{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T23:30:26Z","timestamp":1780615826036,"version":"3.54.1"},"reference-count":57,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,4,23]],"date-time":"2023-04-23T00:00:00Z","timestamp":1682208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Axel Muusfeldts Fond"},{"name":"Dagmar Marshalls Fond"},{"name":"Direkt\u00f8r Emil C. Hert og Hustru Inger Hertz Fond"},{"name":"Jascha Fonden"},{"name":"Psychiatric Center Ballerup and the Psychiatry section of the Capitol Region of Denmark"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Objective: The main characteristics of Anorexia Nervosa (AN) in adults are restriction of energy intake relative to requirements leading to significant weight loss, disturbed body image, and intense fear of becoming fat. Traumatic experiences (TE) have been reported as common, although less is known about the relationship with other symptoms in severe AN. We investigated the presence of TE, PTSD, and the relation between TE, eating disorder (ED) symptoms, and other symptoms in moderate to severe AN (n = 97) at admission to inpatient weight-restoration treatment. All patients were enrolled in the Prospective Longitudinal all-comer inclusion study on Eating Disorders (PROLED). Methods: TE were assessed using the Post-traumatic stress disorder checklist, Civilian version (PCL-C), and ED symptoms using the Eating Disorder Examination Questionnaire (EDE-Q); depressive symptoms were assessed using the Major Depression Inventory (MDI), and the presence of Post-traumatic Stress Disorder (PTSD) was diagnosed according to ICD-10 criteria. Results: The mean score on PCL-C was high (mean 44.6 SD 14.7), with 51% having a PCL-C score at or above 44 (n = 49, suggested cut-off for PTSD), although only one individual was clinically diagnosed with PTSD. There was a positive correlation between baseline scores of PCL-C and EDE-Q-global score (r = 0.43; p &lt; 0.01) as well as of PCL-C and all EDE-Q subscores. None of the included patients were admitted for treatment of TE\/PTSD during the first 8 weeks of treatment. Conclusions: In a group of patients with moderate to severe AN, TE were common, and scores were high, although only one had a diagnosis of PTSD. TE were related to ED symptoms at baseline, but this association diminished during the weight restoration treatment.<\/jats:p>","DOI":"10.3390\/jpm13050709","type":"journal-article","created":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T03:38:07Z","timestamp":1682307487000},"page":"709","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Trauma Experiences Are Common in Anorexia Nervosa and Related to Eating Disorder Pathology but Do Not Influence Weight-Gain during the Start of Treatment"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2060-1914","authenticated-orcid":false,"given":"Magnus","family":"Sj\u00f6gren","sequence":"first","affiliation":[{"name":"Eating Disorder Research Unit, Psychiatric Center Ballerup, 2750 Ballerup, Denmark"},{"name":"Institute for Clinical Science, Sundsvall Regional Hospital, Ume\u00e5 University, 851 86 Sundsvall, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mia Beck","family":"Lichtenstein","sequence":"additional","affiliation":[{"name":"Center for Eating Disorders, Odense University Hospital, 5000 Odense, Denmark"},{"name":"Research Unit for Medical Endocrinology, Odense University Hospital, 5230 Odense, Denmark"},{"name":"Mental Health Services in the Region of Southern Denmark, 5230 Odense, Denmark"},{"name":"Clinical Institute, University of Southern Denmark, 5000 Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4255-5544","authenticated-orcid":false,"given":"Rene Klinkby","family":"St\u00f8ving","sequence":"additional","affiliation":[{"name":"Center for Eating Disorders, Odense University Hospital, 5000 Odense, Denmark"},{"name":"Research Unit for Medical Endocrinology, Odense University Hospital, 5230 Odense, Denmark"},{"name":"Mental Health Services in the Region of Southern Denmark, 5230 Odense, Denmark"},{"name":"Clinical Institute, University of Southern Denmark, 5000 Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1002\/wps.20128","article-title":"Risks of all-cause and suicide mortality in mental disorders: A meta-review","volume":"13","author":"Chesney","year":"2014","journal-title":"World Psychiatry"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"205","DOI":"10.12740\/PP\/64580","article-title":"Outcome, comorbidity and prognosis in anorexia nervosa","volume":"51","author":"Jagielska","year":"2017","journal-title":"Psychiatr. 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