Bödicker Christine, Reinckens Jonas, Höfler Michael, Hoyer Jürgen
Institute for Clinical Psychology and Psychotherapy, Technical University of Dresden, Dresden, Germany.
J Child Adolesc Trauma. 2021 Aug 7;15(3):523-538. doi: 10.1007/s40653-021-00379-5. eCollection 2022 Sep.
We aimed to synthesize the evidence for an association between childhood maltreatment and body image disturbances in adulthood. Information on maltreatment subtypes and mediator variables was included to gain further insights into the mechanisms of the association. In addition, we aimed to examine the role of body image disturbances in the development of negative mental health outcomes associated with childhood maltreatment.
Based on a comprehensive search strategy, eligible studies were identified in PubMed, Scopus, and Web of Science. The eligibility assessment was performed by two reviewers, and 132 articles were studied full-text. To reduce heterogeneity, only non-clinical samples were included in the meta-analysis. A meta-regression was computed to examine the influence of maltreatment subtype on body image disturbances.
Our results provide evidence for a robust association between childhood maltreatment and cognitive-affective body image, both in clinical and community samples. Included studies ( = 40) indicate that body image disturbances are especially pronounced in individuals suffering from Posttraumatic Stress Disorder (PTSD) after childhood maltreatment. The meta-analysis included 12 studies with a total of 15.481 participants, and indicates a small overall effect size (r = 0.21, 95% CI = [0.16, 0.26], < .001). Meta-regression revealed no significant impact of maltreatment subtype in non-clinical samples.
Childhood maltreatment should be considered as a distal risk factor for the development of a negative cognitive-affective body image. We argue for future longitudinal studies which allow a better understanding of the pathways linking childhood maltreatment, body image disturbances and associated psychopathology.
The online version contains supplementary material available at 10.1007/s40653-021-00379-5.
我们旨在综合有关童年期虐待与成年期身体意象障碍之间关联的证据。纳入了有关虐待亚型和中介变量的信息，以进一步深入了解这种关联的机制。此外，我们旨在研究身体意象障碍在与童年期虐待相关的负面心理健康结果发展中的作用。
基于全面的检索策略，在PubMed、Scopus和科学网中识别出符合条件的研究。由两名评审员进行资格评估，对132篇文章进行了全文研究。为减少异质性，荟萃分析仅纳入非临床样本。计算了荟萃回归以检验虐待亚型对身体意象障碍的影响。
我们的结果为童年期虐待与认知情感身体意象之间的紧密关联提供了证据，这在临床和社区样本中均成立。纳入的研究（n = 40）表明，童年期虐待后患有创伤后应激障碍（PTSD）的个体中，身体意象障碍尤为明显。荟萃分析纳入了12项研究，共有15481名参与者，结果显示总体效应量较小（r = 0.21，95%CI = [0.16, 0.26]，p <.001）。荟萃回归显示虐待亚型在非临床样本中没有显著影响。
童年期虐待应被视为负面认知情感身体意象发展的一个远端危险因素。我们主张未来进行纵向研究，以便更好地理解连接童年期虐待、身体意象障碍和相关精神病理学的途径。
在线版本包含可在10.1007/s40653-021-00379-5获取的补充材料。
