The effects of childhood trauma on daily mood lability and comorbid psychopathology in bulimia nervosa.
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.
Wonderlich
Stephen A
SA
Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Neuropsychiatric Research Institute, Fargo, ND, USA. stephenw@medicine.nodak.edu
Rosenfeldt
Steven
S
Crosby
Ross D
RD
Mitchell
James E
JE
Engel
Scott G
SG
Smyth
Joshua
J
Miltenberger
Raymond
R
D000293:Adolescent; D000328:Adult; D000339:Affect; D052018:Bulimia Nervosa / Q000453:epidemiology*; D002648:Child; D002649:Child Abuse / Q000523:psychology*; D015897:Comorbidity; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D011795:Surveys and Questionnaires