Ritz Ludivine, Mauny Nicolas, Montcharmont Charlotte, Dessommes Ninon, Jacquet Denis, Lemercier-Dugarin Maud
Université de Caen Normandie, LPCN UR 7452, Caen, F-14000, France.
UFR de Psychologie, Bâtiment L, Esplanade de la Paix, 14032 Caen Cedex 5, Caen, France.
J Eat Disord. 2025 Jul 1;13(1):126. doi: 10.1186/s40337-025-01321-y.
Food and Alcohol Disturbance (FAD) is characterized by a functional relationship between disordered eating behaviors and problematic alcohol use. Childhood adversity has been found to be associated with FAD, but its potential impacts on attachment profiles and FAD behaviors have never been examined. The present study tests a model in which insecure attachment mediates the relationship between childhood maltreatment and FAD.
University students (N = 629) participated in the study, completing questionnaires on FAD, childhood maltreatment history, and adult attachment. Structural equation modeling was used to test the mediated effect of childhood maltreatment through attachment on FAD behaviors.
Insecure attachment and childhood maltreatment were related; however, only insecure attachment was directly related to FAD behaviors. A history of childhood maltreatment was indirectly related to FAD, mediated by insecure attachment. Attachment insecurity, particularly preoccupied and fearful patterns, was directly related to FAD behaviors in students and mediated the relationship between childhood maltreatment and FAD.
These findings may explain how early experiences of child maltreatment can be related to attachment style, and later, in adulthood, influence FAD behaviors in students. Clinicians should adapt treatment and preventions strategies to help patients transition from insecure attachment to a more secure pattern and regulate their negative emotions.
饮食与酒精紊乱（FAD）的特征在于饮食行为紊乱与酒精使用问题之间的功能关系。研究发现童年逆境与FAD有关，但其对依恋模式和FAD行为的潜在影响从未被研究过。本研究测试了一个模型，其中不安全依恋介导了童年虐待与FAD之间的关系。
大学生（N = 629）参与了该研究，完成了关于FAD、童年虐待史和成人依恋的问卷调查。结构方程模型用于测试童年虐待通过依恋对FAD行为的中介效应。
不安全依恋与童年虐待有关；然而，只有不安全依恋与FAD行为直接相关。童年虐待史与FAD间接相关，由不安全依恋介导。依恋不安全感，特别是过度关注和恐惧模式，与学生的FAD行为直接相关，并介导了童年虐待与FAD之间的关系。
这些发现可能解释了童年虐待的早期经历如何与依恋风格相关，以及在成年后期如何影响学生的FAD行为。临床医生应调整治疗和预防策略，以帮助患者从不安全依恋过渡到更安全的模式，并调节他们的负面情绪。
