Rorty M, Yager J, Rossotto E
UCLA Neuropsychiatric Institute 90024-1759, USA.
Child Abuse Negl. 1995 Jun;19(6):659-67. doi: 10.1016/0145-2134(95)00024-3.
Although histories of child sexual abuse among eating disorder patients have attracted considerable attention in the past decade, relatively little is known about parental physical abuse among these patients. We examined aspects of childhood parental physical punishment and its family environmental correlates among women with a lifetime history of bulimia nervosa (BN group; n = 80) and women with no history of eating disorder (Control group; n = 40), recruited primarily by newspaper advertisement. Women in the BN group reported significantly more physical punishment and perceived their discipline to have been more harsh and capricious than women in the Control group. Nonetheless, the groups did not differ significantly in the extent to which they believed they deserved their punishment or in their belief that they were "physically abused." Further, subjects often failed to assert that they had been physically abused despite meeting conservative criteria, while the reverse tendency was uncommon. Finally, increased levels of physical punishment were associated with greater global family pathology in the BN group, but not in the Control group. Our findings underscore the necessity of explicitly inquiring about physically punitive events in the histories of bulimic women, as well as beliefs regarding these events.
尽管在过去十年中，饮食失调患者遭受儿童性虐待的病史已引起相当大的关注，但对于这些患者中遭受父母身体虐待的情况却知之甚少。我们主要通过报纸广告招募了有神经性贪食症终身病史的女性（BN组；n = 80）和无饮食失调病史的女性（对照组；n = 40），研究了童年时期父母身体惩罚的各个方面及其家庭环境相关因素。BN组的女性报告称遭受的身体惩罚明显更多，且认为她们所受的管教比对照组的女性更为严厉和反复无常。尽管如此，两组在认为自己应得惩罚的程度或认为自己“遭受身体虐待”的信念方面并无显著差异。此外，尽管符合保守标准，但受试者往往并不声称自己遭受过身体虐待，而相反的情况则不常见。最后，在BN组中，身体惩罚程度的增加与更严重的整体家庭病理状况相关，但在对照组中并非如此。我们的研究结果强调了明确询问贪食症女性病史中身体惩罚事件以及她们对这些事件的看法的必要性。
