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Record W4409320951 · doi:10.1002/erv.3195

Psychological Treatment of Co‐Occurring Trauma History, Posttraumatic Stress Disorder, and Eating Disorders: A Systematic Review of Clinical Outcomes

2025· review· en· W4409320951 on OpenAlex
Rachel E. Liebman, Jennifer Ip, Jessica Burdo, Kathryn Trottier

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueEuropean Eating Disorders Review · 2025
Typereview
Languageen
FieldPsychology
TopicEating Disorders and Behaviors
Canadian institutionsUniversity of TorontoToronto Metropolitan UniversityUniversity Health Network
Fundersnot available
KeywordsPsycINFOEating disordersClinical psychologyAffect (linguistics)ComorbidityBulimia nervosaModalitiesPosttraumatic stressPsychiatryPsychologyExposure therapyMEDLINEAnxietyMedicine

Abstract

fetched live from OpenAlex

OBJECTIVE: The association between eating disorders (EDs) and both trauma exposure and posttraumatic stress disorder (PTSD) is well established. Existing evidence is inconclusive about the impact of trauma exposure and/or comorbid PTSD on ED treatment outcomes and if comorbid ED affects PTSD treatment outcomes. The objective of this systematic review is to consolidate the literature on treatment efficacy and effectiveness for individuals with EDs and trauma histories with and without PTSD, as well as to understand how ED and PTSD symptoms may impact improvement in each other, and how improvements in ED and PTSD symptoms might differ across treatment focus (ED-focused, PTSD-focused or both) and modality (e.g., cognitive behavioural, psychodynamic, transdiagnostic, integrative). METHODS: A systematic search of peer-reviewed publications was conducted across three databases (PsycINFO, PubMed, SCOPUS). RESULTS: Results indicate that comorbid PTSD symptoms, but not trauma history alone, may negatively affect ED treatment outcomes. Likewise comorbid ED symptoms may negatively affect PTSD treatment outcomes, but data is lacking. ED and/or PTSD symptom improvement was observed across treatment modalities. CONCLUSIONS: Results suggest that individuals may respond to a variety of modalities. Integrated and concurrent treatments show promise as an effective strategy to achieve long-term recovery from this debilitating comorbid condition.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesMeta-epidemiology (narrow)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.416
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.003
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0140.004
Bibliometrics0.0000.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.133
GPT teacher head0.459
Teacher spread0.326 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it