Relationships Between Childhood Abuse and Eating Pathology Among Individuals with Binge-Eating Disorder: examining the Moderating Roles of Self-Discrepancy and Self-Directed Style.
Relationships Between Childhood Abuse and Eating Pathology Among Individuals with Binge-Eating Disorder: examining the Moderating Roles of Self-Discrepancy and Self-Directed Style.
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DOI：
10.1080/10640266.2020.1864588
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发表时间：
2022-07
期刊：
影响因子：
3.3
通讯作者：
Wonderlich SA
中科院分区：
文献类型：
--
作者：
Borg SL;Schaefer LM;Hazzard VM;Herting N;Peterson CB;Crosby RD;Crow SJ;Engel SG;Wonderlich SA
儿童期虐待似乎会增加饮食失调（ED）的风险。目前的研究检查了潜在的调节因素（即，自我差异和消极的自我导向风格），这可能会增加或减少虐待的影响（即，情感虐待、身体虐待、性虐待）对后来的艾德症状的影响。107名男性和女性暴饮暴食症（B艾德）完成了半结构式访谈和问卷调查，评估儿童期虐待，自我差异，消极的自我导向风格，和艾德病理。采用线性回归分析自我差异和消极自我导向风格在每种虐待类型与艾德严重程度之间的调节作用。实际：应该自我矛盾（即，一个人的自我和他认为他们应该是谁之间的差异）调节了艾德病理学与情感虐待（β = 0.26 p = 0.007）以及身体虐待（β = 0.23，p = 0.02）之间的关系。结果表明，儿童虐待（即，情感虐待、身体虐待）和艾德病态可能对那些具有更高水平的实际：应该自我差异的人更强。需要进一步澄清实际：应该自我差异和不同形式的儿童虐待之间的关系，以及干预研究是否针对实际：应该自我差异提供额外的好处与创伤暴露的个人床。
Childhood maltreatment appears to increase risk for eating disorders (EDs). The current study examined potential moderating factors (i.e., self-discrepancy and negative self-directed style), which may increase or decrease the impact of maltreatment (i.e., emotional abuse, physical abuse, sexual abuse) on later ED symptoms. One hundred seven men and women with binge-eating disorder (BED) completed semi-structured interviews and questionnaires assessing childhood maltreatment, self-discrepancy, negative self-directed style, and ED pathology. Linear regression was used to examine the moderating role of self-discrepancy and negative self-directed style in the associations between each type of abuse and level of ED severity. Actual:ought self-discrepancy (i.e., the difference between one’s self and who one believes they ought to be) moderated the relationships between ED pathology and emotional abuse (β = .26 p = .007), as well as physical abuse (β = .23, p = .02). Results suggest that the relationship between childhood abuse (i.e., emotional abuse, physical abuse) and ED pathology may be stronger for those with higher levels of actual:ought self-discrepancy. Further clarification of the relationships between actual:ought self-discrepancy and distinct forms of childhood abuse is needed, as well as intervention studies examining whether targeting actual:ought self-discrepancy provides additional benefit for trauma-exposed individuals with BED.
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