Adverse childhood experiences among a treatment-seeking sample of adults with eating disorders.

Journal Article (Journal Article)

OBJECTIVE: The purpose of the current study was to examine the prevalence of adverse childhood experiences (ACEs) among adults with eating disorders (EDs), to assess whether experiencing a greater number of ACEs is associated with more severe ED psychopathology, and to determine whether ACEs predict treatment outcome. METHOD: Participants were 1819 patients (88.5% female, ages 18-72) admitted to one of two treatment facilities at inpatient, residential, or partial hospitalisation levels of care. The Adverse Childhood Experiences Survey and the Eating Pathology Symptom Inventory (EPSI) were completed at admission and the EPSI at discharge. RESULTS: Female patients reported higher ACEs than males (p = 0.03), and all diagnoses except avoidant/restrictive food intake disorder had significantly higher ACEs than patients with anorexia nervosa-restricting type (AN-R) (p's < 0.01). Across diagnoses, higher ACEs were associated with decreases in binge eating scores during treatment, but were not associated with changes in purging or restricting. Within diagnoses, higher ACEs scores were associated with decreases in purging for patients with AN-R and increases in purging for patients with binge eating disorder. CONCLUSIONS: Results partially supported the hypothesis that higher ACEs would be associated with more severe ED psychopathology.

Full Text

Duke Authors

Cited Authors

  • Rienecke, RD; Johnson, C; Mehler, PS; Le Grange, D; Manwaring, J; Duffy, A; McClanahan, S; Blalock, DV

Published Date

  • March 2022

Published In

Volume / Issue

  • 30 / 2

Start / End Page

  • 156 - 167

PubMed ID

  • 35001471

Electronic International Standard Serial Number (EISSN)

  • 1099-0968

Digital Object Identifier (DOI)

  • 10.1002/erv.2880


  • eng

Conference Location

  • England