饮食失调、创伤、创伤后应激障碍和心理社会资源。
Eating disorders, trauma, PTSD, and psychosocial resources.
机构信息
a Department of Psychosomatic Medicine and Psychotherapy , University of Duisburg-Essen , Essen , Germany.
出版信息
Eat Disord. 2014;22(1):33-49. doi: 10.1080/10640266.2014.857517.
Abstract
The frequency of traumatic events and comorbid post-traumatic stress disorder (PTSD) in women with eating disorders (ED) was assessed. Also, patients with anorexia nervosa (AN) and bulimia nervosa (BN) were compared; post-traumatic symptomatology and the role of psychosocial resources were analyzed. One hundred three ED patients (29.1±10.5 years) were studied through the use of standardized questionnaires. We found that 23.1% of AN and 25.5% of BN patients fulfilled the study definition for a current diagnosis of PTSD. Cumulative traumatization led to more severe symptomatology. Psychosocial resources were found to have strong associations with symptomatology. These findings provide additional support for the association between traumatization and ED. Clinical interventions for traumatized ED patients may benefit from a focus on post-traumatic stress symptomatology and personal resources.
摘要
研究评估了创伤事件的频率和并发创伤后应激障碍（PTSD）在饮食失调（ED）女性中的情况。还比较了神经性厌食症（AN）和神经性贪食症（BN）患者；分析了创伤后症状和心理社会资源的作用。通过使用标准化问卷，研究了 103 名 ED 患者（29.1±10.5 岁）。我们发现，23.1%的 AN 和 25.5%的 BN 患者符合 PTSD 的当前诊断标准。累积创伤导致更严重的症状。心理社会资源与症状有很强的关联。这些发现为创伤与 ED 之间的关联提供了额外的支持。对于创伤后 ED 患者的临床干预可能受益于关注创伤后应激症状和个人资源。
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