在寻求饮食障碍治疗的人群中,创伤后应激障碍 (PTSD) 和复杂的PTSD:患病率和与症状严重程度的关联
Sinead Day1, Phillipa Hay2,3, Christopher Basten4
1Translational Health Research Institute, Western Sydney University, Penrith, Australia.
Journal of traumatic stress
|April 19, 2024
概括
复杂的PTSD (CPTSD) 影响了超过四分之一的寻求饮食障碍治疗的人,通常与童年创伤有关. 自我组织症状的障碍显著预测了饮食障碍的严重程度.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 儿童创伤和PTSD在饮食障碍中被研究,但复杂PTSD (CPTSD) 的患病率尚不清楚.
- ICD-11标准通过PTSD症状加上自我组织 (DSO) 障碍来定义CPTSD.
研究的目的:
- 在使用ICD-11标准寻求饮食障碍治疗的人群中确定PTSD和DSO症状的患病率.
- 评估 PTSD 和 CPTSD 的诊断率.
- 在这个人群中检查童年创伤暴露.
主要方法:
- 217名参与饮食障碍服务的参与者完成了饮食障碍,创伤和童年不良经历的测量.
- 使用ICD-11标准来评估PTSD和CPTSD.
- 相关性分析检查了症状严重程度和饮食障碍病理学之间的关系.
主要成果:
- 三分之一的人报告PTSD症状;超过一半的人报告DSO症状.
- 可能的ICD-11比率:PTSD为3.8%,CPTSD为28.4%.
- 创伤后应激障碍比创伤后应激障碍更为普遍,并且与更高水平的护理相关. 两种PTSD和DSO症状都与饮食障碍严重程度相关 (rs=.285-.642),DSO是一个独特的预测因素.
结论:
- 在饮食障碍群体中,CPTSD非常普遍.
- DSO症状与创伤后应激障碍症状独立于饮食障碍的严重程度有关.
- 研究结果表明,辅助治疗并发性饮食障碍和PTSD/CPTSD是有必要的.
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