A Systematic Review of the Effect of PTSD and Trauma on Treatment Outcomes for Eating Disorders.

Day, S; Hay, P; Tannous, WK; Fatt, SJ; Mitchison, D

A Systematic Review of the Effect of PTSD and Trauma on Treatment Outcomes for Eating Disorders.

Day, S Hay, P Tannous, WK Fatt, SJ Mitchison, D

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Publisher:: SAGE PUBLICATIONS INC
Publication Type:: Journal Article
Citation:: Trauma Violence Abuse, 2023, pp. 15248380231167399
Issue Date:: 2023-04-26

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Field	Value	Language
dc.contributor.author	Day, S
dc.contributor.author	Hay, P
dc.contributor.author	Tannous, WK
dc.contributor.author	Fatt, SJ
dc.contributor.author	Mitchison, D
dc.date.accessioned	2023-11-13T06:08:44Z
dc.date.available	2023-11-13T06:08:44Z
dc.date.issued	2023-04-26
dc.identifier.citation	Trauma Violence Abuse, 2023, pp. 15248380231167399
dc.identifier.issn	1524-8380
dc.identifier.issn	1552-8324
dc.identifier.uri	http://hdl.handle.net/10453/173379
dc.description.abstract	There is growing evidence of prior experiences of trauma and trauma-related symptoms among people with eating disorders; however, there is little understanding as to how post-traumatic stress disorder (PTSD) and exposure to traumatic events affect treatment outcomes. Without this knowledge, eating disorder clinicians are unable to tailor treatment to ensure good outcomes for the large percentage of this population that is affected by PTSD and trauma. This systematic review aimed to identify how PTSD and trauma exposure influence outcomes in eating disorder treatment. Systematic searches of PsycINFO, MEDLINE, PubMed, and Scopus databases identified 16 articles that met the inclusion criteria. The results indicated a negative effect on rates of eating disorder treatment completion and eating disorder psychopathology posttreatment. These findings were evident across studies that investigated the impact of a history of traumatic events as well as studies that investigated the impact of the presence of trauma-related symptoms seen in PTSD. Several methodological limitations were identified in the literature. These include: heterogeneous and unstandardized measures of PTSD and trauma, high attrition rates with follow-up, and insufficient data to enable comparisons by treatment setting, diagnostic presentation, and type of trauma exposure. The findings of this review have implications for future research and clinical care, including the importance of considering PTSD and trauma in assessment, treatment planning, and provision of both trauma-informed care and trauma-focused treatments for individuals with eating disorders.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE PUBLICATIONS INC
dc.relation.ispartof	Trauma Violence Abuse
dc.relation.isbasedon	10.1177/15248380231167399
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1607 Social Work, 1701 Psychology, 1801 Law
dc.subject.classification	Criminology
dc.subject.classification	4402 Criminology
dc.subject.classification	4409 Social work
dc.subject.classification	5203 Clinical and health psychology
dc.title	A Systematic Review of the Effect of PTSD and Trauma on Treatment Outcomes for Eating Disorders.
dc.type	Journal Article
utslib.location.activity	United States
utslib.for	1607 Social Work
utslib.for	1701 Psychology
utslib.for	1801 Law
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	open_access	*
dc.date.updated	2023-11-13T06:08:43Z
pubs.publication-status	Published online

Abstract:

There is growing evidence of prior experiences of trauma and trauma-related symptoms among people with eating disorders; however, there is little understanding as to how post-traumatic stress disorder (PTSD) and exposure to traumatic events affect treatment outcomes. Without this knowledge, eating disorder clinicians are unable to tailor treatment to ensure good outcomes for the large percentage of this population that is affected by PTSD and trauma. This systematic review aimed to identify how PTSD and trauma exposure influence outcomes in eating disorder treatment. Systematic searches of PsycINFO, MEDLINE, PubMed, and Scopus databases identified 16 articles that met the inclusion criteria. The results indicated a negative effect on rates of eating disorder treatment completion and eating disorder psychopathology posttreatment. These findings were evident across studies that investigated the impact of a history of traumatic events as well as studies that investigated the impact of the presence of trauma-related symptoms seen in PTSD. Several methodological limitations were identified in the literature. These include: heterogeneous and unstandardized measures of PTSD and trauma, high attrition rates with follow-up, and insufficient data to enable comparisons by treatment setting, diagnostic presentation, and type of trauma exposure. The findings of this review have implications for future research and clinical care, including the importance of considering PTSD and trauma in assessment, treatment planning, and provision of both trauma-informed care and trauma-focused treatments for individuals with eating disorders.

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http://hdl.handle.net/10453/173379