Does childhood bullying predict eating disorder symptoms? A prospective, longitudinal analysis.
Does childhood bullying predict eating disorder symptoms? A prospective, longitudinal analysis.
复制标题
DOI：
10.1002/eat.22459
复制
发表时间：
2015-12
期刊：
影响因子：
--
通讯作者：
Costello EJ
中科院分区：
文献类型：
--
作者：
Copeland WE;Bulik CM;Zucker N;Wolke D;Lereya ST;Costello EJ
欺凌是一种常见的童年经历，具有持久的社会心理后果。这项研究的目的是测试欺凌是否会增加饮食失调症状的风险。来自基于前瞻性人群的大烟山研究的1420名年龄在9岁到25岁之间的参与者的10波数据被使用。采用结构化访谈来评估欺凌参与和神经性厌食症和神经性贪食症的症状以及相关特征。欺凌参与分为不参与、仅欺凌、仅受害者、欺凌和受害者（欺凌-受害者）。在儿童/青少年时期，欺凌的受害者患神经性厌食症和神经性贪食症以及相关特征的风险增加。在考虑了先前的饮食失调症状状态以及先前存在的精神状态和家庭逆境之后，这些关联仍然存在。欺凌者患暴食症和相关饮食失调症状的风险更高，欺凌者的受害者有更高水平的厌食症症状。就个体项目而言，受害者有暴食的风险，而欺凌受害者有更多的暴食和使用呕吐作为补偿行为。在这个样本中，几乎没有证据表明这些影响因性别而异。儿童期的欺凌状况与成年期（19岁、21岁和25岁）持续饮食失调症状的风险增加无关。欺凌预示着欺凌者和受害者的饮食失调症状。欺凌参与应该是有饮食问题儿童风险评估和治疗计划的一部分。
Bullying is a common childhood experience with enduring psychosocial consequences. The aim of this study was to test whether bullying increases risk for eating disorder symptoms. Ten waves of data on 1420 participants between ages 9 and 25 were used from the prospective population-based Great Smoky Mountains Study. Structured interviews were used to assess bullying involvement and symptoms of anorexia nervosa and bulimia nervosa as well as associated features. Bullying involvement was categorized as not involved, bully only, victim only, or both bully and victim (bully-victims). Within childhood/adolescence, victims of bullying were at increased risk for symptoms of anorexia nervosa and bulimia nervosa as well as associated features. These associations persisted after accounting for prior eating disorder symptom status as well as preexisting psychiatric status and family adversities. Bullies were at increased risk of symptoms of bulimia and associated features of eating disorders, and bully-victims had higher levels of anorexia symptoms. In terms of individual items, victims were at risk for binge eating and bully-victims had more binge eating and use of vomiting as a compensatory behavior. There was little evidence in this sample that these effects differed by sex. Childhood bullying status was not associated with increased risk for persistent eating disorder symptoms into adulthood (ages 19, 21, and 25). Bullying predicts eating disorder symptoms for both bullies and victims. Bullying involvement should be a part of risk assessment and treatment planning for children with eating problems.