Different outcomes, psychopathological features, and comorbidities in patients with eating disorders reporting childhood abuse: A 3‐year follow‐up study

The aim of this study was to evaluate the role of childhood adversities in long‐term outcomes in eating disorders (EDs). One hundred thirty‐three eating disorder patients were studied by means of the Structured Clinical Interview for DSM‐IV and psychometric tests, at baseline, at the end of individu...

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Bibliographic Details
Published in:European eating disorders review 2018-05, Vol.26 (3), p.217-229
Main Authors: Castellini, Giovanni, Lelli, Lorenzo, Cassioli, Emanuele, Ciampi, Eleonora, Zamponi, Francesco, Campone, Beatrice, Monteleone, Alessio Maria, Ricca, Valdo
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Child abuse & neglect
Child Abuse - psychology
childhood abuse
Cognitive Behavioral Therapy
cognitive behavioural therapy
Comorbidity
Depression
Depressive Disorder
Diagnostic and Statistical Manual of Mental Disorders
Eating disorders
Feeding and Eating Disorders - psychology
Feeding and Eating Disorders - therapy
Female
Follow-Up Studies
Humans
Impulsive Behavior
Male
Middle Aged
outcome
psychiatric comorbidity
Psychopathology
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Summary:The aim of this study was to evaluate the role of childhood adversities in long‐term outcomes in eating disorders (EDs). One hundred thirty‐three eating disorder patients were studied by means of the Structured Clinical Interview for DSM‐IV and psychometric tests, at baseline, at the end of individual cognitive behavioural therapy, and at 3‐year follow‐up. As compared with the other patients, those reporting childhood abuse (overall: 24.8%; physical abuse: 20.3%; sexual abuse: 13.6%) showed higher impulsivity, psychiatric comorbidity, lower full recovery at follow‐up (12.1% vs. 31%), and higher diagnostic crossover (39.4% vs. 13.0%). The different rates of recovery were mostly due to a higher persistence of depression in abused patients (77.8% vs. 26.7%). Patients with both abuse and neglect had a higher probability of dropout. Eating disorder patients with childhood abuse represent a group of persons with more complex psychopathological features and a worse long‐term outcome, thus requiring specific treatment strategies.
ISSN:1072-4133
1099-0968
DOI:10.1002/erv.2586