The intersection of trauma and eating disorders: evaluating cognitive processing therapy through qualitative analysis.

Quantitative research has demonstrated that many individuals with eating disorders (EDs) present with PTSD (ED-PTSD). Cognitive processing therapy (CPT) has been integrated into the overall treatment for ED-PTSD, but qualitative data on the effectiveness of this approach is lacking. Ten patients wit...

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Publicado en:Eating Disorders Vol. 34; no. 2; pp. 191 - 208
Autores principales: Suro, Giulia, Gavidia, Ismael, Tyran, Natalie, Perlman, Molly M., Brewerton, Timothy D.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar/Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2026
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      pub: Taylor & Francis Ltd
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        10.1080/10640266.2025.2465145
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          Suro, Giulia
          Gavidia, Ismael
          Tyran, Natalie
          Perlman, Molly M.
          Brewerton, Timothy D.
        affil: Monte Nido, Miami, Florida, USA
      sug:
        subj:
          Stress Disorders, Post-Traumatic Complications
          Stress Disorders, Post-Traumatic Therapy
          Eating Disorders Therapy
          Cognitive Therapy Methods
          Treatment Outcomes
          Human
          Male
          Female
          Adolescence
          Young Adult
          United States
          Multicenter Studies
          Qualitative Studies
          Thematic Analysis
          Secondary Analysis
          Exploratory Research
          Self Concept
          Patient Safety
          Relational Autonomy
          Adolescent: 13-18 years
          Male
          Female
      ab: Quantitative research has demonstrated that many individuals with eating disorders (EDs) present with PTSD (ED-PTSD). Cognitive processing therapy (CPT) has been integrated into the overall treatment for ED-PTSD, but qualitative data on the effectiveness of this approach is lacking. Ten patients with ED-PTSD completed 12 sessions of CPT during residential treatment (RT). After sessions 1 and 11, patients wrote an "impact statement" clarifying their beliefs about why their trauma occurred and how it has impacted their life. Two coders using MAXQDA2020 software evaluated these statements using a structured coding protocol to assess changes in trauma-related cognitions over time. Analyses of these cognitive changes demonstrated shifts in the appraisal process regarding why trauma occurred from stances of self-blame to external fault. Exploratory analyses also indicated that perceptions of control and safety were associated with a greater frequency of reference to EDs and body image. Qualitative findings demonstrated that trauma-related cognitions became more realistic and adaptive following CPT as evidenced by a significant reduction in assimilated and overaccommodated cognitions, and an increase in accommodated cognitions. Last, there was a notable shift in perceived responsibility for trauma and improvements in control and safety in relation to EDs.
      pubtype: Academic Journal
      doctype:
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        tables/charts
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    language: English
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