Posttraumatic stress disorder symptoms and trauma-informed care in higher levels of care for eating disorders

被引:24
作者
Rienecke, Renee D. [1 ,2 ,3 ]
Blalock, Dan, V [4 ,5 ]
Duffy, Alan [1 ,2 ]
Manwaring, Jamie [1 ,2 ]
Le Grange, Daniel [6 ,7 ]
Johnson, Craig [1 ,2 ]
Mehler, Philip S. [1 ,2 ,8 ,9 ]
McClanahan, Susan F. [1 ,2 ,3 ,10 ]
机构
[1] Eating Recovery Ctr, Denver, CO USA
[2] Pathlight Mood & Anxiety Ctr, Denver, CO USA
[3] Northwestern Univ, Dept Psychiat & Behav Sci, 333 N Michigan Ave, Chicago, IL 60601 USA
[4] Durham Vet Affairs Med Ctr, Ctr Innovat Accelerate Discovery & Practice Trans, Durham, NC USA
[5] Duke Univ, Dept Psychiat & Behav Sci, Sch Med, Durham, NC USA
[6] Univ Calif San Francisco, Dept Psychiat & Behav Sci, San Francisco, CA USA
[7] Univ Chicago, Dept Psychiat & Behav Neurosci, Chicago, IL USA
[8] Denver Hlth, ACUTE, Denver, CO USA
[9] Univ Colorado, Dept Med, Denver, CO USA
[10] Rush Univ, Dept Psychiat, Med Ctr, Chicago, IL USA
关键词
adults; binge eating; eating disorders; higher levels of care; posttraumatic stress disorder; trauma; trauma-informed care; VALIDATION; PATHOLOGY;
D O I
10.1002/eat.23455
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: The purpose of the current study was to examine the prevalence and trajectory of posttraumatic stress disorder (PTSD) symptoms among patients with eating disorders (EDs) in higher level of ED care with trauma-informed components, but without a formal evidence-based trauma intervention. Method: Participants were 613 adults diagnosed with EDs receiving treatment at inpatient, residential, or partial hospitalization levels of care. Participants completed the PTSD Checklist-5 (PCL-5) at admission and discharge. Results: Over half of patients scored above the cutoff of 33 on the PCL-5 at admission, suggestive of PTSD symptoms characteristic of a formal PTSD diagnosis. The average PCL-5 score significantly decreased for every ED diagnostic category, and there was a significant reduction in the proportion of patients above the PCL-5 cutoff score at discharge. PCL-5 subscales measuring PTSD criteria B (intrusions) and C (avoidance) improved with modest effect sizes, whereas PCL-5 subscales D (negative alterations in cognitions and mood) and E (alterations in arousal and reactivity) improved with larger effect sizes. Discussion: PTSD symptoms are prevalent among patients with EDs seeking higher levels of care. Despite not offering evidence-based trauma-specific interventions, PTSD symptoms decreased over the course of treatment. However, improvements cannot definitely be attributed to trauma-informed care.
引用
收藏
页码:627 / 632
页数:6
相关论文
共 17 条
[1]  
APA, 2013, Diagnostic and Statistical Manual of Mental Disorders: DSM-V, V5th
[2]   Psychometric Properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in Veterans [J].
Bovin, Michelle J. ;
Marx, Brian P. ;
Weathers, Frank W. ;
Gallagher, Matthew W. ;
Rodriguez, Paola ;
Schnurr, Paula P. ;
Keane, Terence M. .
PSYCHOLOGICAL ASSESSMENT, 2016, 28 (11) :1379-1391
[3]   An Overview of Trauma-Informed Care and Practice for Eating Disorders [J].
Brewerton, Timothy D. .
JOURNAL OF AGGRESSION MALTREATMENT & TRAUMA, 2019, 28 (04) :445-462
[4]  
Brewerton Timothy D, 2007, Eat Disord, V15, P285, DOI 10.1080/10640260701454311
[5]   PATTERNS OF CHANGE IN RESPONSE TO PROLONGED EXPOSURE: IMPLICATIONS FOR TREATMENT OUTCOME [J].
Clapp, Joshua D. ;
Kemp, Joshua J. ;
Cox, Keith S. ;
Tuerk, Peter W. .
DEPRESSION AND ANXIETY, 2016, 33 (09) :807-815
[6]   Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults - The adverse childhood experiences (ACE) study [J].
Felitti, VJ ;
Anda, RF ;
Nordenberg, D ;
Williamson, DF ;
Spitz, AM ;
Edwards, V ;
Koss, MP ;
Marks, JS .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 1998, 14 (04) :245-258
[7]   Development and Validation of the Eating Pathology Symptoms Inventory (EPSI) [J].
Forbush, Kelsie T. ;
Wildes, Jennifer E. ;
Pollack, Lauren O. ;
Dunbar, Danica ;
Luo, Jing ;
Patterson, Kathryn ;
Petruzzi, Liana ;
Pollpeter, Molly ;
Miller, Haylie ;
Stone, Andrea ;
Bright, Ashley ;
Watson, David .
PSYCHOLOGICAL ASSESSMENT, 2013, 25 (03) :859-878
[8]  
Fritz CO, 2012, J EXP PSYCHOL GEN, V141, P30, DOI 10.1037/a0026092
[9]  
Gleaves DH, 1998, INT J EAT DISORDER, V24, P147, DOI 10.1002/(SICI)1098-108X(199809)24:2<147::AID-EAT4>3.3.CO
[10]  
2-E