ArticleClinical psychology & psychotherapy2018
Disorder-specific attachment characteristics and experiences of childhood abuse and neglect in adolescents with anorexia nervosa and a major depressive episode.
Article in Clinical psychology & psychotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Childhood sexual abuse in pediatric-onset anorexia Nervosa: a systematic review.Frontiers in pediatrics · 2026Pooled it
- Identifying and synthesizing components of perinatal mental health peer support - a systematic review.Frontiers in psychiatry · 2024Pooled it
- A call for a trauma-informed approach during compulsory care for enduring anorexia nervosa with combined PTSD - an autoethnographic perspective.Journal of eating disorders · 2025Article
- Impathy and Emotion Recognition: How Attachment Shapes Self- and Other-Focused Emotion Processing.Brain sciences · 2025Article
- Attachment, Shame, and Trauma.Brain sciences · 2025Article
- Does Evidence Support an Emotion Regulation Model of Anorexia Nervosa? A Systematic Review of Over a Decade of Research.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2025Article
- Two identical twin pairs discordant for longstanding anorexia nervosa and OSFED: lived experience accounts of eating disorder and recovery processes.Journal of eating disorders · 2024Article
- Personality Disorders and Attachment Trauma in Adolescent Patients with Psychiatric Disorders.Research on child and adolescent psychopathology · 2024Article
- Article
- Attachment status is associated with grey matter recovery in adolescent anorexia nervosa: Findings from a longitudinal study.The European journal of neuroscience · 2022Article
- Identifying Risk and Resilience Factors in the Intergenerational Cycle of Maltreatment: Results From theFrontiers in human neuroscience · 2022Article
- The relationship between childhood abuse and depression in a sample of Chinese people who use methamphetamine.International journal of clinical and health psychology : IJCHP · 2019Article
- Exploring the Link Between Emotional Child Abuse and Anorexia Nervosa: A Psychopathological Correlation.Cureus · 2019Review
- Disorder-specific attachment characteristics and experiences of childhood abuse and neglect in adolescents with anorexia nervosa and a major depressive episode.Clinical psychology & psychotherapy · 2018Article
Corrections and comments
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
For the first time, the present study investigates disorder-specific attachment characteristics and childhood trauma in adolescent inpatients with anorexia nervosa (n = 30, girls/boys: 28/2, age: M = 14.84, SD = 1.20), a major depressive episode (n = 30, girls/boys: 27/3, age: M = 15.14, SD = 1.50), and controls (n = 60, girls/boys: 44/16, age: M = 16.10, SD = 1.20). We used the Structured Clinical Interview to diagnose Axis I disorders, the Adult Attachment Projective Picture System to classify attachment representations, and the Childhood Trauma Questionnaire to assess child maltreatment. Our findings demonstrate an overrepresentation of the unresolved attachment status in the patient samples. A one-way analysis of variance succeeded by Bonferroni post hoc tests indicated that adolescents with anorexia nervosa show more isolation and dissolution of boundaries between life and death when confronted with situations of solitude. Although they report moderate to severe levels of traumatic childhood experiences, they tend to minimize those. Adolescents with a major depressive episode report higher levels of emotional abuse and neglect in their childhood, leaving them in a state of failed protection and danger during attachment distress. Integrating these attachment-related characteristics into specific psychotherapeutic interventions might be associated with a better outcome in that age group.
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