Eating disorder onset during childhood is associated with higher trauma dose, provisional PTSD, and severity of illness in residential treatment

Timothy D. Brewerton; Ismael Gavidia; Giulia Suro; Molly M. Perlman

doi:10.1002/erv.2892

journal article Feb 24, 2022

Eating disorder onset during childhood is associated with higher trauma dose, provisional PTSD, and severity of illness in residential treatment

Timothy D. Brewerton

Ismael Gavidia Giulia Suro

Molly M. Perlman

European Eating Disorders Review Vol. 30 No. 3 pp. 267-277 · Wiley

View at Publisher Save 10.1002/erv.2892

Abstract

AbstractObjectiveAge of eating disorder (ED) onset has been of significant interest to both researchers and clinicians. The identification of factors associated with early or child onset has important prevention and treatment implications. The presence of prior trauma, resultant posttraumatic stress disorder (PTSD), ED severity, and comorbid psychopathology are of particular relevance to age of ED onset, but data are limited.MethodsAdults (≥18 years, 93% female, total n = 1283) admitted to residential ED treatment self‐reported age of ED onset. Patients were divided into child onset (ages 5–10 years), adolescent onset (11–17 years), and adult onset (≥18 years) groups and compared on a number of clinical features and assessment measures.ResultsThe child onset group had significantly higher rates and doses of traumatic life events; higher current PTSD prevalence; higher BMIs, higher severity of ED, depression and state‐trait anxiety symptoms; worse quality of life; and more prior inpatient and residential admissions for ED treatment, in comparison to both the adolescent and adult onset groups. Similarly, the adolescent onset group had significantly higher rates than the adult onset group.ConclusionsThese results have important implications for prevention, treatment and long‐term follow‐up and highlight the need for early trauma‐focussed treatment of ED patients.

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Details

Published: Feb 24, 2022
Vol/Issue: 30(3)
Pages: 267-277
License: View

Authors

T

Timothy D. Brewerton

Department of Psychiatry and Behavioral Sciences Medical University of South Carolina Charleston South Carolina USA; Timothy D. Brewerton, MD, LLC Mt. Pleasant South Carolina USA; Monte Nido and Affiliates Miami Florida USA

I

Ismael Gavidia

Monte Nido and Affiliates Miami Florida USA

G

Giulia Suro

Monte Nido and Affiliates Miami Florida USA

M

Molly M. Perlman

Monte Nido and Affiliates Miami Florida USA; Department of Psychiatry and Behavioral Health Florida International University Herbert Wertheim College of Medicine Miami Florida USA

Cite This Article

Timothy D. Brewerton, Ismael Gavidia, Giulia Suro, et al. (2022). Eating disorder onset during childhood is associated with higher trauma dose, provisional PTSD, and severity of illness in residential treatment. European Eating Disorders Review, 30(3), 267-277. https://doi.org/10.1002/erv.2892

Eating disorder onset during childhood is associated with higher trauma dose, provisional PTSD, and severity of illness in residential treatment

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