The effects of childhood trauma on daily mood lability and comorbid psychopathology in bulimia nervosa |
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Authors: | Wonderlich Stephen A Rosenfeldt Steven Crosby Ross D Mitchell James E Engel Scott G Smyth Joshua Miltenberger Raymond |
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Institution: | Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Neuropsychiatric Research Institute, Fargo, ND, USA. stephenw@medicine.nodak.edu |
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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. |
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