Lockwood Rebecca, Lawson Rachel, Waller Glenn
Eating Disorders Service, South West London and St. George's Mental Health NHS Trust and Department of Mental Health, St. George's Hospital Medical School, University of London, London, United Kingdom.
J Nerv Ment Dis. 2004 Mar;192(3):247-9. doi: 10.1097/01.nmd.0000116468.54734.f4.
There is considerable evidence of a link between reported childhood trauma and the current presence of impulsive behaviors in eating-disordered populations. However, there is no research testing the possibility of links with compulsive behaviors in this group, despite evidence that both impulsive and compulsive behaviors can serve to affect regulation functions. This study of 62 eating-disordered women examined potential links between different forms of reported childhood trauma (emotional, physical, sexual) and current compulsive behaviors (cleaning, checking). Each woman was interviewed to establish diagnosis, reported trauma history, and the presence of compulsive checking and cleaning behaviors. Chi-squared analyses demonstrated that there were no associations of either emotional or physical abuse with checking or cleaning behaviors. However, there was a significant association of reported childhood sexual abuse with the presence of cleaning behaviors. Although further research is needed to establish the generalizability of this conclusion across diagnostic group and measures, it implies that treatment of eating-disordered patients with comorbid compulsive cleaning behaviors might need to include a focus on the cognitive and affective consequences of childhood sexual abuse.
有大量证据表明，在饮食失调人群中，所报告的童年创伤与当前存在的冲动行为之间存在联系。然而，尽管有证据表明冲动行为和强迫行为都会影响调节功能，但尚无研究检验该群体中与强迫行为存在联系的可能性。这项针对62名饮食失调女性的研究，考察了不同形式的所报告童年创伤（情感、身体、性方面）与当前强迫行为（清洁、检查）之间的潜在联系。对每位女性进行访谈以确定诊断、所报告的创伤史以及强迫检查和清洁行为的存在情况。卡方分析表明，情感虐待或身体虐待与检查或清洁行为均无关联。然而，所报告的童年性虐待与清洁行为的存在之间存在显著关联。尽管需要进一步研究以确定这一结论在不同诊断组和测量方法中的普遍性，但这意味着对伴有强迫清洁行为的饮食失调患者进行治疗时，可能需要关注童年性虐待的认知和情感后果。
