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Papers by johan vanderlinden

DOAJ (DOAJ: Directory of Open Access Journals), Dec 1, 2008

Eating and Weight Disorders-studies on Anorexia Bulimia and Obesity, Feb 20, 2020

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 2021

Numerous studies addressed the topic of behavioral and symptomatic changes in eating disorders. R... more Numerous studies addressed the topic of behavioral and symptomatic changes in eating disorders. Rates of transition vary widely across studies, ranging from 0 to 70.8%, depending on the diagnoses taken into account and the study design. Evidence shows that the specific transition from restrictive-type anorexia nervosa (AN-R) to disorders involving binging and purging behaviors (BPB) is related to a worsening of the clinical picture and worse long-term outcomes. The aim of this systematic review and meta-analysis is to focus on this specific transition, review existing literature, and summarize related risk factors. Medline and PsycINFO databases were searched, including prospective and retrospective studies on individuals with AN-R. The primary outcome considered was the rate of onset of BPB. Twelve studies (N = 725 patients) were included in the qualitative and quantitative analysis. A total of 41.84% (95% CI 33.58–50.11) of patients with AN-R manifested BPB at some point during fo...

Description: Alopecia areata, an autoimmune hair disease leading to baldness, can be triggered by... more Description: Alopecia areata, an autoimmune hair disease leading to baldness, can be triggered by stress. Recent research data clearly clarified step-by-step the mechanisms linking stress to dermatological diseases. Autoimmune and inflammatory disorders including alopecia areata, provide even unique opportunities to examine the rich interplay between the immune system and the brain, not to mention the relevance of these interactions to health and illness in a broader field of medicine. Moreover, recent research confirms the mediating role of attachment disorders and enlightens the role of early traumatic life events in patients with various medical conditions. This book describes our research on the role of early life events in patients with alopecia areata, while the link between alopecia areata, childhood traumata and the personality construct "alexithymia" is further explored. The second part describes the authors' unique experience on how to use 'a manualised h...

RIVISTA DI PSICOTERAPIA RELAZIONALE, 2018

European Eating Disorders Review, 2018

European Eating Disorders Review, 2020

BACKGROUND Binge eating disorder (BED) is commonly associated with a history of trauma. Yet, ther... more BACKGROUND Binge eating disorder (BED) is commonly associated with a history of trauma. Yet, there is little insight into the potential effect that trauma, dissociation, and depressive symptoms may have on the outcome of treatment interventions. METHODS A total of 142 treatment-seeking patients admitted with a diagnosis of DSM-5 BED (88% female; mean age = 38.7; SD = 10.8) took part in a 6-month, protocolized, group cognitive behavioural therapy (CBT). Self-report questionnaires were administered to assess lifetime traumatic experiences, dissociation, and depression. Body mass index and the number of binges per week (BPW) were measured throughout treatment. The main outcomes were the percentage reduction in BPW and remission (i.e., less than one BPW; cf. DSM-5). RESULTS Most BED patients (91.5%) reported a history of trauma, with two in three patients reporting three or more traumatic experiences. Whereas the number of traumatic experiences was not significantly associated with a reduction in BPW or remission, a higher traumatic impact score significantly decreased the likelihood of obtaining remission at the end of treatment (OR = 0.96; 95% CI [0.92, 0.99]). Higher levels of dissociative symptoms partially mediated this prospective association. CONCLUSIONS The impact of traumatic experiences, as opposed to the number of traumatic experiences experienced, negatively predicts remission after 6 months of CBT. These findings highlight the importance of addressing trauma and dissociative features in the CBT treatment of BED.

European Psychiatry, 2016

IntroductionIndividuals with eating disorders (EDs) often report a history of early traumatizatio... more IntroductionIndividuals with eating disorders (EDs) often report a history of early traumatization. Although a great attention has been paid to sexual and physical trauma, less is known about emotional one, especially neglect.Objectives/aimsWe aimed to estimate the prevalence of sexual, physical, and emotional trauma–occurring under 18 years of age–in ED patients vs. healthy controls, focusing on emotional abuse and neglect.MethodsWe consecutively recruited 57 DSM-V ED outpatients (91.2% females; age range = 18–42 years) at the Psychiatric Outpatient Clinic of our University Hospital and 90 healthy controls (78.9% females; age range = 20–39 years). Among ED patients, 43.9% had restrictive anorexia nervosa (AN), 29.8% binge/purging AN, 26.3% bulimia nervosa. Individuals completed the Eating Disorder Inventory-2 (EDI-2) and the Traumatic Experiences Checklist (TEC). We used Mann-Whitney U test and χ2 test for comparisons.ResultsED patients scored significantly higher than controls on ...

European Psychiatry, 2016

IntroductionA high proportion of individuals with eating disorders (EDs) report childhood abuse a... more IntroductionA high proportion of individuals with eating disorders (EDs) report childhood abuse and neglect. The prevalence of traumatic events in ED patients has been extensively investigated; less is known about their self-perceived–and reported–severity. Objectives/Aims: We aimed to assess in ED patients vs. healthy controls the severity, i.e., duration, perpetrator, and subjective impact, of sexual, physical, and emotional traumas suffered from 0 to 18 years, paying particular attention to emotional neglect.MethodsFifty-seven consecutive DSM-V ED patients (91.2% females; age range: 18–42 years) were recruited at the Psychiatric Outpatient Clinic of our University Hospital. Ninety controls (78.9% females; age range: 20–39 years) were also recruited. Among ED patients, 43.9% had restrictive anorexia nervosa (AN), 29.8% binge/purging AN, 26.3% bulimia nervosa. Individuals completed the Eating Disorder Inventory-2 (EDI-2) and the Traumatic Experiences Checklist (TEC).ResultsThe seve...

Journal of Clinical and Experimental Hypnosis, 1955

DOAJ (DOAJ: Directory of Open Access Journals), Dec 1, 2008

Eating and Weight Disorders-studies on Anorexia Bulimia and Obesity, Feb 20, 2020

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 2021

Numerous studies addressed the topic of behavioral and symptomatic changes in eating disorders. R... more Numerous studies addressed the topic of behavioral and symptomatic changes in eating disorders. Rates of transition vary widely across studies, ranging from 0 to 70.8%, depending on the diagnoses taken into account and the study design. Evidence shows that the specific transition from restrictive-type anorexia nervosa (AN-R) to disorders involving binging and purging behaviors (BPB) is related to a worsening of the clinical picture and worse long-term outcomes. The aim of this systematic review and meta-analysis is to focus on this specific transition, review existing literature, and summarize related risk factors. Medline and PsycINFO databases were searched, including prospective and retrospective studies on individuals with AN-R. The primary outcome considered was the rate of onset of BPB. Twelve studies (N = 725 patients) were included in the qualitative and quantitative analysis. A total of 41.84% (95% CI 33.58–50.11) of patients with AN-R manifested BPB at some point during fo...

Description: Alopecia areata, an autoimmune hair disease leading to baldness, can be triggered by... more Description: Alopecia areata, an autoimmune hair disease leading to baldness, can be triggered by stress. Recent research data clearly clarified step-by-step the mechanisms linking stress to dermatological diseases. Autoimmune and inflammatory disorders including alopecia areata, provide even unique opportunities to examine the rich interplay between the immune system and the brain, not to mention the relevance of these interactions to health and illness in a broader field of medicine. Moreover, recent research confirms the mediating role of attachment disorders and enlightens the role of early traumatic life events in patients with various medical conditions. This book describes our research on the role of early life events in patients with alopecia areata, while the link between alopecia areata, childhood traumata and the personality construct "alexithymia" is further explored. The second part describes the authors' unique experience on how to use 'a manualised h...

RIVISTA DI PSICOTERAPIA RELAZIONALE, 2018

European Eating Disorders Review, 2018

European Eating Disorders Review, 2020

BACKGROUND Binge eating disorder (BED) is commonly associated with a history of trauma. Yet, ther... more BACKGROUND Binge eating disorder (BED) is commonly associated with a history of trauma. Yet, there is little insight into the potential effect that trauma, dissociation, and depressive symptoms may have on the outcome of treatment interventions. METHODS A total of 142 treatment-seeking patients admitted with a diagnosis of DSM-5 BED (88% female; mean age = 38.7; SD = 10.8) took part in a 6-month, protocolized, group cognitive behavioural therapy (CBT). Self-report questionnaires were administered to assess lifetime traumatic experiences, dissociation, and depression. Body mass index and the number of binges per week (BPW) were measured throughout treatment. The main outcomes were the percentage reduction in BPW and remission (i.e., less than one BPW; cf. DSM-5). RESULTS Most BED patients (91.5%) reported a history of trauma, with two in three patients reporting three or more traumatic experiences. Whereas the number of traumatic experiences was not significantly associated with a reduction in BPW or remission, a higher traumatic impact score significantly decreased the likelihood of obtaining remission at the end of treatment (OR = 0.96; 95% CI [0.92, 0.99]). Higher levels of dissociative symptoms partially mediated this prospective association. CONCLUSIONS The impact of traumatic experiences, as opposed to the number of traumatic experiences experienced, negatively predicts remission after 6 months of CBT. These findings highlight the importance of addressing trauma and dissociative features in the CBT treatment of BED.

European Psychiatry, 2016

IntroductionIndividuals with eating disorders (EDs) often report a history of early traumatizatio... more IntroductionIndividuals with eating disorders (EDs) often report a history of early traumatization. Although a great attention has been paid to sexual and physical trauma, less is known about emotional one, especially neglect.Objectives/aimsWe aimed to estimate the prevalence of sexual, physical, and emotional trauma–occurring under 18 years of age–in ED patients vs. healthy controls, focusing on emotional abuse and neglect.MethodsWe consecutively recruited 57 DSM-V ED outpatients (91.2% females; age range = 18–42 years) at the Psychiatric Outpatient Clinic of our University Hospital and 90 healthy controls (78.9% females; age range = 20–39 years). Among ED patients, 43.9% had restrictive anorexia nervosa (AN), 29.8% binge/purging AN, 26.3% bulimia nervosa. Individuals completed the Eating Disorder Inventory-2 (EDI-2) and the Traumatic Experiences Checklist (TEC). We used Mann-Whitney U test and χ2 test for comparisons.ResultsED patients scored significantly higher than controls on ...

European Psychiatry, 2016

IntroductionA high proportion of individuals with eating disorders (EDs) report childhood abuse a... more IntroductionA high proportion of individuals with eating disorders (EDs) report childhood abuse and neglect. The prevalence of traumatic events in ED patients has been extensively investigated; less is known about their self-perceived–and reported–severity. Objectives/Aims: We aimed to assess in ED patients vs. healthy controls the severity, i.e., duration, perpetrator, and subjective impact, of sexual, physical, and emotional traumas suffered from 0 to 18 years, paying particular attention to emotional neglect.MethodsFifty-seven consecutive DSM-V ED patients (91.2% females; age range: 18–42 years) were recruited at the Psychiatric Outpatient Clinic of our University Hospital. Ninety controls (78.9% females; age range: 20–39 years) were also recruited. Among ED patients, 43.9% had restrictive anorexia nervosa (AN), 29.8% binge/purging AN, 26.3% bulimia nervosa. Individuals completed the Eating Disorder Inventory-2 (EDI-2) and the Traumatic Experiences Checklist (TEC).ResultsThe seve...

Journal of Clinical and Experimental Hypnosis, 1955