Associations between avoidant/restrictive food intake disorder profiles and trauma exposure in veteran men and women

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology Pub Date : 2024-09-12 DOI:10.1002/jclp.23743
Karen S. Mitchell, Kelsey N. Serier, Brian N. Smith, Dawne Vogt
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Abstract

Objective

Trauma exposure, particularly interpersonal trauma, is prevalent among individuals with eating disorders (EDs), and trauma exposure and the subsequent development of posttraumatic stress disorder have been associated with poorer outcomes for ED treatment. To our knowledge, there are no published investigations of trauma exposure among individuals with avoidant/restrictive food intake disorder (ARFID), a new diagnosis introduced by the Diagnostic and Statistical Manual of Mental Disorders-5. We investigated associations between trauma exposure and ARFID profiles in a sample of U.S. military veteran men and women.

Method

Participants in this cross-sectional study included 1494 veterans randomly selected from the population of post-9/11 veterans who had separated from military service within the previous 18 months. They completed a survey assessing EDs, including the Nine Item ARFID Screen and trauma exposure.

Results

Results revealed that 9.8% of the sample exceeded cutoffs for any ARFID profile, with the picky eating profile being the most common. Trauma exposure was prevalent among participants who exceeded cutoffs for ARFID, particularly the picky eating profile.

Discussion

Findings highlight the importance of addressing EDs, including ARFID, in veterans. It will be important to examine the extent to which trauma and trauma-related disorders impact treatment outcomes for individuals with ARFID.

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退伍男女的回避型/限制型食物摄入障碍特征与创伤暴露之间的关系
目的创伤暴露,尤其是人际创伤,在进食障碍(ED)患者中非常普遍,创伤暴露和随后出现的创伤后应激障碍与进食障碍治疗效果较差有关。据我们所知,目前还没有关于回避型/限制性食物摄入障碍(ARFID)患者的创伤暴露的公开研究,ARFID是《精神疾病诊断与统计手册》(Diagnostic and Statistical Manual of Mental Disorders-5)中引入的一种新诊断。我们以美国退伍男女军人为样本,调查了创伤暴露与 ARFID 特征之间的关联。方法这项横断面研究的参与者包括从 9/11 事件后退伍的军人中随机抽取的 1494 名退伍军人,他们都是在过去 18 个月内退伍的。结果显示,9.8% 的样本超过了任何 ARFID 特征的临界值,其中挑食特征最为常见。在超过 ARFID 临界值(尤其是挑食特征)的参与者中,普遍存在心理创伤暴露。研究创伤和创伤相关障碍在多大程度上影响了 ARFID 患者的治疗效果将非常重要。
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来源期刊
Journal of Clinical Psychology
Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-
CiteScore
5.40
自引率
3.30%
发文量
177
期刊介绍: Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.
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