Trauma and eating disorders: an integrated umbrella and scoping review

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2025-05-18 DOI:10.1016/j.cpr.2025.102592

Irina Moroshko Master of Clinical Psychology, PhD candidate , Anita Raspovic PhD , Jintana Liu Master of Professional Psychology , Leah Brennan PhD

{"title":"Trauma and eating disorders: an integrated umbrella and scoping review","authors":"Irina Moroshko Master of Clinical Psychology, PhD candidate , Anita Raspovic PhD , Jintana Liu Master of Professional Psychology , Leah Brennan PhD","doi":"10.1016/j.cpr.2025.102592","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>This comprehensive mixed-method review synthesised the trauma-eating disorder (trauma-ED) research across six objectives addressing; prevalence and risk, covariates, clinical characteristics, theories, lived experience, and intervention.</div></div><div><h3>Methods</h3><div>An umbrella review of systematic reviews, a scoping review of narrative summaries, and quality assessments were conducted.</div></div><div><h3>Results</h3><div>One hundred and ninety-nine publications were identified. Higher prevalence rates of childhood, later life, and marginalisation traumas were evident in ED samples compared to healthy controls. Dependant on trauma type, trauma rates in those with ED were higher or comparable to psychiatric controls. More consistent findings, larger effect sizes, and higher prevalence rates of trauma were evident in binge-purge, rather than restrictive, ED presentations. Overall, individuals experiencing trauma-ED present with greater emotional and behavioural dysregulation and more complex illness and treatment course. Several theories explaining the trauma-ED intersection received some empirical support. Few investigations examined mechanisms and treatment; no evidence on lived experience perspectives on treatment and no trauma-ED clinical practice guidelines were identified.</div></div><div><h3>Discussion</h3><div>The positive association between trauma and ED and the negative impact of co-existing trauma on ED illness and treatment, have been established. The clinical relevance, need, and urgency of addressing co-existing trauma in ED treatment are evident. Qualitative and intervention research is urgently needed to understand trauma-ED, elucidate lived experience perspectives on treatment, test novel treatments, and provide clinical guidance.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102592"},"PeriodicalIF":12.2000,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Psychology Review","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0272735825000583","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

This comprehensive mixed-method review synthesised the trauma-eating disorder (trauma-ED) research across six objectives addressing; prevalence and risk, covariates, clinical characteristics, theories, lived experience, and intervention.

Methods

An umbrella review of systematic reviews, a scoping review of narrative summaries, and quality assessments were conducted.

Results

One hundred and ninety-nine publications were identified. Higher prevalence rates of childhood, later life, and marginalisation traumas were evident in ED samples compared to healthy controls. Dependant on trauma type, trauma rates in those with ED were higher or comparable to psychiatric controls. More consistent findings, larger effect sizes, and higher prevalence rates of trauma were evident in binge-purge, rather than restrictive, ED presentations. Overall, individuals experiencing trauma-ED present with greater emotional and behavioural dysregulation and more complex illness and treatment course. Several theories explaining the trauma-ED intersection received some empirical support. Few investigations examined mechanisms and treatment; no evidence on lived experience perspectives on treatment and no trauma-ED clinical practice guidelines were identified.

Discussion

The positive association between trauma and ED and the negative impact of co-existing trauma on ED illness and treatment, have been established. The clinical relevance, need, and urgency of addressing co-existing trauma in ED treatment are evident. Qualitative and intervention research is urgently needed to understand trauma-ED, elucidate lived experience perspectives on treatment, test novel treatments, and provide clinical guidance.

查看原文本刊更多论文

创伤和饮食失调：综合保护伞和范围审查

目的对创伤性进食障碍（traumatic -eating disorder，简称创伤性进食障碍）的六个研究目标进行综合综述；患病率和风险，协变量，临床特征，理论，生活经验和干预。方法对系统综述进行总体综述，对叙述性摘要进行范围综述，并进行质量评价。结果共鉴定出199篇文献。与健康对照组相比，ED样本中儿童期、晚年和边缘化创伤的患病率明显更高。根据创伤类型的不同，ED患者的创伤率高于或与精神病对照组相当。更一致的研究结果、更大的效应量和更高的创伤患病率在暴饮清除中明显，而不是限制性ED。总体而言，经历创伤性ed的个体表现出更大的情绪和行为失调，更复杂的疾病和治疗过程。有几个理论解释了创伤与ed的交集，得到了一些经验的支持。很少有调查审查机制和治疗；没有证据表明生活经验的治疗观点，也没有创伤性ed临床实践指南。创伤与ED之间的正相关以及同时存在的创伤对ED疾病和治疗的负面影响已经确立。在急诊科治疗中处理共存创伤的临床相关性、必要性和紧迫性是显而易见的。迫切需要定性和干预研究来了解创伤性ed，阐明治疗的生活经验观点，测试新的治疗方法，并提供临床指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.