Alliance processes in eating disorders with childhood maltreatment sequelae: Preliminary implications

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2024-10-08 DOI:10.1002/erv.3137

Malin E. Olofsson, KariAnne R. Vrabel, Maren C. Kopland, Hanna P. Eielsen, Hanne W. Oddli, Timothy D. Brewerton

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引用次数: 0

Abstract

Background

Effective eating disorder (ED) treatments are drastically needed for patients with experiences of sustained and prolonged emotional, physical and sexual childhood maltreatment (CM) that often results in post-traumatic sequelae such as severe, complex posttraumatic stress disorder (cPTSD). EDs with comorbid cPTSD (cPTSD-ED) have protracted treatment courses and poorer prognoses.

Aim

To summarise the knowledge base on cPTSD-ED with specific emphasis on disturbances in self-organisation (DSO) in relation to therapeutic alliance (TA) processes.

Method

Expert opinions based on current relevant literature are critically examined.

Results

Preliminary insights on change and alliance processes suggest that neglecting to address emotional-relational processes in the conceptualisation and treatment of cPTSD-ED impedes treatment progress.

Conclusion

We hypothesise that the DSO construct inherent in cPTSD-ED calls for a focus on TA processes in addition to traditional ED treatment elements such as nutritional rehabilitation and behaviour change, and regardless of ED treatment provided. More process research on a larger scale is urgently called for.

查看原文本刊更多论文

带有童年虐待后遗症的饮食失调症的联盟过程：初步影响。

背景：童年时期曾遭受持续和长期的情感、身体和性虐待（CM），往往会导致创伤后遗症，如严重、复杂的创伤后应激障碍（cPTSD），对于这些患者而言，亟需有效的进食障碍（ED）治疗方法。目的：总结有关 cPTSD-ED 的知识基础，特别强调与治疗联盟（TA）过程相关的自我组织障碍（DSO）：方法：对基于当前相关文献的专家意见进行批判性研究：关于改变和联盟过程的初步见解表明，在 cPTSD-ED 的概念化和治疗过程中忽视情感关系过程会阻碍治疗的进展：我们假设，除了营养康复和行为改变等传统的 ED 治疗要素外，无论提供何种 ED 治疗，cPTSD-ED 中固有的 DSO 构建都要求关注 TA 过程。我们迫切需要进行更大规模的过程研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.