Eating Recovery Center and Pathlight Mood and Anxiety Centers, Denver, Colorado, USA.
Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, Illinois, USA.
Eur Eat Disord Rev. 2022 Mar;30(2):156-167. doi: 10.1002/erv.2880. Epub 2022 Jan 9.
The purpose of the current study was to examine the prevalence of adverse childhood experiences (ACEs) among adults with eating disorders (EDs), to assess whether experiencing a greater number of ACEs is associated with more severe ED psychopathology, and to determine whether ACEs predict treatment outcome.
Participants were 1819 patients (88.5% female, ages 18-72) admitted to one of two treatment facilities at inpatient, residential, or partial hospitalisation levels of care. The Adverse Childhood Experiences Survey and the Eating Pathology Symptom Inventory (EPSI) were completed at admission and the EPSI at discharge.
Female patients reported higher ACEs than males (p = 0.03), and all diagnoses except avoidant/restrictive food intake disorder had significantly higher ACEs than patients with anorexia nervosa-restricting type (AN-R) (p's < 0.01). Across diagnoses, higher ACEs were associated with decreases in binge eating scores during treatment, but were not associated with changes in purging or restricting. Within diagnoses, higher ACEs scores were associated with decreases in purging for patients with AN-R and increases in purging for patients with binge eating disorder.
Results partially supported the hypothesis that higher ACEs would be associated with more severe ED psychopathology.
本研究旨在调查患有饮食障碍（ED）的成年人中不良童年经历（ACEs）的流行情况，评估经历更多 ACEs 是否与更严重的 ED 精神病理学相关，并确定 ACEs 是否预测治疗结果。
参与者为 1819 名患者（88.5%为女性，年龄 18-72 岁），他们在内科、住院或部分住院治疗水平的两个治疗机构之一入院。在入院时完成了《不良童年经历调查》和《饮食病理学症状量表》（EPSI），并在出院时完成了 EPSI。
女性患者报告的 ACEs 高于男性（p=0.03），除了回避/限制食物摄入障碍外，所有诊断的 ACEs 都明显高于限制型神经性厌食症（AN-R）患者（p<0.01）。在所有诊断中，ACEs 较高与治疗期间暴食评分的下降相关，但与清除或限制行为的变化无关。在诊断内，ACEs 评分较高与 AN-R 患者清除行为的减少以及暴食障碍患者清除行为的增加有关。
结果部分支持了 ACEs 与更严重的 ED 精神病理学相关的假设。
