Psychological Treatment of Co-Occurring Trauma History, Posttraumatic Stress Disorder, and Eating Disorders: A Systematic Review of Clinical Outcomes

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-04-10 DOI:10.1002/erv.3195

Rachel E. Liebman, Kristen M. Hernandez, Jennifer Ip, Jessica Burdo, Kathryn Trottier

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Abstract

Objective

The association between eating disorders (EDs) and both trauma exposure and posttraumatic stress disorder (PTSD) is well established. Existing evidence is inconclusive about the impact of trauma exposure and/or comorbid PTSD on ED treatment outcomes and if comorbid ED affects PTSD treatment outcomes. The objective of this systematic review is to consolidate the literature on treatment efficacy and effectiveness for individuals with EDs and trauma histories with and without PTSD, as well as to understand how ED and PTSD symptoms may impact improvement in each other, and how improvements in ED and PTSD symptoms might differ across treatment focus (ED-focused, PTSD-focused or both) and modality (e.g., cognitive behavioural, psychodynamic, transdiagnostic, integrative).

Methods

A systematic search of peer-reviewed publications was conducted across three databases (PsycINFO, PubMed, SCOPUS).

Results

Results indicate that comorbid PTSD symptoms, but not trauma history alone, may negatively affect ED treatment outcomes. Likewise comorbid ED symptoms may negatively affect PTSD treatment outcomes, but data is lacking. ED and/or PTSD symptom improvement was observed across treatment modalities.

Conclusions

Results suggest that individuals may respond to a variety of modalities. Integrated and concurrent treatments show promise as an effective strategy to achieve long-term recovery from this debilitating comorbid condition.

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同时发生的创伤史、创伤后应激障碍和饮食失调的心理治疗：临床结果的系统回顾。

目的：研究进食障碍（EDs）与创伤暴露和创伤后应激障碍（PTSD）之间的关系。关于创伤暴露和/或合并PTSD对ED治疗结果的影响，以及合并ED是否影响PTSD治疗结果，现有证据尚无定论。本系统综述的目的是巩固有关ED和创伤史患者（有或没有PTSD）的治疗效果和有效性的文献，以及了解ED和PTSD症状如何相互影响改善，以及ED和PTSD症状的改善如何因治疗重点（ED为重点，PTSD为重点或两者都为重点）和治疗方式（如认知行为、心理动力学、跨诊断、综合治疗）而不同。方法：通过三个数据库（PsycINFO, PubMed， SCOPUS）对同行评审出版物进行系统搜索。结果：结果表明，PTSD的共病症状，而不是创伤史本身，可能会对ED的治疗结果产生负面影响。同样，共病性ED症状也可能对PTSD治疗结果产生负面影响，但缺乏相关数据。ED和/或PTSD症状在不同治疗方式下均有改善。结论：结果表明个体可能对多种治疗方式有反应。综合和同步治疗有望成为实现这种衰弱性合并症长期康复的有效策略。

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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.