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[创伤与神经性厌食症:创伤特征、创伤后应激障碍与饮食失调持续时间之间的关联]

[Trauma and anorexia nervosa: the association between trauma characteristics, PTSD and the duration of the eating disorder].

作者信息

Mares S H W, Vroling M S

出版信息

Tijdschr Psychiatr. 2020;62(7):541-548.

Abstract

Research into the prevalence of various traumatic events in anorexia nervosa (AN) is sparse, with the findings from these studies varying. In addition, the number and age at which traumatic events occurred was not consistently included in previous studies.
AIM: To study the prevalence of different types of traumatic events, whether they occurred in early childhood or not, the number of different events and their associations with PTSD symptoms, and the duration of the eating disorder among clinically admitted patients with AN.
METHOD: In the admission department of an eating disorder clinic, 60 female patients with AN completed questionnaires about traumatic events and symptoms of PTSD during the first week of admission.
RESULTS: Although physical violence during early childhood and traumatic sexual events in later childhood and adulthood were the most commonly reported, there was a variety of types of traumatic events that were frequently reported. In addition, patients who had experienced traumatic events at a young age and / or multiple types of traumatic events had a longer-lasting eating disorder.
CONCLUSION: A thorough inventory of trauma in patients with eating disorders seems important, as this could play a role in maintaining an eating disorder.

摘要

关于神经性厌食症(AN)中各种创伤性事件患病率的研究较少,且这些研究的结果各不相同。此外,以往的研究并未始终纳入创伤性事件发生的次数和年龄。

目的

研究不同类型创伤性事件的患病率、是否发生在幼儿期、不同事件的数量及其与创伤后应激障碍(PTSD)症状的关联,以及临床收治的神经性厌食症患者饮食失调的持续时间。

方法

在一家饮食失调诊所的入院部,60名患有神经性厌食症的女性患者在入院第一周完成了关于创伤性事件和创伤后应激障碍症状的问卷调查。

结果

虽然幼儿期的身体暴力以及儿童后期和成年期的创伤性性事件是最常被报告的,但也有多种类型的创伤性事件经常被报告。此外,在年轻时经历过创伤性事件和/或经历过多种类型创伤性事件的患者,其饮食失调持续的时间更长。

结论

对饮食失调患者的创伤情况进行全面清查似乎很重要,因为这可能在维持饮食失调方面起作用。

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