Evidence map›Paper›PMID 38619481›Full record

ArticlePsychological trauma : theory, research, practice and policy2025

Identifying candidate mechanisms of comorbidity in disordered eating and posttraumatic stress disorder symptoms among U.S. veterans: A network analytic approach.

Rachel L Zelkowitz, Kelsey N Serier, Brian N Smith, Shannon Kehle-Forbes, Dawne S Vogt, Karen S Mitchell

Open access · hybridAbstract read
In one paragraph

Article in Psychological trauma : theory, research, practice and policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Scoping Review of Experience Sampling Methodology Investigations of Posttraumatic Stress Disorder Symptoms.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Rachel L ZelkowitzWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System.ORCID 0000-0002-3083-4669
Kelsey N SerierWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System.
Brian N SmithWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System.
Shannon Kehle-ForbesWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System.
Dawne S VogtWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System.
Karen S MitchellWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System.
VA Boston Healthcare System · US

Funding

Healthcare utilization patterns and associated costs for Gulf War I Era VeteransI01HX001682 · VA · DURHAM VA MEDICAL CENTER · PI KIMBREL, NATHAN A. · 2019 to 2020
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Eating disorders in Veterans: Risk, resilience, and service useI01HX002435 · VA · VA BOSTON HEALTH CARE SYSTEM · PI MITCHELL, KAREN SUZANNE · 2019 to 2024
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Psychological Drivers of Self-Destructive Behaviors in PTSDIK2CX002439 · VA · VA BOSTON HEALTH CARE SYSTEM · PI Rachel L Zelkowitz · 2022 to 2026
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CSRD VA IK2 CX002439HSRD VA I01 HX002435US Department of DefenseUS Department of Veterans AffairsUS Department of Veterans Affairs; Office of Academic Affiliations
6 · The paper itself

Abstract

objectiveComorbidity between posttraumatic stress disorder (PTSD) and disordered eating (DE) symptoms is common, reflecting a possible reciprocal relationship between these disorders. Network analysis may reveal candidate mechanisms underlying their comorbidity and highlight important treatment targets.

methodTwo national samples of U.S. veterans endorsing trauma exposure self-reported PTSD and DE symptoms. The discovery sample included veterans from all service eras (

resultsPTSD and DE symptoms clustered as expected within networks for each sample. The strongest nodes in the networks included both PTSD and DE features. The strongest bridge symptoms in both studies included overevaluation of shape and weight, negative affect, and avoidance. Networks were invariant across men and women in each sample and largely invariant across samples.

conclusionsCross-sectional network models of PTSD and DE symptoms largely replicated across national samples of U.S. veterans and between men and women within samples. Cognitive features of both disorders, along with avoidance, may partially underlie comorbidity and represent potential treatment targets. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Feeding and Eating DisordersStress Disorders, Post-TraumaticVeteransAdultComorbidityFemaleHumansMaleMiddle AgedUnited States

Identifiers

PMID38619481
PMCPMC11922534
OpenAlexW4394819916

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.