Parnassia Psychiatric Institute.
PsyQ Haaglanden, Eating Disorders Center.
Curr Opin Psychiatry. 2019 Nov;32(6):510-517. doi: 10.1097/YCO.0000000000000545.
Childhood maltreatment is associated with all types of eating disorders. We provide a systematic review of the recent literature on comorbid posttraumatic stress disorder (PTSD) in patients with eating disorders, and focus on prevalence, relationship with symptom severity, operating mechanisms and treatment.
The prevalence of comorbid PTSD in patients with eating disorders ranges from 9 to 24%, with research suggesting that comorbid PTSD is associated with more severe eating disorder symptoms. Maladaptive emotional regulation strategies may mediate the relationship between PTSD and eating disorders. Two pilot studies provide preliminary evidence that concurrent cognitive behavior therapy (CBT) for PTSD and eating disorders may be beneficial and that repetitive transcranial magnetic stimulation (rTMS) could be helpful in the treatment of PTSD in some eating disorder patients.
PTSD is a common comorbidity in patients with eating disorders and impacts the severity of their eating disorder symptoms. However, there is little research into concurrent treatments for PTSD and eating disorders. Difficulties in emotional regulation may be a common mechanism in both disorders.
儿童期虐待与各种类型的饮食障碍有关。我们对饮食障碍患者并发创伤后应激障碍（PTSD）的最新文献进行了系统综述，重点介绍了患病率、与症状严重程度的关系、作用机制和治疗方法。
饮食障碍患者并发 PTSD 的患病率为 9%至 24%，研究表明，并发 PTSD 与更严重的饮食障碍症状有关。适应不良的情绪调节策略可能在 PTSD 和饮食障碍之间起中介作用。两项初步研究提供了初步证据，表明同时进行针对 PTSD 和饮食障碍的认知行为疗法（CBT）可能有益，重复经颅磁刺激（rTMS）对某些饮食障碍患者的 PTSD 治疗可能有帮助。
PTSD 是饮食障碍患者的常见共病，会影响其饮食障碍症状的严重程度。然而，针对 PTSD 和饮食障碍的同时治疗的研究很少。情绪调节困难可能是这两种疾病的共同机制。
