{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T14:59:17Z","timestamp":1791039557564,"version":"4.1.0"},"reference-count":100,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T00:00:00Z","timestamp":1631577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Past traumatic events, subsequent posttraumatic stress disorder (PTSD) and related psychiatric comorbidities are commonly associated with eating disorders (EDs) in adults but remain understudied in adolescents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adolescent participants (mean [SD] age\u00a0=\u00a015.1\u00a0\u00b1\u00a01.5\u00a0years, 96.5% female) with EDs entering residential treatment (<jats:italic>n<\/jats:italic>\u00a0=\u00a0647) at six sites in the United States completed validated self\u2010report assessments of ED, PTSD, major depression, anxiety disorders and quality of life. Provisional DSM\u20105 PTSD diagnoses (PTSD+) were made via the Childhood Trauma Questionnaire, admission interviews and the PTSD Symptom Checklist for DSM\u20105.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>PTSD+ occurred in 35.4% of participants, and those with ED\u2010PTSD+ had significantly higher scores on all assessments (<jats:italic>p<\/jats:italic>\u00a0\u2264\u00a00.001), including measures of ED psychopathology, major depression, anxiety disorders and quality of life, as well as significantly higher rates of all forms of childhood trauma. Those with PTSD+ also exhibited a significantly higher percent median body mass index for age and sex and a lower propensity toward anorexia nervosa, restricting type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results confirm that adolescent patients in residential treatment with ED\u2010PTSD+ are more symptomatic and have worse quality of life than their ED counterparts without PTSD. Integrated treatment approaches that effectively address ED\u2010PTSD+\u00a0are greatly needed in ED programs that treat adolescents.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2864","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T04:05:14Z","timestamp":1631678714000},"page":"910-923","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Provisional posttraumatic stress disorder is associated with greater severity of eating disorder and comorbid symptoms in adolescents treated in residential care"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9655-3600","authenticated-orcid":false,"given":"Timothy D.","family":"Brewerton","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Medical University of South Carolina  Charleston South Carolina USA"},{"name":"LLC  Mt. Pleasant South Carolina USA"},{"name":"Monte Nido and Affiliates  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismael","family":"Gavidia","sequence":"additional","affiliation":[{"name":"Monte Nido and Affiliates  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Suro","sequence":"additional","affiliation":[{"name":"Monte Nido and Affiliates  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly M.","family":"Perlman","sequence":"additional","affiliation":[{"name":"Monte Nido and Affiliates  Miami Florida USA"},{"name":"Department of Psychiatry and Behavioral Health Florida International University Herbert Wertheim College of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Genet","sequence":"additional","affiliation":[{"name":"Monte Nido and Affiliates  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas W.","family":"Bunnell","sequence":"additional","affiliation":[{"name":"Monte Nido and Affiliates  Miami Florida USA"},{"name":"Private Practice  Westport Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1300\/J070v12n01_02"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22783"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583\u2010199703000\u201000012"},{"key":"e_1_2_9_6_1","volume-title":"Childhood Trauma Questionnaire: A retrospective self\u2010report manual","author":"Bernstein D. P.","year":"1998"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583\u2010199910000\u201000011"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260514564155"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000254"},{"issue":"7","key":"e_1_2_9_11_1","first-page":"22","article-title":"Comorbidity of psychiatric disorders and posttraumatic stress disorder","volume":"61","author":"Brady K. T.","year":"2000","journal-title":"Journal of Clinical Psychiatry"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1056-4993(01)00006-2"},{"key":"e_1_2_9_13_1","first-page":"158","volume-title":"Eating disorders in children and adolescents","author":"Brewerton T. D.","year":"2006"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260701454311"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2011.3050"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926771.2018.1532940"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010018\u20100628\u20105"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2020.110367"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.21767\/2471\u20108203.100010"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23401"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/10538712.2020.1809047"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780429031106-10"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374410701279701"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.101981"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802\u2010016\u20100193\u20101"},{"key":"e_1_2_9_26_1","volume-title":"CDC growth charts: United States","author":"Centers for Disease Control and Prevention","year":"2000"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/(sici)1098\u2010108x(200003)27:2<180::Aid\u2010eat6>3.0.Co;2\u2010z"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/2050\u20102974\u20101\u201043"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20200"},{"key":"e_1_2_9_30_1","first-page":"309","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. G.","year":"2008"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926771.2020.1832168"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/19361521.2011.610432"},{"key":"e_1_2_9_33_1","volume-title":"Eating Disorder Inventory \u2010 2: Professional manual","author":"Garner D. M.","year":"1991"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22873"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802\u2010018\u20100462\u20102"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13034\u2010016\u20100104\u20109"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010016\u20101208\u20105"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00744"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40653\u2010019\u201000275\u2010z"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2020.104589"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2823"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198602)5:2<209::AID-EAT2260050203>3.0.CO;2-X"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010017\u20100825\u20103"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1310766110"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000159247.48547.7d"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2007.07.011"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1375\/anft.32.2.159"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010018\u20101839\u2010z"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1159\/000328580"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477\u20107525\u20105\u201026"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2012.05.011"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.57.10.953"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1995.03950240066012"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.21848"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006x.71.4.692"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23036"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525\u20101497.2001.016009606.x"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010017\u20101541\u20106"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010019\u201000790\u2010w"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2215\u20100366(19)30031\u20108"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2020.102319"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.05.021"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000549"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22536"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2015.01.018"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/9814358"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2017.07.001"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160\u2010017\u20109905\u20101"},{"key":"e_1_2_9_69_1","doi-asserted-by":"publisher","DOI":"10.1002\/car.2280"},{"key":"e_1_2_9_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2013.05.011"},{"key":"e_1_2_9_71_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2010.05.017"},{"key":"e_1_2_9_72_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2020.1869369"},{"key":"e_1_2_9_73_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716003561"},{"key":"e_1_2_9_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2019.08.002"},{"key":"e_1_2_9_75_1","doi-asserted-by":"publisher","DOI":"10.1080\/15622975.2017.1395071"},{"key":"e_1_2_9_76_1","doi-asserted-by":"publisher","DOI":"10.1080\/10538712.2018.1425943"},{"key":"e_1_2_9_77_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852900009779"},{"key":"e_1_2_9_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2021.105599"},{"key":"e_1_2_9_79_1","volume-title":"Clinician\u2010administered PTSD Scale for DSM\u20105 \u2010 Child\/Adolescent version","author":"Pynoos R. S.","year":"2015"},{"key":"e_1_2_9_80_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11126\u2010020\u201009797\u20104"},{"key":"e_1_2_9_81_1","volume-title":"Cognitive processing therapy for PTSD: A comprehensive manual","author":"Resick P. A.","year":"2017"},{"key":"e_1_2_9_82_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e31822232bb"},{"key":"e_1_2_9_83_1","doi-asserted-by":"publisher","DOI":"10.2147\/AHMT.S115775"},{"key":"e_1_2_9_84_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23455"},{"key":"e_1_2_9_85_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010020\u201000922\u20107"},{"key":"e_1_2_9_86_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.1034"},{"key":"e_1_2_9_87_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2831"},{"key":"e_1_2_9_88_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559503260309"},{"key":"e_1_2_9_89_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2007.58"},{"key":"e_1_2_9_90_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2019.1642035"},{"key":"e_1_2_9_91_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10102"},{"key":"e_1_2_9_92_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.22"},{"key":"e_1_2_9_93_1","doi-asserted-by":"publisher","DOI":"10.1080\/13575279.2018.1555139"},{"key":"e_1_2_9_94_1","doi-asserted-by":"publisher","DOI":"10.1037\/e514172006-001"},{"key":"e_1_2_9_95_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2723"},{"key":"e_1_2_9_96_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2021.1891372"},{"key":"e_1_2_9_97_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22176"},{"key":"e_1_2_9_98_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2634"},{"key":"e_1_2_9_99_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2015.02.006"},{"key":"e_1_2_9_100_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2020.112964"},{"key":"e_1_2_9_101_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000260"}],"container-title":["European Eating Disorders Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/erv.2864","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/erv.2864","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/erv.2864","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T21:51:39Z","timestamp":1693000299000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/erv.2864"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,14]]},"references-count":100,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1002\/erv.2864"],"URL":"https:\/\/doi.org\/10.1002\/erv.2864","archive":["Portico"],"relation":{},"ISSN":["1072-4133","1099-0968"],"issn-type":[{"value":"1072-4133","type":"print"},{"value":"1099-0968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,14]]},"assertion":[{"value":"2021-06-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}