Associations between childhood maltreatment latent classes and eating disorder symptoms in a nationally representative sample of young adults in the United States
Associations between childhood maltreatment latent classes and eating disorder symptoms in a nationally representative sample of young adults in the United States
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DOI：
10.1016/j.chiabu.2019.104171
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发表时间：
2019-12-01
影响因子：
4.8
通讯作者：
Sonneville, Kendrin R.
中科院分区：
文献类型：
--
作者：
Hazzard, Vivienne M.;Bauer, Katherine W.;Sonneville, Kendrin R.
背景：儿童期虐待与进食障碍有关，但儿童期虐待的类型经常并存。目的：探讨儿童期虐待模式与青春期进食障碍症状之间的关系。参与者和背景：数据来自全国青少年到成人健康纵向研究(N=14322)。方法：采用潜在分类分析，以童年时期的身体忽视、身体虐待和性虐待为模型指标。结果：在这个具有全国代表性的美国年轻人样本中(平均年龄为21.82岁)，7.3%的参与者报告了与暴饮暴食有关的担忧，3.8%的参与者报告了补偿行为，8.6%的参与者报告了禁食/不吃饭。五个潜在的儿童期虐待类别：“无/低度虐待”(占样本的78.5%)、“仅身体虐待”(占样本的11.0%)、“多类型虐待”(占样本的7.8%)、“仅身体忽视”(占样本的2.1%)和“仅性虐待”(占样本的0.6%)。与被分配到“无/低虐待”组的参与者相比，被分配到“多类型虐待”组的参与者更有可能报告与暴食有关的问题(优势比=1.97；95%可信区间：1.52，2.56)和禁食/不吃饭(OR=1.85；95%CI：1.46，2.34)，而被分配到“仅身体虐待”组的参与者更有可能报告禁食/不吃饭(OR=1.35；95%CI：1.04，1.76)。结论：这项研究提供了证据，表明不同的儿童期虐待特征与进食障碍症状存在不同的关联。儿童时期遭受多种虐待的人患进食障碍的风险可能特别高。
Background: Childhood maltreatment is associated with eating disorders, but types of childhood maltreatment often co-occur.Objective: To examine associations between childhood maltreatment patterns and eating disorder symptoms in young adulthood.Participants and Setting: Data came from the National Longitudinal Study of Adolescent to Adult Health (N = 14,322).Methods: Latent class analysis was conducted, using childhood physical neglect, physical abuse, and sexual abuse as model indicators. Logistic regression models adjusted for demographic covariates were conducted to examine associations between childhood maltreatment latent classes and eating disorder symptoms.Results: In this nationally representative sample of U.S. young adults (mean age = 21.82 years), 7.3% of participants reported binge eating-related concerns, 3.8% reported compensatory behaviors, and 8.6% reported fasting/skipping meals. Five childhood maltreatment latent classes emerged: "no/low maltreatment" (78.5% of the sample), "physical abuse only" (11,0% of the sample), "multi-type maltreatment" (7.8% of the sample), "physical neglect only" (2.1% of the sample), and "sexual abuse only" (0.6% of the sample). Compared to participants assigned to the "no/low maltreatment" class, participants assigned to the "multi-type maltreatment" class were more likely to report binge eating-related concerns (odds ratio = 1.97; 95% confidence interval [CI]: 1.52, 2.56) and fasting/skipping meals (OR = 1.85; 95% CI: 1.46, 2.34), and participants assigned to the "physical abuse only" class were more likely to report fasting/skipping meals (OR = 1.35; 95% CI: 1.04, 1.76).Conclusions: This study provides evidence that distinct childhood maltreatment profiles are differentially associated with eating disorder symptoms. Individuals exposed to multi-type childhood maltreatment may be at particularly high risk for eating disorders.