Childhood maltreatment in extremely obese male and female bariatric surgery candidates
Childhood maltreatment in extremely obese male and female bariatric surgery candidates
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DOI：
10.1038/oby.2005.16
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发表时间：
2005-01-01
期刊：
影响因子：
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通讯作者：
Rothschild, BS
中科院分区：
文献类型：
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作者：
Grilo, CM;Masheb, RM;Rothschild, BS
目的：研究率自我报告的儿童虐待在极度肥胖的减肥手术候选人，并探讨与性别，饮食失调的功能，和心理functioning.Research方法和程序：340（58名男性和282名女性）极度肥胖的胃旁路手术连续候选人完成了一份问卷电池。儿童创伤问卷，以评估儿童期maltreatment.Results：总体而言，69%的患者自我报告的儿童期虐待：46%的情感虐待，29%的身体虐待，32%的性虐待，49%的情感忽视，32%的身体忽视。除了妇女报告的精神虐待率较高外，不同形式的虐待在性别之间没有显著差异。不同形式的虐待通常与暴饮暴食、当前BMI或饮食失调特征相关。在Bonferonni校正的显著性水平上，情绪虐待与更高的饮食关注和身体不满相关，情绪忽视与更高的饮食关注相关。在心理功能方面，在Bonferonni校正的水平，情感虐待和情感忽视与较高的抑郁症和较低的自尊，和身体虐待与较高的depression.Discussion：极度肥胖的减肥手术候选人报告的虐待率与临床组的报告，大约两到三倍高于规范的社区样本。报告的虐待经历在性别上差异不大，通常与当前的BMI、暴饮暴食或进食障碍特征无显著相关。相比之下，虐待，特别是情感虐待和忽视，与更高的抑郁和更低的自尊显着相关。
Objective: To examine rates of self-reported childhood maltreatment in extremely obese bariatric surgery candidates and to explore associations with sex, eating disorder features, and psychological functioning.Research Methods and Procedures: Three hundred forty (58 men and 282 women) extremely obese consecutive candidates for gastric bypass surgery completed a questionnaire battery. The Childhood Trauma Questionnaire was given to assess childhood maltreatment.Results: Overall, 69% of patients self-reported childhood maltreatment: 46% reported emotional abuse, 29% reported physical abuse, 32% reported sexual abuse, 49% reported emotional neglect, and 32% reported physical neglect. Except for higher rates of emotional abuse reported by women, different forms of maltreatment did not differ significantly by sex. Different forms of maltreatment were generally Hot associated with binge eating, current BMI, or eating disorder features. At the Bonferonni-corrected significance level, emotional abuse was associated with higher eating concerns and body dissatisfaction, and emotional neglect was associated with higher eating concerns. In terms of psychological functioning, at the Bonferonni-corrected level, emotional abuse and emotional neglect were associated with higher depression and lower self-esteem, and physical abuse was associated with higher depression.Discussion: Extremely obese bariatric surgery candidates reported rates of maltreatment comparable with those reported by clinical groups and roughly two to three times higher than normative community samples. Reported experiences of maltreatment differed little by sex and were generally not significantly associated with current BMI, binge eating, or eating disorder features. In contrast, maltreatment-notably emotional abuse and neglect-were significantly associated with higher depression and lower self-esteem.