Kent A, Waller G, Dagnan D
Riversley Park Resource Centre, Nuneaton, United Kingdom.
Int J Eat Disord. 1999 Mar;25(2):159-67. doi: 10.1002/(sici)1098-108x(199903)25:2<159::aid-eat5>3.0.co;2-f.
Previous research on the role of trauma in eating psychopathology has generally focused on reported childhood sexual abuse. There has been relatively little research addressing the full range of abusive experiences, and none considering their long-term impact on eating. This study investigated the relationships between four forms of reported childhood abuse (physical abuse, sexual abuse, emotional abuse, neglect) and unhealthy eating attitudes in adult life. Within this relationship, depression, anxiety, and dissociation were considered potential mediators, and age of onset of abuse was considered a potential moderator.
A nonclinical sample of 236 women completed self-report measures of abuse, eating psychopathology, and psychological function. Multiple regression analyses were used to test for associations as well as for mediating and moderating influences.
When the intercorrelations of the different forms of reported abuse were controlled for, emotional abuse was the only form of childhood trauma that predicted unhealthy adult eating attitudes. That relationship was perfectly mediated by the women's levels of anxiety and dissociation. Age at onset of emotional abuse did not moderate these relationships.
Although these results require extension to a clinical sample, the findings underscore the need to consider a history of emotional trauma as a potentially central factor in any abusive history. Treatment may depend on addressing the psychological consequences of such trauma.
以往关于创伤在饮食心理病理学中作用的研究通常聚焦于报告的童年期性虐待。针对各类虐待经历的研究相对较少，且尚无研究考虑其对饮食的长期影响。本研究调查了报告的四种童年期虐待形式（身体虐待、性虐待、情感虐待、忽视）与成年后不健康饮食态度之间的关系。在这种关系中，抑郁、焦虑和解离被视为潜在的中介变量，虐待的起始年龄被视为潜在的调节变量。
236名女性的非临床样本完成了关于虐待、饮食心理病理学和心理功能的自我报告测量。采用多元回归分析来检验关联以及中介和调节影响。
在控制了不同形式报告虐待的相互关联后，情感虐待是唯一能预测成年后不健康饮食态度的童年创伤形式。这种关系完全由女性的焦虑和解离水平介导。情感虐待的起始年龄并未调节这些关系。
尽管这些结果需要扩展至临床样本，但研究结果强调了将情感创伤史视为任何虐待史中潜在核心因素的必要性。治疗可能取决于解决此类创伤的心理后果。
