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Statistical analyses included Pearson correlations, stepwise linear regression, and moderated mediation models, adjusting for age and gender.\n\nResults: The study included 426 Hebrew-speaking Israeli adults (52.8% female, 47.2% male, mean age 40). Childhood trauma, particularly emotional abuse, was significantly associated with PTSD and emotional eating. The relationship between childhood trauma and emotional eating was fully mediated by PTSD, with a stronger effect observed for emotional abuse. War exposure significantly predicted PTSD but did not moderate the link between PTSD and emotional eating. Sex differences emerged, with female participants exhibiting higher PTSD levels than males.\n\nConclusions: The findings emphasize the enduring impact of childhood trauma, particularly emotional abuse, on maladaptive coping mechanisms like emotional eating, mediated by PTSD. While war exposure intensified PTSD symptoms, it did not significantly influence emotional eating. These results highlight the differential effects of early- and later-life traumas, offering insights for targeted interventions in trauma recovery.<\/jats:p>","DOI":"10.5041\/rmmj.10550","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T08:09:40Z","timestamp":1753949380000},"page":"e0015","source":"Crossref","is-referenced-by-count":3,"title":["When Childhood Trauma Meets War: Emotional Eating Through the Lens of PTSD"],"prefix":"10.5041","volume":"16","author":[{"name":"Department of Social Work, Yezreel Valley College, Emek Yezreel, Israel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7711-4554","authenticated-orcid":false,"given":"Zohar","family":"Spivak-Lavi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Latzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Eating Disorders Institute, Rambam Health Care Campus, Haifa, Israel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orna","family":"Tzischinsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Behavioral Sciences, Yezreel Valley College, Emek Yezreel, Israel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2983","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1192\/bjp.2018.207","article-title":"Child maltreatment and mental health problems in adulthood: birth cohort study","volume":"213","author":"Kisely","year":"2018","unstructured":"1. 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Dordrecht, Netherlands: Springer; 2014:2:225-47.","DOI":"10.1007\/978-94-007-7208-3_12"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"50","DOI":"10.30442\/ahr.0701-06-115","article-title":"Sexual abuse among adolescents","volume":"7","author":"Udigwe","year":"2021","unstructured":"7. Udigwe IB, Ofiaeli OC, Ebenebe JC, Nri-Ezedi CA, Ofora VC, Nwaneli EI. Sexual abuse among adolescents. Ann Health Res 2021;7:50-8.","journal-title":"Ann Health Res"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"866","DOI":"10.1016\/j.chiabu.2011.08.002","article-title":"How to deal with emotional abuse and neglect-further development of a conceptual framework (FRAMEA)","volume":"35","author":"Glaser","year":"2011","unstructured":"8. Glaser D. How to deal with emotional abuse and neglect-further development of a conceptual framework (FRAMEA). Child Abuse Negl 2011;35:866-75.","journal-title":"Child Abuse Negl"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.childyouth.2016.05.017","article-title":"Predictors of basic needs and supervisory neglect: evidence from the Illinois Families Study","volume":"67","author":"Yang","year":"2016","unstructured":"9. Yang MY, Maguire-Jack K. Predictors of basic needs and supervisory neglect: evidence from the Illinois Families Study. Child Youth Serv Rev 2016;67:20-6.","journal-title":"Child Youth Serv Rev"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"24451","DOI":"10.1007\/s12144-022-03539-4","article-title":"Childhood emotional neglect and adolescent depression: the role of self-compassion and friendship quality","volume":"42","author":"Dong","year":"2023","unstructured":"10. Dong S, Dong Q, Chen H, Yang S. Childhood emotional neglect and adolescent depression: the role of self-compassion and friendship quality. 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Front Psychiatry 2022;800687.","DOI":"10.3389\/fpsyt.2022.800687"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.psychres.2016.01.049","article-title":"Pathways from victimization to substance use: post traumatic stress disorder as a mediator","volume":"237","author":"Lee","year":"2016","unstructured":"24. Lee JY, Brook JS, Finch SJ, Brook DW. Pathways from victimization to substance use: post traumatic stress disorder as a mediator. Psychiatry Res 2016; 237:153-8.","journal-title":"Psychiatry Res"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1669","DOI":"10.1017\/S0033291709992248","article-title":"Longitudinal associations between post-traumatic distress and depressive symptoms following a traumatic event: a test of three models","volume":"40","author":"Schindel-Allon","year":"2010","unstructured":"25. Schindel-Allon I, Aderka IM, Shahar G, Stein M, Gilboa-Schechtman E. Longitudinal associations between post-traumatic distress and depressive symptoms following a traumatic event: a test of three models. Psychol Med 2010;40:1669-78.","journal-title":"Psychol Med"},{"key":"ref25","doi-asserted-by":"publisher","unstructured":"26. Wolf NM, Elklit A. Child maltreatment and disordered eating in adulthood: a mediating role of PTSD and self-esteem? J Child Adolesc Trauma 2018; 13:21-32.","DOI":"10.1007\/s40653-018-0224-x"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1231","DOI":"10.1176\/appi.ajp.2016.16010071","article-title":"A longitudinal study of adjustment disorder after","volume":"173","author":"O'Donnell","year":"2016","unstructured":"27. O'Donnell ML, Alkemade N, Creamer M, et al. A longitudinal study of adjustment disorder after. 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Relationship between emotional eating, consumption of hyperpalatable energy-dense foods, and indicators of nutritional status: a systematic review. J Obes 2022;2022:4243868.","journal-title":"J Obes"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1016\/j.jada.2007.01.004","article-title":"The Eating and Appraisal Due to Emotions and Stress (EADES) Questionnaire: development and validation","volume":"107","author":"Ozier","year":"2007","unstructured":"30. Ozier AD, Kendrick OW, Knol LL, Leeper JD, Perko M, Burnham J. The Eating and Appraisal Due to Emotions and Stress (EADES) Questionnaire: development and validation. J Am Diet Assoc 2007; 107:619-28.","journal-title":"J Am Diet Assoc"},{"key":"ref30","doi-asserted-by":"publisher","unstructured":"31. Mason SM, MacLehose RF, Katz-Wise SL, et al. Childhood abuse victimization, stress-related eating, and weight status in young women. Ann Epidemiol 2015;25:760-6.e2.","DOI":"10.1016\/j.annepidem.2015.06.081"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/j.appet.2015.03.036","article-title":"The mediating role of emotion dysregulation and depression on the relationship between childhood trauma exposure and emotional eating","volume":"91","author":"Michopoulos","year":"2015","unstructured":"32. Michopoulos V, Powers A, Moore C, Villarreal S, Ressler KJ, Bradley B. The mediating role of emotion dysregulation and depression on the relationship between childhood trauma exposure and emotional eating. Appetite 2015;91:129-36.","journal-title":"Appetite"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.appet.2013.02.016","article-title":"Emotional eating and food intake after sadness and joy","volume":"66","author":"Van Strien","year":"2013","unstructured":"33. Van Strien T, Cebolla A, Etchemendy E, et al. Emotional eating and food intake after sadness and joy. Appetite 2013;66:20-5.","journal-title":"Appetite"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1016\/j.appet.2016.02.034","article-title":"Emotional eating as a mediator between depression and weight gain","volume":"100","author":"van Strien","year":"2016","unstructured":"34. van Strien T, Konttinen H, Homberg JR, Engels RCME, Winkens LHH. Emotional eating as a mediator between depression and weight gain. Appetite 2016;100:216-24.","journal-title":"Appetite"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"32106","DOI":"10.3402\/ejpt.v7.32106","article-title":"Impact of new traumatic or stressful life events on pre-existing PTSD in traumatized refugees: results of a longitudinal study","volume":"7","author":"Schock","year":"2016","unstructured":"35. Schock K, B\u00f6ttche M, Rosner R, Wenk-Ansohn M, Knaevelsrud C. Impact of new traumatic or stressful life events on pre-existing PTSD in traumatized refugees: results of a longitudinal study. Eur J Psychotraumatol 2016;7:32106.","journal-title":"Eur J Psychotraumatol"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1016\/j.psychres.2016.10.062","article-title":"Evidence of complex posttraumatic stress disorder (CPTSD) across populations with prolonged trauma of varying interpersonal intensity and ages of exposure","volume":"246","author":"Palic","year":"2016","unstructured":"36. Palic S, Zerach G, Shevlin M, Zeligman Z, Elklit A, Solomon Z. Evidence of complex posttraumatic stress disorder (CPTSD) across populations with prolonged trauma of varying interpersonal intensity and ages of exposure. Psychiatry Res 2016;246:692-9.","journal-title":"Psychiatry Res"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1186\/s11689-020-09337-y","article-title":"Early life stress and development: potential mechanisms for adverse outcomes","volume":"12","author":"KE","year":"2020","unstructured":"37. Smith KE, Pollak SD. Early life stress and development: potential mechanisms for adverse outcomes. J Neurodev Disord 2020;12:34.","journal-title":"J Neurodev Disord"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"2170","DOI":"10.1080\/13607863.2021.1978926","article-title":"Adverse childhood experiences, adult trauma, and depressive symptom trajectories","volume":"26","author":"Wilson-Genderson","year":"2022","unstructured":"38. Wilson-Genderson M, Heid AR, Cartwright F, Pruchno R. Adverse childhood experiences, adult trauma, and depressive symptom trajectories. Aging Ment Health 2022;26:2170-8.","journal-title":"Aging Ment Health"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1186\/s12916-020-01561-6","article-title":"Mechanisms linking childhood trauma exposure and psychopathology: a transdiagnostic model of risk and resilience","volume":"18","author":"McLaughlin","year":"2020","unstructured":"39. McLaughlin KA, Colich NL, Rodman AM, Weissman DG. Mechanisms linking childhood trauma exposure and psychopathology: a transdiagnostic model of risk and resilience. BMC Med 2020;18:96.","journal-title":"BMC Med"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1002\/jts.20444","article-title":"A developmental approach to complex PTSD: childhood and adult cumulative trauma as predictors of symptom complexity","volume":"22","author":"Cloitre","year":"2009","unstructured":"40. Cloitre M, Stolbach BC, Herman JL, et al. A developmental approach to complex PTSD: childhood and adult cumulative trauma as predictors of symptom complexity. J Trauma Stress 2009;22:399-408.","journal-title":"J Trauma Stress"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"909","DOI":"10.1057\/s41599-023-02438-8","article-title":"The effects of war, displacement, and trauma on child development","volume":"10","author":"Hazer","year":"2023","unstructured":"41. Hazer L, Gredeb\u00e4ck G. The effects of war, displacement, and trauma on child development. Hum Soc Sci Commun 2023;10:909.","journal-title":"Hum Soc Sci Commun"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/j.ejpsy.2017.09.005","article-title":"Psychiatric comorbidity and PTSD-related health problems in war veterans: cross-sectional study","volume":"31","author":"Klaric","year":"2017","unstructured":"42. Klaric M, Lovric S, Kresic Coric M, Galic K, Coric S, Franciskovic T. Psychiatric comorbidity and PTSD-related health problems in war veterans: cross-sectional study. Eur J Psychiatry 2017;31:151-7.","journal-title":"Eur J Psychiatry"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"1647","DOI":"10.1017\/S0033291709992121","article-title":"Childhood adversity, adult stressful life events, and risk of past-year psychiatric disorder: a test of the stress sensitization hypothesis in a population-based sample of adults","volume":"40","author":"McLaughlin","year":"2010","unstructured":"43. McLaughlin KA, Conron KJ, Koenen KC, Gilman SE. Childhood adversity, adult stressful life events, and risk of past-year psychiatric disorder: a test of the stress sensitization hypothesis in a population-based sample of adults. Psychol Med 2010;40:1647-58.","journal-title":"Psychol Med"},{"key":"ref43","doi-asserted-by":"publisher","unstructured":"44. Sehgal A, Kumar R. The effects of childhood trauma on emotional regulation and psychological well being in young adults. J Propuls Technol 2023;44:462-72.","DOI":"10.52783\/tjjpt.v44.i4.864"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"1132","DOI":"10.1176\/ajp.151.8.1132","article-title":"Initial reliability and validity of a new retrospective measure of child abuse and neglect","volume":"151","author":"Bernstein","year":"1994","unstructured":"45. Bernstein DP, Fink L, Handelsman L, et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry 1994; 151:1132-6.","journal-title":"Am J Psychiatry"},{"key":"ref45","doi-asserted-by":"publisher","unstructured":"46. L\u00f6fberg A, Gustafsson PA, Gauffin E, Perini I, Heilig M, Capusan AJ. Assessing childhood maltreatment exposure in patients without and with a diagnosis of substance use disorder. J Addict Med 2023;17;263-70.\u200f","DOI":"10.1097\/ADM.0000000000001091"},{"key":"ref46","unstructured":"47. Weathers FW, Litz BT, Keane TM, Palmieri PA, Marx BP, Schnurr PP. The PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD, U.S. Department of Veterans Affairs; 2013. Available at: https:\/\/www.ptsd.va.gov\/professional\/assessment\/adult-sr\/ptsd-checklist.asp (accessed July 21, 2025)."},{"key":"ref47","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1097\/NMD.0000000000000482","article-title":"Anxiety sensitivity among first-time fathers moderates the relationship between exposure to stress during birth and posttraumatic stress symptoms","volume":"204","author":"Zerach","year":"2016","unstructured":"48. Zerach G, Magal O. Anxiety sensitivity among first-time fathers moderates the relationship between exposure to stress during birth and posttraumatic stress symptoms. J Nerv Ment Dis 2016;204:381-7.","journal-title":"J Nerv Ment Dis"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"747","DOI":"10.1002\/1098-108X(198605)5:4<747::AID-EAT2260050413>3.0.CO;2-6","article-title":"The predictive validity of the Dutch Restrained Eating Scale","volume":"5","author":"van Strien","year":"1986","unstructured":"49. van Strien T, Frijters JER, van Staveren WA, Defares PB, Deurenberg P. The predictive validity of the Dutch Restrained Eating Scale. Int J Eat Disord 1986;5:747-55.","journal-title":"Int J Eat Disord"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.archger.2018.06.012","article-title":"Expressive suppression and emotional eating in older and younger adults: an exploratory study","volume":"78","author":"Samuel","year":"2018","unstructured":"50. Samuel L, Cohen M. Expressive suppression and emotional eating in older and younger adults: an exploratory study. Arch Gerontol Geriatr 2018;78:127-31.","journal-title":"Arch Gerontol Geriatr"},{"key":"ref50","doi-asserted-by":"publisher","unstructured":"51. Hilley CD, O'Rourke HP. Dynamic change meets mechanisms of change: examining mediators in the latent change score framework. Int J Behav Dev 2022;46:125-41.\u200f","DOI":"10.1177\/01650254211064352"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"1521","DOI":"10.1017\/S0033291712002358","article-title":"The neural basis of flashback formation: the impact of viewing trauma","volume":"43","author":"Bourne","year":"2013","unstructured":"52. Bourne C, Mackay CE, Holmes EA. The neural basis of flashback formation: the impact of viewing trauma. Psychol Med 2013;43:1521-32.","journal-title":"Psychol Med"},{"key":"ref52","doi-asserted-by":"publisher","unstructured":"53. Legendre M, Sabourin S, B\u00e9gin C. Maladaptive eating behaviors and childhood trauma: a focus on food addiction. Cureus 2022;14:e26966.","DOI":"10.7759\/cureus.26966"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1037\/amp0000763","article-title":"Recognizing the cumulative burden of childhood adversities transforms science and practice for trauma and resilience","volume":"76","author":"Hamby","year":"2021","unstructured":"54. Hamby S, Elm JHL, Howell KH, Merrick MT. Recognizing the cumulative burden of childhood adversities transforms science and practice for trauma and resilience. Am Psychol 2021;76:230-42.","journal-title":"Am Psychol"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1186\/s12888-021-03134-0","article-title":"The invisible scars of emotional abuse: a common and highly harmful form of childhood maltreatment","volume":"21","author":"Gama","year":"2021","unstructured":"55. Gama CMF, Portugal LCL, Gon\u00e7alves RM, et al. The invisible scars of emotional abuse: a common and highly harmful form of childhood maltreatment. BMC Psychiatry 2021;21:156.","journal-title":"BMC Psychiatry"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"1807","DOI":"10.1007\/s00127-021-02176-9","article-title":"War trauma and PTSD in Ukraine's civilian population: comparing urban-dwelling to internally displaced persons","volume":"57","author":"Johnson","year":"2022","unstructured":"56. Johnson RJ, Antonaccio O, Botchkovar E, Hobfoll SE. War trauma and PTSD in Ukraine's civilian population: comparing urban-dwelling to internally displaced persons. Soc Psychiatry Psychiatr Epidemiol 2022;57:1807-16.","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"ref56","doi-asserted-by":"publisher","unstructured":"57. Bryce I, Beccaria G, McIlveen P, Du Preez J. When quantity takes on a quality of its own: a retrospective exploration of the lived experience of cumulative harm. Child Abuse Rev 2023;32:e2800.","DOI":"10.1002\/car.2800"},{"key":"ref57","doi-asserted-by":"publisher","unstructured":"58. Copeland WE, Shanahan L, Hinesley J, et al. Association of childhood trauma exposure with adult psychiatric disorders and functional outcomes. JAMA Netw Open 2018;1:e184493.","DOI":"10.1001\/jamanetworkopen.2018.4493"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"1604","DOI":"10.1080\/10926771.2022.2164533","article-title":"Understanding the link between childhood emotional abuse and eating behaviors: the mediating role of self-criticism","volume":"32","author":"Akg\u00f6z Akta\u015f","year":"2023","unstructured":"59. Akg\u00f6z Akta\u015f G, Alpay EH, Ayd\u0131n A. Understanding the link between childhood emotional abuse and eating behaviors: the mediating role of self-criticism. J Aggress Maltreat Trauma 2023;32:1604-21.","journal-title":"J Aggress Maltreat Trauma"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"21783","DOI":"10.1007\/s12144-024-05953-2","article-title":"Childhood traumas and emotional eating: the mediating role of self-esteem, and emotion dysregulation","volume":"43","author":"Ko\u00e7ak","year":"2024","unstructured":"60. Ko\u00e7ak Z, \u00c7a\u011fatay SE. Childhood traumas and emotional eating: the mediating role of self-esteem, and emotion dysregulation. Curr Psychol 2024;43:21783-91.","journal-title":"Curr Psychol"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1186\/s40337-022-00696-6","article-title":"Mechanisms by which adverse childhood experiences, other traumas and PTSD influence the health and well-being of individuals with eating disorders throughout the life span","volume":"10","author":"Brewerton","year":"2022","unstructured":"61. Brewerton TD. Mechanisms by which adverse childhood experiences, other traumas and PTSD influence the health and well-being of individuals with eating disorders throughout the life span. J Eat Disord 2022;10:162.","journal-title":"J Eat Disord"},{"key":"ref61","doi-asserted-by":"publisher","unstructured":"62. Latzer Y, Rozenstain-Hason M, Kabakov O, et al. Childhood maltreatment in patients with binge eating disorder with and without night eating syndrome vs. control. Psychiatry Res 2020;293:11345.","DOI":"10.1016\/j.psychres.2020.113451"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"15","DOI":"10.3390\/psychiatryint5010002","article-title":"The dark and comforting side of night eating: women's experiences of trauma","volume":"5","author":"Latzer","year":"2024","unstructured":"63. Latzer Y, Edelstein-Elkayam R, Rabin O, Alon S, Givon M, Tzischinsky O. The dark and comforting side of night eating: women's experiences of trauma. Psychiatry Int 2024;5:15-26.","journal-title":"Psychiatry Int"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1016\/j.chb.2015.11.048","article-title":"Associations between child maltreatment, PTSD, and internet addiction among Taiwanese students","volume":"56","author":"Hsieh","year":"2016","unstructured":"64. Hsieh YP, Shen ACT, Wei HS, Feng JY, Huang SCY, Hwa HL. Associations between child maltreatment, PTSD, and internet addiction among Taiwanese students. Comput Human Behav 2016;56:209-14.","journal-title":"Comput Human Behav"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"378","DOI":"10.1016\/S1077-7229(04)80054-3","article-title":"Behavioral activation for comorbid PTSD and major depression: a case study","volume":"11","author":"PS","year":"2004","unstructured":"65. Mulick PS, Naugle AE. Behavioral activation for comorbid PTSD and major depression: a case study. Cogn Behav Pract 2004;11:378-87.","journal-title":"Cogn Behav Pract"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1007\/s40519-021-01169-6","article-title":"The connection between childhood maltreatment and eating disorder psychopathology: a network analysis study in people with bulimia nervosa and with binge eating disorder","volume":"27","author":"Monteleone","year":"2022","unstructured":"66. Monteleone AM, Tzischinsky O, Cascino G, et al. The connection between childhood maltreatment and eating disorder psychopathology: a network analysis study in people with bulimia nervosa and with binge eating disorder. Eat Weight Disord 2022;27:253-61.","journal-title":"Eat Weight Disord"},{"key":"ref66","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1002\/jts.22617","article-title":"Compounding stress: childhood adversity as a risk factor for adulthood trauma exposure in the health and retirement study","volume":"34","author":"B\u00fcrgin","year":"2021","unstructured":"67. B\u00fcrgin D, Boonmann C, Schmeck K, et al. Compounding stress: childhood adversity as a risk factor for adulthood trauma exposure in the health and retirement study. J Trauma Stress 2021;34:124-36.","journal-title":"J Trauma Stress"},{"key":"ref67","doi-asserted-by":"publisher","first-page":"1612","DOI":"10.1186\/s12889-020-09663-9","article-title":"Effects of cumulative trauma load on long-term trajectories of life satisfaction and health in a population-based study","volume":"20","author":"Sacchi","year":"2020","unstructured":"68. Sacchi L, Merzhvynska M, Augsburger M. 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