ArticleEating and weight disorders : EWD2022
Sexual and gender minority individuals report higher rates of lifetime traumas and current PTSD than cisgender heterosexual individuals admitted to residential eating disorder treatment.
Article in Eating and weight disorders : EWD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Emotion Regulation in the Association Between Posttraumatic Stress Disorder and Substance Use: A Systematic Review With Narrative Synthesis.Trauma, violence & abuse · 2026Pooled it
- A Systematic Review of the Effect of PTSD and Trauma on Treatment Outcomes for Eating Disorders.Trauma, violence & abuse · 2024Pooled it
- Post-traumatic stress disorder among LGBTQ people: a systematic review and meta-analysis.Epidemiology and psychiatric sciences · 2023Pooled it
- Post-traumatic stress disorder and adverse pregnancy outcomes: sexual orientation disparities in a prospective cohort study.BMC pregnancy and childbirth · 2026Article
- Article
- Posttraumatic stress disorder, general psychopathology, and suicidality among Yazidi women in Iraq kidnapped and/or raped by ISIS in 2014.Archives of women's mental health · 2025Article
- Overcoming Implementation Barriers of Concurrent Treatment for Eating Disorders and Posttraumatic Stress Disorder: Two Novel and Feasible Approaches.Behavioral sciences (Basel, Switzerland) · 2025Article
- Bisexual+ Women and Gender Nonbinary Survivors of Sexual Violence: Comparisons of Substance Use, PTSD Symptoms, and In-Person Social Reactions to Sexual Violence Disclosure.Journal of child sexual abuse · 2025Article
- Crisis, Confidence, and Conserving Resources: Examining How Adult Education Students Navigate Stressors and Marginalization.Adult learning (Washington, D.C.) · 2024Article
- Eating Disorders in Sexual and Gender Minority Adolescents.Current psychiatry reports · 2024Review
- HPTN 083-02: factors influencing adherence to injectable PrEP and retention in an injectable PrEP study.Journal of the International AIDS Society · 2024Article
- Effects of sex and gender on the etiologies and presentation of select internalizing psychopathologies.Translational psychiatry · 2024Review
- Longitudinal associations between community violence exposure, posttraumatic stress symptoms, and eating disorder symptoms.Journal of eating disorders · 2024Article
- Eating disorder patients with and without PTSD treated in residential care: discharge and 6-month follow-up results.Journal of eating disorders · 2023Article
- The integrated treatment of eating disorders, posttraumatic stress disorder, and psychiatric comorbidity: a commentary on the evolution of principles and guidelines.Frontiers in psychiatry · 2023Review
- State-Level Policy Environments, Discrimination, and Victimization among Sexual and Gender Minority People.International journal of environmental research and public health · 2022Article
- LGBTQ+ outpatients present to eating disorder treatment earlier and with more severe depressive symptoms than cisgender heterosexual peers.Eating disordersArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTrauma and posttraumatic stress disorder (PTSD) are associated with eating disorders (EDs), which occur across all sexual orientations and gender identities. Prior traumas and PTSD also are reported to occur significantly more frequently in individuals identifying as lesbian, gay, bisexual, transgender, queer or questioning, non-binary, or other (LGBTQ+), but little is known about rates of PTSD in LGBTQ+ individuals with EDs admitted to residential treatment (RT).
methodOur sample included 542 adults with DSM-5 EDs admitted to RT at seven sites in the U.S. Rates of current presumptive PTSD (PTSD +) by LGBTQ + status were determined by responses on the Life Events Checklist (LEC-5) and the PTSD Symptom Checklist for DSM-5 (PCL-5).
resultsNearly 24% of admitting individuals self-reported as LGBTQ+, and these individuals had significantly higher LEC-5 total scores (5.6 v. 4.9), PCL-5 total scores (41.9 v. 34.0), and rates of PTSD+ (63% v. 45%) than non-LGBTQ+ individuals. The LGBTQ+ with PTSD+ group reported (1) significantly more unwanted sexual experiences, sexual assaults, physical assaults, and severe human suffering experiences, and (2) significantly greater ED, depressive and trait-anxiety symptoms than the non-LGBTQ+ group with PTSD+.
conclusionsLGBTQ+ individuals had significantly higher rates of high impact lifetime traumas and presumptive PTSD+, as well as greater ED and comorbid symptom severity, than non-LGBTQ+ individuals. Development, implementation and assessment of integrated treatment protocols for LGBTQ+ individuals with an ED and PTSD+ is warranted to address the needs of this underserved and often overlooked population. LEVEL OF EVIDENCE: Level III: Evidence obtained from cohort or case-control analytic studies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.