Grilo C M, Masheb R M
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06520, USA.
Acta Psychiatr Scand. 2002 Sep;106(3):183-8. doi: 10.1034/j.1600-0447.2002.02303.x.
To examine the association between retrospective reports of different types of childhood maltreatment and current personality disorders (PDs) in patients with binge eating disorder (BED).
A total of 116 consecutive out-patients with DSM-IV BED were assessed with diagnostic interviews and completed the Childhood Trauma Questionnaire to assess childhood maltreatment in five domains (emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect).
Eighty-two percent of patients reported some form of childhood maltreatment and 30% met criteria for at least one PD. Emotional abuse was significantly associated with cluster C PD overall and specifically with avoidant PD.
Reports of emotional abuse - but not other forms of maltreatment - were associated with greater likelihood of a PDs in patients with BED.
探讨暴饮暴食症（BED）患者不同类型童年期虐待的回顾性报告与当前人格障碍（PDs）之间的关联。
对116例连续的符合《精神疾病诊断与统计手册》第四版（DSM-IV）中暴饮暴食症诊断标准的门诊患者进行诊断访谈，并完成儿童创伤问卷，以评估五个领域（情感虐待、身体虐待、性虐待、情感忽视和身体忽视）的童年期虐待情况。
82%的患者报告有某种形式的童年期虐待，30%的患者符合至少一种人格障碍的标准。情感虐待与总体C类人格障碍显著相关，尤其与回避型人格障碍相关。
情感虐待（而非其他形式的虐待）的报告与暴饮暴食症患者患人格障碍的可能性增加有关。
