Eating disorders and posttraumatic stress disorder
Open accessAbstract
PURPOSE OF REVIEW: Childhood maltreatment is associated with all types of eating disorders. We provide a systematic review of the recent literature on comorbid posttraumatic stress disorder (PTSD) in patients with eating disorders, and focus on prevalence, relationship with symptom severity, operating mechanisms and treatment. RECENT FINDINGS: The prevalence of comorbid PTSD in patients with eating disorders ranges from 9 to 24%, with research suggesting that comorbid PTSD is associated with more severe eating disorder symptoms. Maladaptive emotional regulation strategies may mediate the relationship between PTSD and eating disorders. Two pilot studies provide preliminary evidence that concurrent cognitive behavior therapy (CBT) for PTSD and eating disorders may be beneficial and that repetitive transcranial magnetic stimulation (rTMS) could be helpful in the treatment of PTSD in some eating disorder patients. SUMMARY: PTSD is a common comorbidity in patients with eating disorders and impacts the severity of their eating disorder symptoms. However, there is little research into concurrent treatments for PTSD and eating disorders. Difficulties in emotional regulation may be a common mechanism in both disorders.
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- Authors
- Rijkers, C., Schoorl, M., van Hoeken, D., & Hoek, H. W.
- Affiliations
- Parnassia Groep (NL)
- Leiden University (NL)
- University Medical Center Groningen (NL)
- Corresponding author
- Rijkers, Cleo
- Venue
- Current Opinion in Psychiatry
- Published
- 2019-11
- Volume
- 32
- Issue
- 6
- Pages
- 510-517
- ISSN
- 0951-7367 (ISSN-L)
- OpenAlex
- W2961409654
- Cited by
- 95
- References
- 36
- Citations by year
- 2026: 10 · 2025: 24 · 2024: 22 · 2023: 17 · 2022: 11 · 2021: 6 · 2020: 5
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- green
- research.rug.nl
- Licence
- other-oa
- Locations
- Current Opinion in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- Leiden Repository (Leiden University) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- eating disorders, post-traumatic stress disorder, comorbidities, child abuse, emotion regulation, cognitive behavioral therapy, repetitive transcranial magnetic stimulation, symptom severity, treatment of comorbid disorders
- MeSH terms
- Adult, Feeding and Eating Disorders, Child, Child Abuse, Female, Humans, Male, Stress Disorders, Post-Traumatic, Comorbidity, Cognitive Behavioral Therapy, Transcranial Magnetic Stimulation
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