Publications by authors named "T Brewerton"

Article Synopsis
  • Effective treatments for eating disorders (EDs) in patients with complex posttraumatic stress disorder (cPTSD) are urgently needed, as these individuals often face prolonged treatment and worse outcomes due to early childhood maltreatment.* -
  • The study emphasizes the importance of focusing on disturbances in self-organisation (DSO) and the therapeutic alliance (TA) during treatment, suggesting that ignoring emotional and relational aspects can hinder progress.* -
  • The authors recommend further research on TA processes, alongside standard ED treatments like nutrition and behavior modification, to improve outcomes for those with cPTSD-ED.*
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Background: The network approach in the eating disorder (ED) field has confirmed important links between EDs and posttraumatic stress disorder (PTSD) symptoms. However, studies including comorbid symptoms are scarce, which limits our understanding of potentially important connections. We hypothesised that anxiety, depression and poor quality of life (QOL) would provide a more complete picture of central, maintaining factors.

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Food addiction, or ultra-processed food addiction (UPFA), has emerged as a reliable and validated clinical entity that is especially common in individuals seeking treatment for eating disorders (EDs), substance use disorders (SUDs) and co-occurring psychiatric disorders (including mood, anxiety and trauma-related disorders). The clinical science of UPFA has relied on the development and proven reliability of the Yale Food Addiction Scale (YFAS), or subsequent versions, e.g.

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We call for a reevaluation of the long-standing dogmatic nutritional principle that "all foods fit" for all cases of eating disorders (EDs) and its corollary, "there are no bad foods" (for anyone ever) during ED treatment. Based on accumulated scientific research, we challenge these ideologies as outdated, confusing, and potentially harmful to many patients. We review the evidence that indicates the folly of these assumptions and show there are a variety of exceptions to these rules, including (1) food allergies, sensitivities, and intolerances, (2) religious and spiritual preferences or doctrines, and (3) the ubiquitous emergence and widespread availability of ultra-processed foods leading to the potential development of addiction-like eating and a higher prevalence of various medical and psychiatric comorbidities, as well as higher mortality.

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