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从童年人际创伤到成人暴饮暴食:揭示人格与适应不良调节的作用

From Childhood Interpersonal Trauma to Binge Eating in Adults: Unraveling the Role of Personality and Maladaptive Regulation.

作者信息

Bellehumeur-Béchamp Lily, Legendre Maxime, Bégin Catherine

机构信息

School of Psychology, Laval University, 2325 Rue des Bibliothèques, Quebec City, QC G1V 0A6, Canada.

Centre d'Expertise Poids, Image et Alimentation (CEPIA), Institute of Nutrition and Functional Foods, 2440 Bd Hochelaga, Quebec City, QC G1V 0A6, Canada.

出版信息

Nutrients. 2024 Dec 23;16(24):4427. doi: 10.3390/nu16244427.

Abstract

: Binge eating (BE) is associated with physical and psychological consequences, such as obesity and reduced quality of life. The relationship between binge eating and childhood experiences of interpersonal trauma has been explored, yet few studies focus on the processes that may explain this association. In this regard, some personality traits and maladaptive cognitive-emotional regulation may help explain this relationship, as they have been associated, respectively, with BE and childhood interpersonal trauma. The purpose of this study is to explore the complex processes that link childhood interpersonal trauma and BE in a French-Canadian clinical adult population with obesity (BMI ≥ 30 kg/m). This cross-sectional study included 148 participants aged 21 to 72, predominantly women of White ethnic background with a university degree, who were seeking treatment for eating or weight-related issues. They completed self-report questionnaires assessing maltreatment and bullying, BE, maladaptive cognitive-emotional regulation, and personality. Two multiple mediation models were tested to examine the indirect effects of personality and maladaptive regulation in the relationship between bullying and BE, as well as between maltreatment and BE. : The results revealed a significant indirect relationship between maltreatment and binge eating (BE), with personality traits and maladaptive cognitive-emotional regulation partially explaining this association. No direct effect was found for bullying, but a significant total indirect effect indicated that personality traits and maladaptive cognitive-emotional regulation play a mediating role in the relationship between bullying and BE. Finaly, self-directedness was found as a unique and significant contributor in both mediation models. : This study draws attention to the multiple contributing factors in the relationship between interpersonal trauma and BE in adults with obesity. Further research is needed to gain a deeper understanding of the role of personality and maladaptive cognitive-emotional regulation in this relationship by focusing on individuals' experiences.

摘要

暴饮暴食(BE)与身体和心理后果相关,如肥胖和生活质量下降。暴饮暴食与童年人际创伤经历之间的关系已被探讨,但很少有研究关注可能解释这种关联的过程。在这方面,一些人格特质和适应不良的认知情感调节可能有助于解释这种关系,因为它们分别与暴饮暴食和童年人际创伤有关。本研究的目的是探讨在肥胖的法裔加拿大临床成年人群(BMI≥30 kg/m)中,将童年人际创伤与暴饮暴食联系起来的复杂过程。这项横断面研究包括148名年龄在21至72岁之间的参与者,主要是具有大学学位的白人种族背景的女性,她们正在寻求饮食或体重相关问题的治疗。他们完成了自我报告问卷,评估虐待和欺凌、暴饮暴食、适应不良的认知情感调节和人格。测试了两个多重中介模型,以检验人格和适应不良调节在欺凌与暴饮暴食之间以及虐待与暴饮暴食之间关系中的间接影响。结果显示,虐待与暴饮暴食(BE)之间存在显著的间接关系,人格特质和适应不良的认知情感调节部分解释了这种关联。未发现欺凌有直接影响,但显著的总间接影响表明,人格特质和适应不良的认知情感调节在欺凌与暴饮暴食之间的关系中起中介作用。最后,自我导向在两个中介模型中均被发现是一个独特且显著的因素。本研究提请人们注意肥胖成年人中人际创伤与暴饮暴食关系的多种促成因素。需要进一步研究,通过关注个体经历,更深入地了解人格和适应不良的认知情感调节在这种关系中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad38/11676048/309163bedffb/nutrients-16-04427-g001.jpg

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