Childhood trauma in obese and overweight women with food addiction and clinical-level of binge eating
Childhood trauma in obese and overweight women with food addiction and clinical-level of binge eating
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DOI：
10.1016/j.chiabu.2016.06.023
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发表时间：
2016-08-01
影响因子：
4.8
通讯作者：
Fabbricatore, Mariantonietta
中科院分区：
文献类型：
--
作者：
Imperatori, Claudio;Innamorati, Marco;Fabbricatore, Mariantonietta
儿童期创伤（CT）被认为是几种疾病的主要危险因素，也是饮食精神病理学和成人肥胖症的主要危险因素。本研究的主要目的是评估超重和肥胖女性：（i）CT和食物成瘾（FA）之间的独立关联，（ii）CT在FA和临床水平的暴饮暴食（BE）患者中，与仅参与FA或BE的患者相比。参与者是301名寻求低能量饮食治疗的超重和肥胖妇女。对所有患者进行FA、BE、CT、焦虑和抑郁症状自评。CT严重程度与FA（r= 0.37; p< 0.001）和BE（r= 0.36; p < 0.001）严重程度中度正相关。在控制了潜在的混杂变量后，FA和CT之间的相关性仍然显著。此外，与没有功能失调性饮食模式的患者相比，FA和BE的共同发生与更严重的CT以及更严重的精神病理学（即，焦虑和抑郁症状）和较高的BMI。我们的研究结果表明，临床医生应该仔细评估存在CT的个人谁报告功能失调的饮食模式，以制定治疗方法，专门为肥胖和超重的患者与CT的历史。(C)2016爱思唯尔有限公司版权所有
Childhood trauma (CT) is considered a major risk factor for several disorders as well as for the development of eating psychopathology and adult obesity. The main aims of the present study were to assess in overweight and obese women: (i) the independent association between CT and food addiction (FA), and (ii) CT in patients with both FA and clinical-level of binge eating (BE), versus patients who only engage in FA or BE. Participants were 301 overweight and obese women seeking low-energy-diet therapy. All of the patients were administered self-report measures investigating FA, BE, CT, anxiety and depressive symptoms. CT severity was moderately and positively associated with both FA (r= 0.37; p< 0.001) and BE (r= 0.36; p < 0.001) severity. The association between FA and CT remained significant after controlling for potential confounding variables. Furthermore, compared to patients without dysfunctional eating patterns, the co-occurrence of FA and BE was associated with more severe CT as well as with more severe psychopathology (i.e., anxiety and depressive symptoms) and higher BMI. Our results suggest that clinicians should carefully assess the presence of CT in individuals who report dysfunctional eating patterns in order to develop treatment approaches specifically for obese and overweight patients with a history of CT. (C) 2016 Elsevier Ltd. All rights reserved.