Post-traumatic stress in caregivers to children and young people with eating disorder (ED) symptoms: A cross-sectional examination of relationships with demographics, ED factors and caregiver skills

Objective: Post-traumatic stress disorder (PTSD) symptoms in caregivers of children and young people (CYP) with eating disorder (ED) symptoms remain understudied, despite their potential impact. This study examines these symptoms and their relationship to demographic and ED-related factors, and caregiver skills. This aims to inform efforts to improve caregivers' wellbeing and ability to support CYP with EDs.

Method: UK-based parental caregivers of CYP with ED symptoms were recruited via social media and mental health organizations. A total of 123 participants provided demographic and ED-related information and completed measures of caregiver skills and PTSD symptoms via an online survey. Descriptive statistics, correlations and regressions were conducted.

Results: The majority of participants (62.6%) exhibited scores indicative of probable PTSD. Demographic and ED-related factors explained 21% of the variance in caregiver PTSD symptoms, with ED relapse contributing the largest independent effect. PTSD symptoms explained 34% of the variance in self-reported caregiver skills.

Conclusions: Caregivers to a wider ED population than previously studied may be at high risk of PTSD, and symptoms may hinder caregivers' ability to support their child. The link between ED relapse and caregiver PTSD warrants further investigation. Trauma-informed approaches to caregiver support in child and adult ED services are recommended.