Samudra Madhura, Davis Supriya, Gupta Nishtha, Chaudhury Suprakash, Saldanha Daniel
Department of Psychiatry, Dr. D. Y. Patil Medical College, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.
Ind Psychiatry J. 2021 Oct;30(Suppl 1):S120-S126. doi: 10.4103/0972-6748.328802. Epub 2021 Oct 22.
The aim of the study was to study the association of childhood psychological trauma with eating disorders (EDs) and to assess and compare the relationship with food, concerns about weight gain, and restrictive or compensatory practices in male and female undergraduate medical students.
A cross-sectional, analytical study was performed in a Tertiary Care Medical College and Research Hospital in a suburban area of India. After obtaining ethical clearance, 100 final-year undergraduate students were included in the study with their informed consent. Self-made questionnaire, Childhood Trauma Questionnaire, Stirling ED Scale with Disordered Eating Attitude Scale were used. Spearman's correlation coefficient (Rho) was calculated.
There was a significant correlation of history of childhood psychological trauma in the form of emotional abuse, emotional neglect or physical abuse and physical neglect with higher prevalence of disordered eating behaviors and relationship with food, concern about weight gain, and compensatory practices. No significant relationship was found in a history of sexual abuse.
The importance of a healthy psychosocial upbringing and nurturing by parents to prevent development of psychiatric comorbidities is an important finding in this study.
本研究旨在探讨儿童期心理创伤与饮食失调（EDs）之间的关联，并评估和比较男性和女性本科医学生中与食物、体重增加担忧以及限制或代偿行为的关系。
在印度郊区的一所三级医疗医学院和研究医院进行了一项横断面分析研究。获得伦理批准后，100名本科最后一年的学生在知情同意的情况下被纳入研究。使用了自制问卷、儿童创伤问卷、带有饮食失调态度量表的斯特林饮食失调量表。计算了斯皮尔曼相关系数（Rho）。
以情感虐待、情感忽视、身体虐待和身体忽视形式存在的儿童期心理创伤史与饮食失调行为的较高患病率以及与食物的关系、对体重增加的担忧和代偿行为之间存在显著相关性。在性虐待史方面未发现显著关系。
父母进行健康的心理社会养育和培育以预防精神共病的发展，这是本研究的一项重要发现。
