Groth Taylor, Hilsenroth Mark, Boccio Dana, Gold Jerold
Derner School of Psychology, Adelphi University, 158 Cambridge Avenue, Room 302, Garden City, NY 11530 USA.
J Child Adolesc Trauma. 2019 Jul 10;13(4):443-453. doi: 10.1007/s40653-019-00275-z. eCollection 2020 Dec.
Reasons for developing an eating disorder (ED) are complex, yet one plausible risk factor gaining more relevance in adolescents with EDs is childhood trauma. The current study is the first to examine the presence of childhood trauma in relation to ED symptomatology in adolescents using DSM-5 criteria. It was hypothesized that patients with more traumatic experiences also have more severe ED symptoms. 112 therapists currently treating adolescent patients diagnosed with an ED completed an online survey consisting of a DSM-5 ED symptom checklist and a childhood trauma questionnaire on a current adolescent patient whom they have seen for at least eight sessions. Children with multiple traumatic experiences and the severity of those experiences demonstrated a relationship to overall ED (r = .179, = .059) and bulimia symptoms ( = .183, = .054), specifically binging ( = .188, = .047). and purging ( = .217, = .021). In addition, logistic regression analyses indicated that adolescents high on bulimia nervosa (B = 4.694, = .044) were more likely to have been traumatized victims of violence. Exploratory analyses support prior literature that suggest similarities between adolescents' lack of control of the experienced trauma(s) with lack of control of ED symptoms. These findings highlight the importance of exploring trauma history when treating an adolescent with an ED, especially bulimia.
发展为饮食失调（ED）的原因很复杂，但在患有饮食失调的青少年中，一个越来越受关注的可能风险因素是童年创伤。本研究首次使用《精神疾病诊断与统计手册》第五版（DSM-5）标准，考察青少年童年创伤与饮食失调症状之间的关系。研究假设是，有更多创伤经历的患者也有更严重的饮食失调症状。112名目前正在治疗被诊断为饮食失调的青少年患者的治疗师，完成了一项在线调查，该调查包括一份DSM-5饮食失调症状清单和一份针对他们目前至少看过八次诊的一名青少年患者的童年创伤问卷。有多次创伤经历的儿童及其经历的严重程度与总体饮食失调（r = 0.179，p = 0.059）和暴食症症状（p = 0.183，p = 0.054），特别是暴饮暴食（p = 0.188，p = 0.047）和清除行为（p = 0.217，p = 0.021）之间存在关联。此外，逻辑回归分析表明，神经性贪食症得分高的青少年（B = 4.694，p = 0.044）更有可能是遭受暴力创伤的受害者。探索性分析支持了先前的文献，这些文献表明青少年对经历的创伤缺乏控制与对饮食失调症状缺乏控制之间存在相似之处。这些发现突出了在治疗患有饮食失调，尤其是神经性贪食症的青少年时，探索创伤史的重要性。
