Department of Psychiatry, Institute of Community and Family Psychiatry, S.M.B.D. Jewish General Hospital, Montreal, Quebec, Canada H3T1E4.
Int J Eat Disord. 2010 Apr;43(3):274-81. doi: 10.1002/eat.20796.
We examined the mediating role of self-criticism in the relation between childhood maltreatment and both depressive symptoms and body dissatisfaction in patients with binge eating disorder (BED).
Participants were 170 BED patients who completed measures of childhood maltreatment, self-criticism, self-esteem, depressive symptoms, and body dissatisfaction.
Specific forms of childhood maltreatment (emotional abuse, sexual abuse) were significantly associated with body dissatisfaction. Path analyses demonstrated that self-criticism fully mediated the relation between emotional abuse and both depressive symptoms and body dissatisfaction. Specificity for the mediating role of self-criticism was demonstrated in comparison to other potential mediators (low self-esteem) and alternative competing mediation models.
These results highlight self-criticism as a potential mechanism through which certain forms of childhood maltreatment may be associated with depressive symptoms and body dissatisfaction in BED patients.
我们研究了自我批评在童年期虐待与暴食障碍（BED）患者的抑郁症状和身体不满之间的关系中的中介作用。
参与者为 170 名 BED 患者，他们完成了童年期虐待、自我批评、自尊、抑郁症状和身体不满的测量。
特定形式的童年期虐待（情感虐待、性虐待）与身体不满显著相关。路径分析表明，自我批评完全中介了情感虐待与抑郁症状和身体不满之间的关系。与其他潜在的中介因素（低自尊）和替代竞争中介模型相比，证明了自我批评的中介作用具有特异性。
这些结果强调了自我批评作为一种潜在机制，通过这种机制，某些形式的童年期虐待可能与 BED 患者的抑郁症状和身体不满有关。
