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[Prevalence and impact of post-traumatic stress disorder in a disordered eating population sample].

Identifieur interne : 001020 ( Main/Exploration ); précédent : 001019; suivant : 001021

[Prevalence and impact of post-traumatic stress disorder in a disordered eating population sample].

Auteurs : Victoire Vierling [France] ; Sophie Etori [France] ; Lisa Valenti [France] ; Marine Lesage [France] ; Marie Pigeyre [France] ; Vincent Dodin [France] ; Olivier Cottencin [France] ; Dewi Guardia [France]

Source :

RBID : pubmed:26433833

Descripteurs français

English descriptors

Abstract

OBJECTIVE

Eating disorders (ED) are associated with a higher prevalence of post-traumatic stress disorder (PTSD). However, the impact they may have on the clinical features and severity of the ED remains unknown. In this study, we assessed the prevalence and the impact of PTSD in a disordered eating population sample.

METHODS

We recruited patients with eating disorders during a period of 6 months, in 2014. The patients underwent a semistructured diagnostic interview by trained psychiatrists. The severity of eating behaviours and PTSD was assessed using the Eating Disorder Inventory 2 and the Impact of Event Scale - Revised.

RESULTS

One hundred and thirty patients (57 patients with anorexia nervosa, 26 with bulimia nervosa, 18 with eating disorder not otherwise specified and 29 with binge eating disorder) were included. Our analyses revealed a PTSD rate of 33.9% in patients with ED. No difference was observed between the ED subtypes. Severity of ED was significantly higher among patients suffering from PTSD. Specific clinical characteristics of the ED-PTSD association have been found. Analyses revealed a significantly higher level of insecurity, interpersonal distrust, impulsivity and a decrease of interoceptive awareness.

DISCUSSION

The frequency and negative impact of PTSD on ED reinforce the need for a systematic clinical evaluation and the implementation of specific care.


DOI: 10.1016/j.lpm.2015.04.039
PubMed: 26433833


Affiliations:


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Le document en format XML

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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult (MeSH)</term>
<term>Anorexia Nervosa (epidemiology)</term>
<term>Anorexia Nervosa (psychology)</term>
<term>Bereavement (MeSH)</term>
<term>Bulimia Nervosa (epidemiology)</term>
<term>Bulimia Nervosa (psychology)</term>
<term>Comorbidity (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Feeding and Eating Disorders (epidemiology)</term>
<term>Feeding and Eating Disorders (psychology)</term>
<term>Female (MeSH)</term>
<term>France (epidemiology)</term>
<term>Hospitalization (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Hyperphagia (epidemiology)</term>
<term>Hyperphagia (psychology)</term>
<term>Impulsive Behavior (MeSH)</term>
<term>Life Change Events (MeSH)</term>
<term>Male (MeSH)</term>
<term>Models, Psychological (MeSH)</term>
<term>Occupations (MeSH)</term>
<term>Prevalence (MeSH)</term>
<term>Prognosis (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Sampling Studies (MeSH)</term>
<term>Self Concept (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Sex Offenses (MeSH)</term>
<term>Stress Disorders, Post-Traumatic (epidemiology)</term>
<term>Stress Disorders, Post-Traumatic (psychology)</term>
<term>Trust (MeSH)</term>
<term>Violence (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Anorexie mentale (psychologie)</term>
<term>Anorexie mentale (épidémiologie)</term>
<term>Boulimie nerveuse (psychologie)</term>
<term>Boulimie nerveuse (épidémiologie)</term>
<term>Comorbidité (MeSH)</term>
<term>Comportement impulsif (MeSH)</term>
<term>Concept du soi (MeSH)</term>
<term>Confiance (MeSH)</term>
<term>Deuil (perte) (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>France (épidémiologie)</term>
<term>Hospitalisation (statistiques et données numériques)</term>
<term>Humains (MeSH)</term>
<term>Hyperphagie (psychologie)</term>
<term>Hyperphagie (épidémiologie)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Infractions sexuelles (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Modèles psychologiques (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Professions (MeSH)</term>
<term>Pronostic (MeSH)</term>
<term>Prévalence (MeSH)</term>
<term>Troubles de l'alimentation (psychologie)</term>
<term>Troubles de l'alimentation (épidémiologie)</term>
<term>Troubles de stress post-traumatique (psychologie)</term>
<term>Troubles de stress post-traumatique (épidémiologie)</term>
<term>Violence (MeSH)</term>
<term>Études par échantillonnage (MeSH)</term>
<term>Études prospectives (MeSH)</term>
<term>Études transversales (MeSH)</term>
<term>Événements de vie (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Anorexia Nervosa</term>
<term>Bulimia Nervosa</term>
<term>Feeding and Eating Disorders</term>
<term>Hyperphagia</term>
<term>Stress Disorders, Post-Traumatic</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Anorexie mentale</term>
<term>Boulimie nerveuse</term>
<term>Hyperphagie</term>
<term>Troubles de l'alimentation</term>
<term>Troubles de stress post-traumatique</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Anorexia Nervosa</term>
<term>Bulimia Nervosa</term>
<term>Feeding and Eating Disorders</term>
<term>Hyperphagia</term>
<term>Stress Disorders, Post-Traumatic</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Hospitalization</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr">
<term>Hospitalisation</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Anorexie mentale</term>
<term>Boulimie nerveuse</term>
<term>France</term>
<term>Hyperphagie</term>
<term>Troubles de l'alimentation</term>
<term>Troubles de stress post-traumatique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Bereavement</term>
<term>Comorbidity</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Impulsive Behavior</term>
<term>Life Change Events</term>
<term>Male</term>
<term>Models, Psychological</term>
<term>Occupations</term>
<term>Prevalence</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Sampling Studies</term>
<term>Self Concept</term>
<term>Severity of Illness Index</term>
<term>Sex Offenses</term>
<term>Trust</term>
<term>Violence</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Comorbidité</term>
<term>Comportement impulsif</term>
<term>Concept du soi</term>
<term>Confiance</term>
<term>Deuil (perte)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Infractions sexuelles</term>
<term>Jeune adulte</term>
<term>Modèles psychologiques</term>
<term>Mâle</term>
<term>Professions</term>
<term>Pronostic</term>
<term>Prévalence</term>
<term>Violence</term>
<term>Études par échantillonnage</term>
<term>Études prospectives</term>
<term>Études transversales</term>
<term>Événements de vie</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>France</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>Eating disorders (ED) are associated with a higher prevalence of post-traumatic stress disorder (PTSD). However, the impact they may have on the clinical features and severity of the ED remains unknown. In this study, we assessed the prevalence and the impact of PTSD in a disordered eating population sample.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We recruited patients with eating disorders during a period of 6 months, in 2014. The patients underwent a semistructured diagnostic interview by trained psychiatrists. The severity of eating behaviours and PTSD was assessed using the Eating Disorder Inventory 2 and the Impact of Event Scale - Revised.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>One hundred and thirty patients (57 patients with anorexia nervosa, 26 with bulimia nervosa, 18 with eating disorder not otherwise specified and 29 with binge eating disorder) were included. Our analyses revealed a PTSD rate of 33.9% in patients with ED. No difference was observed between the ED subtypes. Severity of ED was significantly higher among patients suffering from PTSD. Specific clinical characteristics of the ED-PTSD association have been found. Analyses revealed a significantly higher level of insecurity, interpersonal distrust, impulsivity and a decrease of interoceptive awareness.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DISCUSSION</b>
</p>
<p>The frequency and negative impact of PTSD on ED reinforce the need for a systematic clinical evaluation and the implementation of specific care.</p>
</div>
</front>
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<ISOAbbreviation>Presse Med</ISOAbbreviation>
</Journal>
<ArticleTitle>[Prevalence and impact of post-traumatic stress disorder in a disordered eating population sample].</ArticleTitle>
<Pagination>
<MedlinePgn>e341-52</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.lpm.2015.04.039</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0755-4982(15)00385-1</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Eating disorders (ED) are associated with a higher prevalence of post-traumatic stress disorder (PTSD). However, the impact they may have on the clinical features and severity of the ED remains unknown. In this study, we assessed the prevalence and the impact of PTSD in a disordered eating population sample.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We recruited patients with eating disorders during a period of 6 months, in 2014. The patients underwent a semistructured diagnostic interview by trained psychiatrists. The severity of eating behaviours and PTSD was assessed using the Eating Disorder Inventory 2 and the Impact of Event Scale - Revised.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred and thirty patients (57 patients with anorexia nervosa, 26 with bulimia nervosa, 18 with eating disorder not otherwise specified and 29 with binge eating disorder) were included. Our analyses revealed a PTSD rate of 33.9% in patients with ED. No difference was observed between the ED subtypes. Severity of ED was significantly higher among patients suffering from PTSD. Specific clinical characteristics of the ED-PTSD association have been found. Analyses revealed a significantly higher level of insecurity, interpersonal distrust, impulsivity and a decrease of interoceptive awareness.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">The frequency and negative impact of PTSD on ED reinforce the need for a systematic clinical evaluation and the implementation of specific care.</AbstractText>
<CopyrightInformation>Copyright © 2015 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Vierling</LastName>
<ForeName>Victoire</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>CHU de Lille, service d'addictologie, 59000 Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Etori</LastName>
<ForeName>Sophie</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>CHU de Lille, service d'addictologie, 59000 Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Valenti</LastName>
<ForeName>Lisa</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>CHU de Lille, service d'addictologie, 59000 Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lesage</LastName>
<ForeName>Marine</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>CHU de Lille, service d'addictologie, 59000 Lille, France; SCALab, UMR CNRS 9193, 59000 Lille, France; Université Lille Nord de France, 59000 Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Pigeyre</LastName>
<ForeName>Marie</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>CHU de Lille, service de nutrition, 59000 Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Dodin</LastName>
<ForeName>Vincent</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>Hôpital Saint-Vincent-de-Paul, service de psychiatrie, 59000 Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Cottencin</LastName>
<ForeName>Olivier</ForeName>
<Initials>O</Initials>
<AffiliationInfo>
<Affiliation>CHU de Lille, service d'addictologie, 59000 Lille, France; SCALab, UMR CNRS 9193, 59000 Lille, France; Université Lille Nord de France, 59000 Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Guardia</LastName>
<ForeName>Dewi</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>SCALab, UMR CNRS 9193, 59000 Lille, France; Université Lille Nord de France, 59000 Lille, France; Clinique Lautréamont, service de psychiatrie de l'adolescent, 59120 Loos, France. Electronic address: d.guardia@orpea.net.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>fre</Language>
<PublicationTypeList>
<PublicationType UI="D004740">English Abstract</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<VernacularTitle>Prévalence et impact de l'état de stress post-traumatique chez les patients atteints de troubles du comportement alimentaire.</VernacularTitle>
</Article>
<MedlineJournalInfo>
<Country>France</Country>
<MedlineTA>Presse Med</MedlineTA>
<NlmUniqueID>8302490</NlmUniqueID>
<ISSNLinking>0755-4982</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000856" MajorTopicYN="N">Anorexia Nervosa</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001601" MajorTopicYN="N">Bereavement</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D052018" MajorTopicYN="N">Bulimia Nervosa</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001068" MajorTopicYN="N">Feeding and Eating Disorders</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006963" MajorTopicYN="N">Hyperphagia</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007175" MajorTopicYN="N">Impulsive Behavior</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008016" MajorTopicYN="N">Life Change Events</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008960" MajorTopicYN="N">Models, Psychological</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009790" MajorTopicYN="N">Occupations</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012494" MajorTopicYN="N">Sampling Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012649" MajorTopicYN="N">Self Concept</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012742" MajorTopicYN="N">Sex Offenses</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013313" MajorTopicYN="N">Stress Disorders, Post-Traumatic</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D035502" MajorTopicYN="N">Trust</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014754" MajorTopicYN="N">Violence</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2014</Year>
<Month>09</Month>
<Day>11</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2015</Year>
<Month>02</Month>
<Day>23</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2015</Year>
<Month>04</Month>
<Day>01</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2015</Year>
<Month>10</Month>
<Day>5</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2015</Year>
<Month>10</Month>
<Day>5</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2016</Year>
<Month>3</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">26433833</ArticleId>
<ArticleId IdType="pii">S0755-4982(15)00385-1</ArticleId>
<ArticleId IdType="doi">10.1016/j.lpm.2015.04.039</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Hauts-de-France</li>
<li>Nord-Pas-de-Calais</li>
</region>
<settlement>
<li>Lille</li>
<li>Loos</li>
</settlement>
</list>
<tree>
<country name="France">
<region name="Hauts-de-France">
<name sortKey="Vierling, Victoire" sort="Vierling, Victoire" uniqKey="Vierling V" first="Victoire" last="Vierling">Victoire Vierling</name>
</region>
<name sortKey="Cottencin, Olivier" sort="Cottencin, Olivier" uniqKey="Cottencin O" first="Olivier" last="Cottencin">Olivier Cottencin</name>
<name sortKey="Dodin, Vincent" sort="Dodin, Vincent" uniqKey="Dodin V" first="Vincent" last="Dodin">Vincent Dodin</name>
<name sortKey="Etori, Sophie" sort="Etori, Sophie" uniqKey="Etori S" first="Sophie" last="Etori">Sophie Etori</name>
<name sortKey="Guardia, Dewi" sort="Guardia, Dewi" uniqKey="Guardia D" first="Dewi" last="Guardia">Dewi Guardia</name>
<name sortKey="Lesage, Marine" sort="Lesage, Marine" uniqKey="Lesage M" first="Marine" last="Lesage">Marine Lesage</name>
<name sortKey="Pigeyre, Marie" sort="Pigeyre, Marie" uniqKey="Pigeyre M" first="Marie" last="Pigeyre">Marie Pigeyre</name>
<name sortKey="Valenti, Lisa" sort="Valenti, Lisa" uniqKey="Valenti L" first="Lisa" last="Valenti">Lisa Valenti</name>
</country>
</tree>
</affiliations>
</record>

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