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

Publication ,  Journal Article
Rienecke, RD; Johnson, C; Mehler, PS; Le Grange, D; Manwaring, J; Duffy, A; McClanahan, S; Blalock, DV
Published in: Eur Eat Disord Rev
March 2022

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.

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Published In

Eur Eat Disord Rev

DOI

EISSN

1099-0968

Publication Date

March 2022

Volume

30

Issue

2

Start / End Page

156 / 167

Location

England

Related Subject Headings

  • Young Adult
  • Middle Aged
  • Male
  • Humans
  • Female
  • Feeding and Eating Disorders
  • Clinical Psychology
  • Binge-Eating Disorder
  • Avoidant Restrictive Food Intake Disorder
  • Anorexia Nervosa
 

Citation

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Rienecke, R. D., Johnson, C., Mehler, P. S., Le Grange, D., Manwaring, J., Duffy, A., … Blalock, D. V. (2022). Adverse childhood experiences among a treatment-seeking sample of adults with eating disorders. Eur Eat Disord Rev, 30(2), 156–167. https://doi.org/10.1002/erv.2880
Rienecke, Renee D., Craig Johnson, Philip S. Mehler, Daniel Le Grange, Jamie Manwaring, Alan Duffy, Susan McClanahan, and Dan V. Blalock. “Adverse childhood experiences among a treatment-seeking sample of adults with eating disorders.Eur Eat Disord Rev 30, no. 2 (March 2022): 156–67. https://doi.org/10.1002/erv.2880.
Rienecke RD, Johnson C, Mehler PS, Le Grange D, Manwaring J, Duffy A, et al. Adverse childhood experiences among a treatment-seeking sample of adults with eating disorders. Eur Eat Disord Rev. 2022 Mar;30(2):156–67.
Rienecke, Renee D., et al. “Adverse childhood experiences among a treatment-seeking sample of adults with eating disorders.Eur Eat Disord Rev, vol. 30, no. 2, Mar. 2022, pp. 156–67. Pubmed, doi:10.1002/erv.2880.
Rienecke RD, Johnson C, Mehler PS, Le Grange D, Manwaring J, Duffy A, McClanahan S, Blalock DV. Adverse childhood experiences among a treatment-seeking sample of adults with eating disorders. Eur Eat Disord Rev. 2022 Mar;30(2):156–167.
Journal cover image

Published In

Eur Eat Disord Rev

DOI

EISSN

1099-0968

Publication Date

March 2022

Volume

30

Issue

2

Start / End Page

156 / 167

Location

England

Related Subject Headings

  • Young Adult
  • Middle Aged
  • Male
  • Humans
  • Female
  • Feeding and Eating Disorders
  • Clinical Psychology
  • Binge-Eating Disorder
  • Avoidant Restrictive Food Intake Disorder
  • Anorexia Nervosa