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The effects of childhood trauma on daily mood lability and comorbid psychopathology in bulimia nervosa.

Abstract
A study of bulimic women examined the relationship between histories of childhood trauma and psychiatric disorders, as well as daily measures of mood and behavior. One hundred twenty-three women with bulimia nervosa were assessed with interviews and completed an Ecological Momentary Assessment (EMA) protocol in which they carried a palmtop computer for 2 weeks. Sexual abuse was associated with a history of mood and anxiety disorders, and emotional abuse with eating disorder psychopathology. In the EMA assessment, sexual abuse was associated with daily purging frequency and self-destructive behavior. Emotional abuse was associated with average daily mood and mood lability. These findings support the idea that child maltreatment may be associated with various aspects of bulimia-related psychopathology.
AuthorsStephen A Wonderlich, Steven Rosenfeldt, Ross D Crosby, James E Mitchell, Scott G Engel, Joshua Smyth, Raymond Miltenberger
JournalJournal of traumatic stress (J Trauma Stress) Vol. 20 Issue 1 Pg. 77-87 (Feb 2007) ISSN: 0894-9867 [Print] United States
PMID17345648 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Topics
  • Adolescent
  • Adult
  • Affect
  • Bulimia Nervosa (epidemiology)
  • Child
  • Child Abuse (psychology)
  • Comorbidity
  • Female
  • Humans
  • Interview, Psychological
  • Mental Disorders (epidemiology)
  • Middle Aged
  • Surveys and Questionnaires

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