Didie Elizabeth R, Tortolani Christina C, Pope Courtney G, Menard William, Fay Christina, Phillips Katharine A
Butler Hospital, 345 Blackstone Boulevard, Providence, RI 02906, USA.
Child Abuse Negl. 2006 Oct;30(10):1105-15. doi: 10.1016/j.chiabu.2006.03.007. Epub 2006 Sep 26.
No published studies have examined childhood abuse and neglect in body dysmorphic disorder (BDD). This study examined the prevalence and clinical correlates of abuse and neglect in individuals with this disorder.
Seventy-five subjects (69.3% female, mean age=35.4+/-12.0) with DSM-IV BDD completed the Childhood Trauma Questionnaire and were interviewed with other reliable and valid measures.
Of these subjects, 78.7% reported a history of childhood maltreatment: emotional neglect (68.0%), emotional abuse (56.0%), physical abuse (34.7%), physical neglect (33.3%), and sexual abuse (28.0%). Forty percent of subjects reported severe maltreatment. Among females (n=52), severity of reported abuse and neglect were .32-.57 standard deviation units higher than norms for a health maintenance organization (HMO) sample of women. Severity of sexual abuse was the only type of maltreatment significantly associated with current BDD severity (r=.23, p=.047). However, severity of sexual abuse did not predict current BDD severity in a simultaneous multiple regression analysis with age and current treatment status. There were other significant associations with childhood maltreatment: history of attempted suicide was related to emotional (p=.004), physical (p=.014), and sexual abuse (p=.038). Childhood emotional abuse was associated with a lifetime substance use disorder (r=.26, p=.02), and physical abuse was negatively associated with a lifetime mood disorder (r=-.37, p=.001).
A high proportion of individuals with BDD reported childhood abuse and neglect. Certain types of abuse and neglect appear modestly associated with BDD symptom severity and with gender, suicidality, and certain disorders.
尚无已发表的研究探讨躯体变形障碍（BDD）中的童年期虐待和忽视情况。本研究调查了该障碍患者中虐待和忽视的患病率及其临床相关因素。
75名符合《精神疾病诊断与统计手册》第四版（DSM-IV）标准的BDD患者（69.3%为女性，平均年龄 = 35.4 ± 12.0岁）完成了儿童创伤问卷，并接受了其他可靠有效的测评。
在这些患者中，78.7%报告有童年期虐待史：情感忽视（68.0%）、情感虐待（56.0%）、身体虐待（34.7%）、身体忽视（33.3%）以及性虐待（28.0%）。40%的患者报告有严重虐待史。在女性患者（n = 52）中，报告的虐待和忽视严重程度比健康维护组织（HMO）女性样本的常模高出0.32 - 0.57个标准差单位。性虐待严重程度是唯一与当前BDD严重程度显著相关的虐待类型（r = 0.23，p = 0.047）。然而，在一项纳入年龄和当前治疗状态的同时多元回归分析中，性虐待严重程度并不能预测当前BDD严重程度。童年期虐待还存在其他显著关联：自杀未遂史与情感虐待（p = 0.004）、身体虐待（p = 0.014）以及性虐待（p = 0.038）有关。童年期情感虐待与终生物质使用障碍相关（r = 0.26，p = 0.02），而身体虐待与终生心境障碍呈负相关（r = -0.37，p = 0.001）。
很大一部分BDD患者报告有童年期虐待和忽视经历。某些类型的虐待和忽视似乎与BDD症状严重程度、性别、自杀倾向以及某些障碍存在一定关联。
