Legendre Maxime, Sabourin Stéphane, Bégin Catherine
School of Psychology, Laval University, Quebec City, CAN.
Cureus. 2022 Jul 18;14(7):e26966. doi: 10.7759/cureus.26966. eCollection 2022 Jul.
Background Many studies have highlighted the clinical relevance of food addiction (FA) by showing its association with psychopathological severity and even more when co-occurring with binge eating disorder. It was suggested that the association between FA and greater psychopathological severity could be accounted for by a history of traumatic experiences. The present study examined the relationship between childhood trauma (including peer victimization, abuse, and neglect) and maladaptive eating behaviors (FA, binge eating, and grazing) and explored whether childhood trauma predicts FA when controlling for binge eating, grazing, and other confounding variables. Methods One hundred fourteen adult women seeking psychological help for problems related to eating or weight completed questionnaires measuring FA, binge eating, grazing, depressive symptoms, peer victimization, and childhood abuse and neglect. Results FA showed significantly small to moderate positive correlations with all measures of childhood trauma, except for physical neglect. A hierarchical regression, including binge eating, grazing, depressive symptoms, age, and childhood trauma explained 55% of FA variance, with 7% of variance explained uniquely by childhood trauma. Conclusions This study supports that FA is related to childhood trauma and provides a potential explanation for the association of FA with greater psychopathological severity. From a clinical perspective, FA provides an accurate and quick assessment of psychopathological severity and represents an essential complement to the evaluation of eating disorders related to overweight. Future studies should attempt to estimate the impact of childhood trauma on treatment outcomes.
背景 许多研究通过表明食物成瘾（FA）与精神病理学严重程度相关，甚至在与暴饮暴食障碍同时出现时更是如此，从而突出了其临床相关性。有人认为，FA与更高的精神病理学严重程度之间的关联可能由创伤经历史来解释。本研究考察了童年创伤（包括同伴受害、虐待和忽视）与适应不良的饮食行为（FA、暴饮暴食和随意进食）之间的关系，并探讨了在控制暴饮暴食、随意进食和其他混杂变量的情况下，童年创伤是否能预测FA。方法 114名因饮食或体重问题寻求心理帮助的成年女性完成了测量FA、暴饮暴食、随意进食、抑郁症状、同伴受害以及童年虐待和忽视的问卷。结果 除身体忽视外，FA与童年创伤的所有测量指标均呈现显著的小到中度正相关。一个包含暴饮暴食、随意进食、抑郁症状、年龄和童年创伤的分层回归解释了FA变异的55%，其中7%的变异由童年创伤单独解释。结论 本研究支持FA与童年创伤有关，并为FA与更高的精神病理学严重程度之间的关联提供了一个潜在解释。从临床角度来看，FA为精神病理学严重程度提供了准确快速的评估，是对与超重相关的饮食障碍评估的重要补充。未来的研究应尝试估计童年创伤对治疗结果的影响。
