Department of Psychology, College of Sciences, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, USA.
San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, USA.
Appetite. 2024 Feb 1;193:107132. doi: 10.1016/j.appet.2023.107132. Epub 2023 Nov 22.
Although the association between childhood trauma and subsequent binge-purge spectrum eating disorders (BP-EDs) is established in adult samples, little is known about the temporal association between potentially traumatic life events and BP-ED onset in children. Using longitudinal data from the U.S.-nationwide Adolescent Brain Cognitive Development (ABCD) study with children aged 9-10 at baseline, logistic regression with complex sampling assessed the longitudinal association of exposure to potentially traumatic events (PTEs) at baseline and meeting BP-ED criteria one year later. Children exposed to PTEs prior to baseline had 1.91 times greater odds of being diagnosed with a BP-ED one year later (95% CI: 1.26 - 2.90; p = .004), compared to those who had not experienced a PTE. The current study extends previous cross-sectional research to show a significant temporal association between childhood PTEs before ages 9-10 and the subsequent onset of BP-EDs one year later. Future research should consider specific timing of PTE exposure as well as examining children diagnosed with restrictive eating disorders.
虽然儿童时期创伤与随后的暴食-清除谱系进食障碍（BP-ED）之间的关联在成人样本中已经得到证实，但对于儿童时期潜在创伤性生活事件与 BP-ED 发病之间的时间关联知之甚少。本研究使用来自美国全国青少年大脑认知发展（ABCD）研究的纵向数据，基线时儿童年龄为 9-10 岁，采用复杂抽样的逻辑回归评估了基线时潜在创伤性事件（PTE）暴露与一年后符合 BP-ED 标准之间的纵向关联。与未经历 PTE 的儿童相比，基线前经历过 PTE 的儿童一年后被诊断为 BP-ED 的可能性高出 1.91 倍（95%CI：1.26-2.90；p=.004）。本研究将以前的横断面研究扩展到表明，9-10 岁之前儿童时期的 PTE 与一年后 BP-ED 的随后发病之间存在显著的时间关联。未来的研究应该考虑 PTE 暴露的具体时间，并检查被诊断为限制型进食障碍的儿童。
