Adverse childhood experiences and binge-eating disorder in early adolescents.
Adverse childhood experiences and binge-eating disorder in early adolescents.
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DOI：
10.1186/s40337-022-00682-y
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发表时间：
2022-11-16
影响因子：
4.1
通讯作者：
Nagata, Jason M.
中科院分区：
文献类型：
--
作者：
Chu, Jonathan;Raney, Julia H.;Ganson, Kyle T.;Wu, Kelsey;Rupanagunta, Ananya;Testa, Alexander;Jackson, Dylan B.;Murray, Stuart B.;Nagata, Jason M.
不良童年经历（ace）很常见，并与负面健康结果有关。先前的研究发现了ace和暴饮暴食症（BED）之间的联系，尽管他们主要集中在成年人身上，使用的是横断面数据。本研究的目的是在美国9 - 14岁早期青少年的大型全国性队列中研究ace和BED之间的关系。我们分析了来自青少年大脑认知发展（ABCD）研究（N = 10,145, 2016-2020）的前瞻性队列数据。采用Logistic回归分析来确定自我报告的ace和BED之间的关联，该关联基于两年随访时的儿童情感障碍和精神分裂症时间表，调整性别、种族/民族、基线家庭收入、父母教育程度、地点和基线暴食症。在样本中，（49%的女性，46%的种族/少数民族），82.8%的青少年报告至少有一次ACE， 1.2%的青少年在两年的随访中被诊断为BED。诊断为BED的患者的平均ace次数高于未诊断为BED的患者（2.6±0.14 vs 1.7±0.02）。ace次数与BED的关系总体上呈剂量-反应关系。1例ACE（调整比值比[aOR] 3.48, 95%可信区间[CI] 1.11-10.89）、2例ACE （aOR 3.88, 95% CI 1.28-11.74）、3例或3例以上ACE （aOR 8.94, 95% CI 3.01-26.54）均与2年随访时较高的BED发生率相关。当按ace类型分层时，两年随访时，家庭精神病史（aOR 2.18, 95% 1.31-3.63）、家庭暴力史（aOR 2.43, 95% CI 1.42-4.15）和家庭犯罪成员（aOR 2.14, 95% CI 1.23-3.73）与BED的相关性最大。经历过ace的儿童和青少年，尤其是家庭挑战的儿童和青少年，患BED的几率更高。临床医生可能会考虑筛查ace并在评估BED患者时提供以创伤为重点的护理。在线版本包含补充材料，可在10.1186/s40337-022-00682-y获得。不良童年经历（ace）在青少年中很常见，由于其与以后生活中的各种健康结果相关，因此是一个重要的公共卫生问题。目前的研究在美国全国范围内对青少年早期ace和暴食症（BED）之间的关系进行了调查。在两年的随访中，有三次或三次以上不良经历的参与者发生BED的几率高出近9倍。在不同类型的ace中，家庭精神疾病、家庭暴力和有犯罪家庭成员与BED的关系最为密切。在评估青少年的BED时应该考虑筛查ace，临床医生应该为患有BED的青少年提供创伤知情的护理。在线版本包含补充材料，可在10.1186/s40337-022-00682-y获得。
Adverse childhood experiences (ACEs) are common and linked to negative health outcomes. Previous studies have found associations between ACEs and binge-eating disorder (BED), though they have mainly focused on adults and use cross-sectional data. The objective of this study was to examine the associations between ACEs and BED in a large, national cohort of 9–14-year-old early adolescents in the US. We analyzed prospective cohort data from the Adolescent Brain Cognitive Development (ABCD) Study (N = 10,145, 2016–2020). Logistic regression analyses were used to determine the associations between self-reported ACEs and BED based on the Kiddie Schedule for Affective Disorders and Schizophrenia at two-year follow-up, adjusting for sex, race/ethnicity, baseline household income, parental education, site, and baseline binge-eating disorder. In the sample, (49% female, 46% racial/ethnic minority), 82.8% of adolescents reported at least one ACE and 1.2% had a diagnosis of BED at two-year follow-up. The mean number of ACEs was higher in those with a diagnosis of BED compared to those without (2.6 ± 0.14 vs 1.7 ± 0.02). The association between number of ACEs and BED in general had a dose–response relationship. One ACE (adjusted odds ratio [aOR] 3.48, 95% confidence interval [CI] 1.11–10.89), two ACEs (aOR 3.88, 95% CI 1.28–11.74), and three or more ACEs (aOR 8.94, 95% CI 3.01–26.54) were all associated with higher odds of BED at two-year follow-up. When stratified by types of ACEs, history of household mental illness (aOR 2.18, 95% 1.31–3.63), household violence (aOR 2.43, 95% CI 1.42–4.15), and criminal household member (aOR 2.14, 95% CI 1.23–3.73) were most associated with BED at two-year follow-up. Children and adolescents who have experienced ACEs, particularly household challenges, have higher odds of developing BED. Clinicians may consider screening for ACEs and providing trauma-focused care when evaluating patients for BED. The online version contains supplementary material available at 10.1186/s40337-022-00682-y. Adverse childhood experiences (ACEs) are common among adolescents and a significant public health concern given their associations with various health outcomes later in life. The current study examined the associations between ACEs and binge-eating disorder (BED) among early adolescents using a large, national sample in the United States. Participants with three or more ACEs had nearly nine times higher odds of developing BED at two-year follow-up. Of the different types of ACEs, household mental illness, household violence, and having a criminal household member were most strongly associated with BED. Screening for ACEs when evaluating adolescents for BED should be considered, and clinicians should provide trauma-informed care for adolescents with BED. The online version contains supplementary material available at 10.1186/s40337-022-00682-y.
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DOI：
10.1016/j.jpeds.2018.09.021
发表时间：
2019-03
期刊：
The Journal of pediatrics
影响因子：
--
作者：
Ghandour RM;Sherman LJ;Vladutiu CJ;Ali MM;Lynch SE;Bitsko RH;Blumberg SJ
通讯作者：
Blumberg SJ
影响因子：
4.8
作者：
Hazzard, Vivienne M.;Bauer, Katherine W.;Sonneville, Kendrin R.
通讯作者：
Sonneville, Kendrin R.
影响因子：
4.7
作者：
Barch DM;Albaugh MD;Avenevoli S;Chang L;Clark DB;Glantz MD;Hudziak JJ;Jernigan TL;Tapert SF;Yurgelun-Todd D;Alia-Klein N;Potter AS;Paulus MP;Prouty D;Zucker RA;Sher KJ
通讯作者：
Sher KJ
影响因子：
3.6
作者：
Dorn, Lorah D.;Hostinar, Camelia E.;Pervanidou, Panagiota
通讯作者：
Pervanidou, Panagiota
影响因子：
3.1
作者：
Berge, Jerica M.;Wall, Melanie;Neumark-Sztainer, Dianne
通讯作者：
Neumark-Sztainer, Dianne