Posttraumatic stress disorder in eating disorder patients: The roles of psychological distress and timing of trauma

2015 ◽  
Vol 230 (2) ◽  
pp. 506-510 ◽  
Author(s):  
Rasmus Isomaa ◽  
Klas Backholm ◽  
Andreas Birgegård
2020 ◽  
Author(s):  
Ken Fowler ◽  
Nyissa Walsh ◽  
David Morgan

Abstract Background: Individuals with Posttraumatic Stress Disorder (PTSD) experience significant levels of psychological distress which is often moderated by social support. PTSD prevalence and symptomology gender differences tend to exist, and this may have important implications for the potential differential impact of social support. Objectives: The primary objectives of this study were to explore levels of psychological distress and social support in a sample of 364 Canadian adults reporting a PTSD diagnosis by a health professional, and to examine the link between specific social support types and psychological distress overall, and for males and females separately. Methods: Using a cross-sectional, national data file, 117 male and 247 female Canadian adults aged 20-64 reporting PTSD were profiled using the Social Provisions Scale – Short Form (SPS-SF), and the Kessler Psychological Distress Scale (K10), and compared to a sex, age and frequency matched control group without a PTSD diagnosis. Social support subtype scores were subsequently regressed onto psychological distress.Results: The PTSD sample had psychological distress scores that were more than double that of the matched control group, and were significantly lower in overall social support, and on each subscale. A diagnosis of PTSD was found to moderate the effect of social support on psychological distress, and while higher social integration and income predicted lower distress overall, higher reliable alliance scores, personal income, and lower age predicted lower distress for men, and higher social integration but lower guidance scores predicted lower distress for women.Conclusions: Social support subtypes were differentially associated with psychological distress experienced by those with PTSD depending on gender, and this may have important implications for clinical practice.


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


2005 ◽  
Vol 20 (2) ◽  
pp. 158-164 ◽  
Author(s):  
Kristina Sundquist ◽  
Leena-Maria Johansson ◽  
Valeri DeMarinis ◽  
Sven-Erik Johansson ◽  
Jan Sundquist

AbstractObjectivesThis study investigated psychological symptoms in Bosnian women 3–4 years after their arrival in Sweden.MethodsA simple random sample of 163 Bosnian women aged 19–59 was drawn from the Swedish populations register in 1996. The control group consisted of 392 Swedish-born women. Data were collected in face-to-face interviews. The Hopkins Symptom Checklist 25 (HSCL-25) and the Posttraumatic Symptom Scale (PTSS-10) were used to measure psychological symptoms of depression, anxiety, psychological distress, and posttraumatic stress disorder (PTSD). Unconditional logistic regression was used to estimate odds ratios (OR) for psychological symptoms after adjustment for age, country of birth, education, marital status, economic difficulties, social network, and feeling secure.ResultsThe prevalence of symptoms of PTSD was 28.3% among the Bosnian women. Bosnian women had significantly higher risks of symptoms of depression, anxiety, and psychological distress than Swedish-born women. For depression the odds ratio was 9.50 among Bosnian women.ConclusionsPsychiatric community interventions need to target Bosnian refugee women. Awareness among health-care workers who encounter these women in a clinical setting should be improved.


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