Department of Psychiatry, University of California, San Francisco, USA.
Eat Weight Disord. 2011 Jun;16(2):e113-20. doi: 10.1007/BF03325316.
To examine correlates of childhood maltreatment in women with binge-eating disorder (BED).
Semistructured interviews evaluated 137 women with BED for psychiatric disorders and eating psychopathology, and self-reported childhood maltreatment was assessed.
Emotional abuse was reported by 52% of participants, physical abuse by 28%, sexual abuse by 31%, emotional neglect by 66%, and physical neglect by 48%. Maltreatment categories were not associated with most lifetime psychiatric diagnoses, although specific associations were observed for dysthymic disorder, posttraumatic stress disorder, and alcohol use disorders. Few associations were noted with eating pathology, but most forms of childhood maltreatment were negatively associated with self-esteem.
Women with BED report rates of childhood maltreatment comparable to those for clinical groups, and much higher than community samples. Although prevalent in women with BED, childhood maltreatment is not generally associated with variability in eating pathology or with psychiatric comorbidity, but is associated with lower self-esteem.
探讨暴食症（BED）女性童年期虐待的相关因素。
对 137 名患有 BED 的女性进行半结构式访谈，评估其精神障碍和饮食心理病理学，并自我报告童年期虐待情况。
52%的参与者报告曾遭受情感虐待，28%的参与者报告曾遭受身体虐待，31%的参与者报告曾遭受性虐待，66%的参与者报告曾遭受情感忽视，48%的参与者报告曾遭受身体忽视。虽然特定的关联存在于心境恶劣障碍、创伤后应激障碍和酒精使用障碍中，但虐待类别与大多数终生精神科诊断无关。与饮食病理学的关联很少，但童年期的各种虐待形式都与自尊心降低有关。
患有 BED 的女性报告的童年期虐待率与临床群体相当，远高于社区样本。尽管在患有 BED 的女性中很普遍，但童年期虐待与饮食病理学的变化或与精神共病无关，而是与自尊心降低有关。
