Скачать или смотреть Intergenerational/Historical Trauma & the Development of Eating Disorders & Substance Use Disorders

Presented by Carolyn Coker Ross, MD, MPH, CEDS

Research has demonstrated a strong link between trauma (including historical and race-based trauma), abuse and neglect and eating disorders and substance use disorders. Recent studies validate the importance of assessing trauma and Post-Traumatic Stress Disorder (PTSD) in treating eating disorders and substance use disorders. Newer research has shown that early childhood trauma has a direct effect on the neural circuitry of the brain in such a way that traits such as compulsivity, impulsivity and emotional dysregulation are promoted. These traits are underlying cornerstones of both eating disorders (ED) and substance use disorders (SUD). The definition of trauma has changed over time, providing a clearer picture of the various types and timing of trauma and its effect on the brain. Studies beginning with the families of Holocaust survivors and now with Native populations and African-Americans are validating that the effects of trauma can be passed on to future generations through epigenetic changes. This intergenerational trauma can impact risk for ED and SUD in future generations through epigenetics. The synthesis of these factors associated with acute, chronic and intergenerational trauma is important. When trauma and PTSD is unrecognized and untreated, treatment for ED and SUD is not effective and relapse rates are increased.