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.

Highlights

  • BackgroundEating disorders (EDs) are serious and debilitating psychiatric disorders and cover a broad range of subtypes including anorexia nervosa, binge eating disorders, bulimia nervosa, and other specified eating and feeding disorders

  • As an indispensable and critical public health concern, childhood maltreatment and EDs are associated with significant mortality and morbidity

  • The present review and critical systematic search emphasize on the psychopathological correlation of emotional childhood maltreatment with anorexia nervosa (AN) and raises significant concerns and questions about the extent and the results of the literature on emotional child abuse, emotional child neglect, and exposure to intimate partner violence (IPV)

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Summary

Introduction

Eating disorders (EDs) are serious and debilitating psychiatric disorders and cover a broad range of subtypes including anorexia nervosa, binge eating disorders, bulimia nervosa, and other specified eating and feeding disorders (previously known as not otherwise specified eating and feeding disorders). These EDs tend to have onset in childhood or adolescent life, and those suffering from these disordered behaviors experience long-lasting morbidity associated with it, including recurrent hospital admissions. EDs are associated with psychopathological impairment and disability and are often undertreated In this regard, eating and feeding disorders should have a public health concern, and all underlying factors influencing these disorders must be explored

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