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童年创伤对神经性贪食症患者日常情绪易变性及共病精神病理学的影响。

The effects of childhood trauma on daily mood lability and comorbid psychopathology in bulimia nervosa.

作者信息

Wonderlich Stephen A, Rosenfeldt Steven, Crosby Ross D, Mitchell James E, Engel Scott G, Smyth Joshua, Miltenberger Raymond

机构信息

Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Neuropsychiatric Research Institute, Fargo, ND, USA.

出版信息

J Trauma Stress. 2007 Feb;20(1):77-87. doi: 10.1002/jts.20184.

DOI:10.1002/jts.20184
PMID:17345648
Abstract

A study of bulimic women examined the relationship between histories of childhood trauma and psychiatric disorders, as well as daily measures of mood and behavior. One hundred twenty-three women with bulimia nervosa were assessed with interviews and completed an Ecological Momentary Assessment (EMA) protocol in which they carried a palmtop computer for 2 weeks. Sexual abuse was associated with a history of mood and anxiety disorders, and emotional abuse with eating disorder psychopathology. In the EMA assessment, sexual abuse was associated with daily purging frequency and self-destructive behavior. Emotional abuse was associated with average daily mood and mood lability. These findings support the idea that child maltreatment may be associated with various aspects of bulimia-related psychopathology.

摘要

一项针对贪食症女性的研究,考察了童年创伤史与精神疾病之间的关系,以及情绪和行为的日常测量情况。123名神经性贪食症女性接受了访谈评估,并完成了一项生态瞬时评估(EMA)方案,在此方案中,她们携带掌上电脑为期两周。性虐待与情绪和焦虑症病史相关,情感虐待与饮食失调精神病理学相关。在EMA评估中,性虐待与每日催吐频率和自我毁灭行为相关。情感虐待与每日平均情绪和情绪易变性相关。这些发现支持了儿童虐待可能与贪食症相关精神病理学的各个方面有关的观点。

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