Wolf Nele Marie, Elklit Ask
1National Center of Psychotraumatology, University of Southern Denmark, Odense, Denmark.
Present Address: Alexianer Center of Psychotraumatology, Michaelshovener Str. 11, 50999 Cologne, Germany.
J Child Adolesc Trauma. 2018 Aug 9;13(1):21-32. doi: 10.1007/s40653-018-0224-x. eCollection 2020 Mar.
The current study investigated relationships between different experiences of child maltreatment (CM) and disordered eating (DE) in a large population-based sample of Danish young adults. Participants completed a structured interview comprising socio-demographic, psychological and physical domains. Questions regarding CM, DE, PTSD symptoms and self-esteem were analyzed using chi-square-tests, ANOVAs, hierarchical regression, and multiple mediation analyses. Participants with a history of CM experienced higher levels of DE than non-abused individuals. PTSD symptoms and self-esteem appeared to differentially mediate the relationship between three classes of CM and DE. Whereas the relation between emotional and sexual abuse with DE was partially mediated via participants' level of PTSD symptoms and self-esteem with emotional abuse having a stronger impact on self-esteem and sexual abuse more strongly influencing PTSD symptoms, the relation between polyvictimization and DE was fully mediated by PTSD and self-esteem, mainly due to the indirect effect via PTSD.
本研究在丹麦年轻成年人的大规模基于人群的样本中,调查了不同儿童虐待经历(CM)与饮食失调(DE)之间的关系。参与者完成了一项包含社会人口学、心理和身体领域的结构化访谈。使用卡方检验、方差分析、层次回归和多重中介分析,对有关儿童虐待、饮食失调、创伤后应激障碍(PTSD)症状和自尊的问题进行了分析。有儿童虐待史的参与者比未受虐待的个体经历了更高水平的饮食失调。PTSD症状和自尊似乎以不同方式介导了三类儿童虐待与饮食失调之间的关系。情感虐待和性虐待与饮食失调之间的关系部分通过参与者的PTSD症状水平和自尊来介导,情感虐待对自尊的影响更强,性虐待对PTSD症状的影响更强;而多重受害与饮食失调之间的关系完全由PTSD和自尊介导,主要是由于通过PTSD产生的间接效应。