Evidence map›Paper›PMID 40990166›Full record

ArticleThe International journal of eating disorders2026

Adverse Childhood Experiences Predict Treatment Drop Out in Adolescents and Young Adults With Eating Disorders.

David Lindenbach, Amelia Austin, Manya Singh, Abigail Trebilcock, Asmita Bhattarai, Gisele Marcoux, Gina Dimitropoulos

Abstract read
In one paragraph

Article in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

David LindenbachMathison Centre for Mental Health Research and Education, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0002-9422-697X
Amelia AustinMathison Centre for Mental Health Research and Education, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0002-4979-4847
Manya SinghMathison Centre for Mental Health Research and Education, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0009-0003-1058-6615
Abigail TrebilcockMathison Centre for Mental Health Research and Education, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0009-0003-1639-9298
Asmita BhattaraiMathison Centre for Mental Health Research and Education, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0001-6689-7218
Gisele MarcouxDepartment of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0002-3537-6249
Gina DimitropoulosMathison Centre for Mental Health Research and Education, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0001-9487-0290

Funding

Alberta Innovates Summer Research Studentship
6 · The paper itself

Abstract

objectiveChildhood adversity is associated with elevated risk of developing an eating disorder. The objective of the current study was to examine whether different types of childhood adversity, such as parental separation or abuse exposure, predicted treatment completion in a sample of adolescents and young adults with eating disorders.

methodA retrospective chart review was conducted at an eating disorders clinic in Calgary, Canada. Childhood adversity was measured using the adverse childhood experiences (ACEs) scale. Eating disorders diagnoses were determined by physicians following a comprehensive assessment. Logistic regressions were performed with ACEs as predictors of likelihood to complete treatment and including diagnoses and age as covariates.

resultsData were analyzed for 128 patients aged 11-24. Higher ACE scores were associated with a reduced likelihood of completing treatment before and after adjusting for diagnosis and age (adjusted odds ratio = 0.76). Examining individual ACE items, people were less likely to complete treatment if they were exposed to verbal abuse, physical abuse, emotional neglect, or if they witnessed intimate partner violence or substance abuse in the home. However, after adjusting for diagnosis, age, and other ACE exposures, no individual ACE was an independent predictor of treatment completion. DISCUSSION: This study suggests that ACE exposure increases youth attrition from eating disorders treatment in a stepwise manner. Treatment programs for youth with eating disorders should focus additional effort on early intervention for youth who have dealt with childhood adversities, potentially by implementing trauma-informed practice into assessments and treatment.

Indexed as

Adverse Childhood ExperiencesFeeding and Eating DisordersPatient DropoutsAdolescentChildChild AbuseFemaleHumansMaleRetrospective StudiesYoung Adultabuseadolescentadverse childhood experienceschild maltreatmenteating disordersneglecttraumatreatment completiontreatment retentionyoung adult

Identifiers

PMID40990166
PMCPMC12773689

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.