Connors M E, Morse W
Illinois School of Professional Psychology, Chicago.
Int J Eat Disord. 1993 Jan;13(1):1-11. doi: 10.1002/1098-108x(199301)13:1<1::aid-eat2260130102>3.0.co;2-p.
Studies investigating a possible relationship between sexual abuse and eating disorders have reported highly discrepant results. Some variability can be accounted for by methodological issues including diagnostic criteria, study design, and assessment techniques. The heterogeneity of an eating disordered population, especially regarding the comorbidity of eating pathology and personality disorder, is also a factor. Overall results suggest that around 30% of eating disordered patients have been sexually abused in childhood, a figure that is relatively comparable to rates found in normal populations. For some patients there may be a direct link between sexual trauma and eating pathology, but in general sexual abuse is best considered a risk factor in a biopsychosocial etiological model of eating disorders. Complex associations between trauma, self-regulatory deficits, and psychopathology require further research.
调查性虐待与饮食失调之间可能存在的关系的研究报告了高度不一致的结果。一些差异可以由方法学问题来解释，包括诊断标准、研究设计和评估技术。饮食失调人群的异质性，尤其是在饮食病理学与人格障碍共病方面，也是一个因素。总体结果表明，约30%的饮食失调患者在童年时期遭受过性虐待，这一数字与正常人群中的发生率相对相当。对于一些患者来说，性创伤与饮食病理学之间可能存在直接联系，但一般而言，在饮食失调的生物心理社会病因模型中，性虐待最好被视为一个风险因素。创伤、自我调节缺陷和精神病理学之间的复杂关联需要进一步研究。
