儿童虐待、抑郁症状和暴食症患者的身体不满：自我批评的中介作用。
Childhood maltreatment, depressive symptoms, and body dissatisfaction in patients with binge eating disorder: the mediating role of self-criticism.
机构信息
Department of Psychiatry, Institute of Community and Family Psychiatry, S.M.B.D. Jewish General Hospital, Montreal, Quebec, Canada H3T1E4.
出版信息
Int J Eat Disord. 2010 Apr;43(3):274-81. doi: 10.1002/eat.20796.
Abstract
OBJECTIVE
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).
METHOD
Participants were 170 BED patients who completed measures of childhood maltreatment, self-criticism, self-esteem, depressive symptoms, and body dissatisfaction.
RESULTS
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.
DISCUSSION
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.
摘要
目的
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。
方法
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。
结果
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。
讨论
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。
相似文献
1
Childhood maltreatment, depressive symptoms, and body dissatisfaction in patients with binge eating disorder: the mediating role of self-criticism.儿童虐待、抑郁症状和暴食症患者的身体不满：自我批评的中介作用。
Int J Eat Disord. 2010 Apr;43(3):274-81. doi: 10.1002/eat.20796.
2
3
Childhood maltreatment in women with binge-eating disorder: associations with psychiatric comorbidity, psychological functioning, and eating pathology.暴食障碍女性中的儿童期虐待：与精神共病、心理功能和饮食病理学的关联。
Eat Weight Disord. 2011 Jun;16(2):e113-20. doi: 10.1007/BF03325316.
4
Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism.儿童虐待、非自杀性自伤以及自我批评的中介作用。
Behav Res Ther. 2007 Oct;45(10):2483-90. doi: 10.1016/j.brat.2007.04.002. Epub 2007 Apr 18.
5
Childhood maltreatment in patients with binge eating disorder with and without night eating syndrome vs. control.儿童期虐待在有和无夜间进食综合征的暴食障碍患者与对照组中的比较。
Psychiatry Res. 2020 Nov;293:113451. doi: 10.1016/j.psychres.2020.113451. Epub 2020 Sep 17.
6
Parental verbal abuse and the mediating role of self-criticism in adult internalizing disorders.父母言语虐待与自我批评在成人间化障碍中的中介作用。
J Affect Disord. 2006 Jul;93(1-3):71-8. doi: 10.1016/j.jad.2006.02.014. Epub 2006 Mar 20.
7
Childhood abuse, body image disturbance, and eating disorders.童年期虐待、身体意象障碍和饮食失调。
Child Abuse Negl. 1994 Aug;18(8):607-15. doi: 10.1016/0145-2134(94)90011-6.
8
The mediational significance of negative/depressive affect in the relationship of childhood maltreatment and eating disorder features in adolescent psychiatric inpatients.童年期虐待与青少年精神科住院患者饮食障碍特征的关系中负性/抑郁情绪的中介作用。
Eat Weight Disord. 2011 Mar;16(1):e9-e16. doi: 10.1007/BF03327515.
9
Binge eating & childhood emotional abuse: The mediating role of anger.暴食与儿童期情感虐待：愤怒的中介作用。
Appetite. 2016 Oct 1;105:487-93. doi: 10.1016/j.appet.2016.05.018. Epub 2016 May 18.
10
Childhood maltreatment in extremely obese male and female bariatric surgery candidates.极度肥胖的男性和女性减肥手术候选者中的童年期虐待经历。
Obes Res. 2005 Jan;13(1):123-30. doi: 10.1038/oby.2005.16.
引用本文的文献
1
Cognitive Specificity Enhancement Training (CoST) in depressed patients with a history of childhood maltreatment: a pilot study on the feasibility and efficacy of CoST for reducing rumination, cognitive avoidance, and depressive symptoms.对有童年虐待史的抑郁症患者进行认知特异性增强训练（CoST）：一项关于CoST减少沉思、认知回避和抑郁症状的可行性和有效性的初步研究。
Eur J Psychotraumatol. 2025 Dec;16(1):2514328. doi: 10.1080/20008066.2025.2514328. Epub 2025 Jun 19.
2
Gender-based analysis of body dissatisfaction among youths in Singapore: findings from the National Youth Mental Health Study.新加坡青少年身体不满的性别分析：全国青少年心理健康研究的结果
Front Psychiatry. 2025 Apr 25;16:1505161. doi: 10.3389/fpsyt.2025.1505161. eCollection 2025.
3
Neural correlates of reduction in self-judgment after mindful self-compassion training: A pilot study with resting state fMRI.正念自我同情训练后自我评判减少的神经关联：一项基于静息态功能磁共振成像的初步研究
J Mood Anxiety Disord. 2025 Mar;9. doi: 10.1016/j.xjmad.2024.100096. Epub 2024 Dec 9.
4
Redefining diagnostic parameters: the role of overvaluation of shape and weight in binge-eating disorder: a systematic review.重新定义诊断参数：体型和体重高估在暴饮暴食症中的作用：一项系统综述
J Eat Disord. 2025 Jan 17;13(1):9. doi: 10.1186/s40337-025-01187-0.
5
From Childhood Interpersonal Trauma to Binge Eating in Adults: Unraveling the Role of Personality and Maladaptive Regulation.从童年人际创伤到成人暴饮暴食：揭示人格与适应不良调节的作用
Nutrients. 2024 Dec 23;16(24):4427. doi: 10.3390/nu16244427.
6
National Trends in the Prevalence of Self-Perceived Overweight Among Adolescents Between 2005 and 2022: Nationwide Representative Study.2005 年至 2022 年间青少年自我感知超重的全国流行趋势：全国代表性研究。
JMIR Public Health Surveill. 2024 Oct 9;10:e57803. doi: 10.2196/57803.
7
Associations between avoidant/restrictive food intake disorder profiles and trauma exposure in veteran men and women.退役军人中回避/限制型食物摄入障碍与创伤暴露之间的关联。
J Clin Psychol. 2024 Dec;80(12):2344-2356. doi: 10.1002/jclp.23743. Epub 2024 Sep 12.
8
Self-compassion among Undergraduate Nursing Students at a State University in Indonesia during the COVID-19 Pandemic.印尼某国立大学护理专业本科生在 COVID-19 大流行期间的自我关怀。
Rev Bras Enferm. 2023 Oct 9;76(4):e20220585. doi: 10.1590/0034-7167-2022-0585. eCollection 2023.
9
Misperception of body weight and associated socioeconomic and health-related factors among Korean female adults: A nationwide population-based study.韩国成年女性对体重的认知偏差及相关社会经济和健康相关因素：一项全国性基于人群的研究。
Front Endocrinol (Lausanne). 2022 Dec 23;13:1007129. doi: 10.3389/fendo.2022.1007129. eCollection 2022.
10
Is Childhood Maltreatment Associated with Body Image Disturbances in Adulthood? A Systematic Review and Meta-Analysis.童年期受虐与成年期身体意象障碍有关吗？一项系统评价和荟萃分析。
J Child Adolesc Trauma. 2021 Aug 7;15(3):523-538. doi: 10.1007/s40653-021-00379-5. eCollection 2022 Sep.
本文引用的文献
1
Structural Model Evaluation and Modification: An Interval Estimation Approach.结构模型评估与修正：一种区间估计方法。
Multivariate Behav Res. 1990 Apr 1;25(2):173-80. doi: 10.1207/s15327906mbr2502_4.
2
High self-reported rates of neglect and emotional abuse, by persons with binge eating disorder and night eating syndrome.暴饮暴食症和夜间饮食综合症患者自我报告的忽视和情感虐待发生率较高。
Behav Res Ther. 2007 Dec;45(12):2874-83. doi: 10.1016/j.brat.2007.05.007. Epub 2007 Jun 6.
3
Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism.儿童虐待、非自杀性自伤以及自我批评的中介作用。
Behav Res Ther. 2007 Oct;45(10):2483-90. doi: 10.1016/j.brat.2007.04.002. Epub 2007 Apr 18.
4
Psychological treatment of eating disorders.饮食失调的心理治疗。
Am Psychol. 2007 Apr;62(3):199-216. doi: 10.1037/0003-066X.62.3.199.
5
Overvaluation of shape and weight in binge eating disorder.暴饮暴食症中对体型和体重的过度重视。
J Consult Clin Psychol. 2007 Feb;75(1):175-80. doi: 10.1037/0022-006X.75.1.175.
6
Perfectionism and eating disorders: current status and future directions.完美主义与饮食失调：现状与未来方向。
Clin Psychol Rev. 2007 Apr;27(3):384-405. doi: 10.1016/j.cpr.2006.12.005. Epub 2006 Dec 30.
7
The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication.《全国共病调查复制版中的饮食失调患病率及其相关因素》
Biol Psychiatry. 2007 Feb 1;61(3):348-58. doi: 10.1016/j.biopsych.2006.03.040. Epub 2006 Jul 3.
8
Psychiatric comorbidity in binge-eating disorder as a function of smoking history.作为吸烟史函数的暴饮暴食障碍中的精神共病。
J Clin Psychiatry. 2006 Apr;67(4):594-9. doi: 10.4088/jcp.v67n0410.
9
Self-criticism, low self-esteem, depressive symptoms, and over-evaluation of shape and weight in binge eating disorder patients.暴饮暴食症患者的自我批评、低自尊、抑郁症状以及对体型和体重的过度评估。
Behav Res Ther. 2007 Jan;45(1):139-49. doi: 10.1016/j.brat.2006.01.017. Epub 2006 Mar 13.
10
Personal standards and evaluative concerns dimensions of "clinical" perfectionism: a reply to Shafran et al. (2002, 2003) and Hewitt et al. (2003).“临床”完美主义的个人标准与评价性关注维度：对沙夫兰等人（2002年、2003年）及休伊特等人（2003年）的回应
Behav Res Ther. 2006 Jan;44(1):63-84. doi: 10.1016/j.brat.2004.12.004.
Zotero 插件