Vanderlinden J, Vandereycken W, van Dyck R, Vertommen H
Eating Disorder Unit, University Center Kortenberg, Belgium.
Int J Eat Disord. 1993 Mar;13(2):187-93. doi: 10.1002/1098-108x(199303)13:2<187::aid-eat2260130206>3.0.co;2-9.
This study explores the relationship between traumatic experiences and dissociative phenomena in a large group of eating disorder patients (N = 98). Traumatic experiences were assessed by means of a self-report questionnaire and a clinical interview; dissociative experiences were assessed with the newly developed self-reporting Dissociation Questionnaire (DIS-Q). About 25% of the patients reported to have experienced traumatic events in their personal life and this subgroup had significantly higher scores on the DIS-Q, compared with normal control subjects. About 12% of our patient sample mentioned dissociative experiences to a degree as high as in a group of patients with dissociative disorders. Amnesia turned out to be the most specific characteristic in trauma-induced dissociation. These data suggest that trauma-induced dissociative experiences may play an important role in the development of a subgroup of patients with an eating disorder.
本研究探讨了一大群饮食失调患者（N = 98）中创伤经历与分离现象之间的关系。通过一份自我报告问卷和一次临床访谈来评估创伤经历；分离体验则用新开发的自我报告解离问卷（DIS-Q）进行评估。约25%的患者报告称在其个人生活中经历过创伤事件，与正常对照组相比，该亚组在DIS-Q上的得分显著更高。我们患者样本中约12%的人提到的分离体验程度与分离障碍患者组一样高。结果发现，失忆是创伤所致分离中最具特异性的特征。这些数据表明，创伤所致的分离体验可能在一部分饮食失调患者的发病过程中起重要作用。
