Allison Kelly C, Grilo Carlos M, Masheb Robin M, Stunkard Albert J
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3021, Philadelphia, PA 19104-3309, USA.
Behav Res Ther. 2007 Dec;45(12):2874-83. doi: 10.1016/j.brat.2007.05.007. Epub 2007 Jun 6.
This study compared rates of self-reported childhood maltreatment in three groups diagnosed using semi-structured interviews: binge eating disorder (BED; n=176), night eating syndrome (NES, n=57), and overweight/obese comparison (OC, n=38). We used the Childhood Trauma Questionnaire (CTQ) to assess childhood maltreatment and the Beck Depression Inventory-II to assess depression levels. Reports of maltreatment were common in patients with BED (82%), NES (79%), and OC (71%). The BED group reported significantly more forms of maltreatment above clinical cut-points (2.4) than the OC (1.4) group but not the NES (1.8) group. The BED and NES groups reported more emotional abuse than the OC group. A higher proportion of the BED group reported emotional neglect and a higher proportion of the NES group reported physical neglect. Depression levels, which were higher in BED and NES than OC, were associated with higher levels of physical and emotional abuse and neglect. In conclusion, reported rates of physical and sexual abuse differed little across groups, whereas reports of neglect and emotional abuse were higher in the BED and NES groups than in the OC group and were associated with elevated depression levels.
暴饮暴食症(BED;n = 176)、夜间进食综合征(NES,n = 57)以及超重/肥胖对照组(OC,n = 38)。我们使用儿童创伤问卷(CTQ)评估童年期虐待情况,并使用贝克抑郁量表第二版评估抑郁水平。BED患者(82%)、NES患者(79%)和OC组(71%)中虐待报告很常见。BED组报告的高于临床切点(2.4)的虐待形式显著多于OC组(1.4),但与NES组(1.8)无差异。BED组和NES组报告的情感虐待多于OC组。BED组中报告情感忽视的比例更高,NES组中报告身体忽视的比例更高。BED组和NES组的抑郁水平高于OC组,且与更高水平的身体和情感虐待及忽视相关。总之,各组间身体和性虐待的报告发生率差异不大,而BED组和NES组中忽视和情感虐待的报告高于OC组,且与抑郁水平升高相关。