Citation

Rai T, Mainali P, Raza A, Rashid J, Rutkofsky IH. Cureus 2019; 11(8): e5318.

Affiliation

Psychiatry, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

Copyright

(Copyright © 2019, Curēus)

DOI

10.7759/cureus.5318

PMID

31598427

PMCID

PMC6777933

Abstract

Eating disorders (ED) are well known psychiatric disorders associated with dysregulated eating behaviors and related thoughts and emotions. Common eating disorders are bulimia nervosa (BN), anorexia nervosa (AN), and binge eating disorders (BED). There is an active link between child abuse and eating disorders, emotional child abuse being the important subtype of CA and has a strong comorbid psychopathological relationship with EDs, including AN. The PubMed database was searched for the related articles about child abuse, including emotional childhood maltreatment and their psychopathology associated with EDs, especially AN. No filters were used for the date of publication and article types. Childhood abuse, including physical, sexual, and emotional maltreatment, has an active link with psychopathology associated with dysregulated eating behaviors. However, emotional childhood maltreatment including emotional abuse, neglect, and/or exposure to intimate partner violence (IPV) has been least studied, but studies have shown a strong relationship with the symptoms of anorexia nervosa such as weight concern, negative self-image, and maladaptive emotional response. Emotional dysregulation is the crucial psychopathological factor involved in mediating the effects of emotional childhood maltreatment and symptoms of anorexia nervosa and is strongly associated with long-term morbidity in patients with AN. Conducting more clinical studies in the future would help explore the temporal causation, and this association may help the practitioners to develop new diagnostic and therapeutic strategies in the management of AN.

Copyright © 2019, Rai et al.

Language: en

Keywords

adult survivors of child abuse; anoraexia nervosa; child abuse; feeding and eating disorders; psychopathology