This work may not be copied, distributed, displayed, published, reproduced, transmitted, modified, posted, sold, licensed, or used for commercial purposes. By downloading this file, you are agreeing to the publisher’s Terms & Conditions.

Original Research

Trauma Exposure, DSM-5 Posttraumatic Stress, and Binge Eating Symptoms: Results From a Nationally Representative Sample

Joel Braun, MD, BSc; Renée El-Gabalawy, PhD; Jordana L. Sommer, BA(Hons); Robert H. Pietrzak, PhD, MPH; Karen Mitchell, PhD; and Natalie Mota, PhD

Published: October 22, 2019

Article Abstract

Objective: To evaluate the association between trauma exposure type, number and type of DSM-5 posttraumatic stress disorder (PTSD) symptoms, and binge eating symptoms.

Methods: Data were analyzed from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III: 2012-2013), which surveyed a nationally representative sample of 36,309 non-institutionalized US civilians aged 18 years and older. Trauma exposure, PTSD, and binge eating symptoms were assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule, DSM-5 Version (AUDADIS-5). Three groups were compared: trauma-exposed individuals with no/low PTSD symptoms, those with subthreshold PTSD, and those with threshold PTSD.

Results: Among both men and women, zero-inflated negative binomial regression analyses demonstrated that individuals with subthreshold and threshold PTSD endorsed a greater number of binge eating symptoms than trauma-exposed individuals with no/low PTSD symptoms (unstandardized coefficient [B] range, 0.33-0.92). Relative to witnessing trauma, combat-related trauma was associated with fewer binge eating symptoms in men (B = −0.62, SE = 0.17), while child maltreatment was associated with a greater number of binge eating symptoms in women (B = 0.28, SE = 0.12). Negative cognitions and mood symptoms in particular were associated with a greater number of binge eating symptoms (B range, 0.09-0.10).

Conclusions: Subthreshold and threshold PTSD are associated with binge eating symptoms in both men and women. Similar to drugs and alcohol, binge eating may be used as a strategy to alleviate distressing symptoms of PTSD.

Volume: 80

Quick Links:

Continue Reading…

Subscribe to read the entire article


Buy this Article as a PDF