A meta-review exploring adverse childhood experiences (ACEs) and eating disorders and a grounded theory analysis investigating experiences of negative childhood events and the anorexic voice

Morrison, Georgette 2021. A meta-review exploring adverse childhood experiences (ACEs) and eating disorders and a grounded theory analysis investigating experiences of negative childhood events and the anorexic voice. ClinPsy Thesis, Cardiff University. Item availability restricted.

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Abstract

Objective: Adverse childhood experiences (ACEs; Felliti et al., 1998) have been linked to the development of mental health difficulties in adulthood. One potential vulnerability for developing an Eating Disorder is experiencing early traumatic events in childhood (Solmi et al., 2020). Systematic reviews and meta-analyses have been published on the effects of ACEs. Health care providers and policymakers look to this literature to provide a coherent overview and guide decision making. However, reviews vary in their quality and provide conflicting results. Method: A meta-review of 13 systematic reviews and/or meta-analyses was conducted on the association between ACEs and Eating Disorder symptoms and diagnoses. To ensure a transparent and systematic approach, this paper adhered to the PRISMA statement (Moher, Liberati Tetzlaff & Altman 2009) and preregistered a protocol with PROSPERO. A narrative synthesis was employed to describe the methodology and conclusions of the included reviews. The Assessment of Multiple Systematic Reviews 2 (AMSTAR 2; Shea et al., 2017) was used to assess quality. Results: Four high-moderate quality reviews demonstrated that ACEs are associated with Eating Disorder symptoms and diagnoses. However, firm conclusions about subcategories of ACEs are not demonstrated from the existing evidence due to a lack of reporting of specific ACEs and statistical controls to pinpoint the effects of individual ACEs. Discussion: Based on these findings, it is recommended that clinicians assess for the impact of ACEs in individuals with eating disorders. High quality research is recommended that allows for the unique effects of individual types of ACE to be discerned

Item Type:	Thesis (DClinPsy)
Date Type:	Completion
Status:	Unpublished
Schools:	Psychology
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Date of First Compliant Deposit:	1 October 2021
Last Modified:	30 Sep 2022 01:30
URI:	https://orca.cardiff.ac.uk/id/eprint/144581

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