Childhood maltreatment in women with binge-eating disorder: associations with psychiatric comorbidity, psychological functioning, and eating pathology.
Childhood maltreatment in women with binge-eating disorder: associations with psychiatric comorbidity, psychological functioning, and eating pathology.
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DOI：
10.1007/bf03325316
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发表时间：
2011-06
影响因子：
2.9
通讯作者：
Grilo, C. M.
中科院分区：
文献类型：
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作者：
Becker, D. F.;Grilo, C. M.
研究患有暴食症 (BED) 的女性儿童时期遭受虐待的相关性。 半结构化访谈评估了 137 名患有暴食症的女性的精神疾病和饮食精神病理学，并对自我报告的童年虐待进行了评估。 52% 的参与者报告称遭受过情感虐待，28% 的参与者报告过身体虐待，31% 的参与者报告过性虐待，66% 的参与者报告过情感忽视，48% 的参与者报告过身体忽视。虐待类别与大多数终生精神病诊断无关，尽管观察到与心境恶劣障碍、创伤后应激障碍和酒精使用障碍有特定关联。很少有人注意到与饮食病理学有关联，但大多数形式的儿童虐待与自尊呈负相关。 患有暴食症的女性报告的儿童期虐待率与临床群体相当，并且远高于社区样本。尽管在患有暴食症的女性中普遍存在，但儿童期虐待通常与饮食病理变化或精神合并症无关，但与自尊心较低有关。
To examine correlates of childhood maltreatment in women with binge-eating disorder (BED). Semistructured interviews evaluated 137 women with BED for psychiatric disorders and eating psychopathology, and self-reported childhood maltreatment was assessed. Emotional abuse was reported by 52% of participants, physical abuse by 28%, sexual abuse by 31%, emotional neglect by 66%, and physical neglect by 48%. Maltreatment categories were not associated with most lifetime psychiatric diagnoses, although specific associations were observed for dysthymic disorder, posttraumatic stress disorder, and alcohol use disorders. Few associations were noted with eating pathology, but most forms of childhood maltreatment were negatively associated with self-esteem. Women with BED report rates of childhood maltreatment comparable to those for clinical groups, and much higher than community samples. Although prevalent in women with BED, childhood maltreatment is not generally associated with variability in eating pathology or with psychiatric comorbidity, but is associated with lower self-esteem.