R did not make the scale stronger.


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