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性虐待和身体虐待对饮食失调及精神症状的影响:饮食失调患者与精神科住院患者的比较

The impact of sexual and physical abuse on eating disordered and psychiatric symptoms: a comparison of eating disordered and psychiatric inpatients.

作者信息

Folsom V, Krahn D, Nairn K, Gold L, Demitrack M A, Silk K R

机构信息

Mental Health Services, Group Health Cooperative of Puget Sound, Olympia, Washington.

出版信息

Int J Eat Disord. 1993 Apr;13(3):249-57. doi: 10.1002/1098-108x(199304)13:3<249::aid-eat2260130302>3.0.co;2-n.

Abstract

The authors compared rates of physical and sexual abuse in women with eating disorders (N = 102) and general psychiatric disorders (N = 49). Relationships between sexual abuse and severity of eating disordered and psychiatric symptoms were also examined. While high rates of sexual abuse were found in the eating disordered sample, these rates were not significantly higher than those found in the general psychiatric population. No relationship between a history of sexual abuse and severity of eating disordered symptoms was found. However, within the eating disordered group, sexually abuse subjects reported more severe psychiatric disturbances of an obsessive and phobic nature than nonabused subjects. These findings suggest that while sexually abusive experiences may be related to increased psychological distress, they do not serve to increase eating disordered symptomatology.

摘要

作者比较了患有饮食失调症的女性(N = 102)和患有一般精神疾病的女性(N = 49)遭受身体虐待和性虐待的比率。还研究了性虐待与饮食失调症状及精神症状严重程度之间的关系。虽然在饮食失调样本中发现性虐待发生率很高,但这些比率并不显著高于一般精神疾病人群中的比率。未发现性虐待史与饮食失调症状严重程度之间存在关联。然而,在饮食失调组中,遭受性虐待的受试者报告的强迫和恐惧性质的精神障碍比未受虐待的受试者更严重。这些发现表明,虽然性虐待经历可能与心理痛苦增加有关,但它们并不会导致饮食失调症状加重。

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