童年虐待与与饮食障碍并发的强迫症之间的关联:一个横截面研究
Salma Attar1, Jinane Jomaah2,3, Rhéa El Khoury2
1Faculty of Pharmacy, Saint-Joseph University, Beirut, Lebanon.
Journal of eating disorders
|September 6, 2024
概括
童年创伤增加了患有饮食障碍 (ED) 的人群强迫症 (OCD) 的风险. 这种并发症与更严重的ED症状和更高的焦虑障碍的可能性有关,特别是在性虐待之后.
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
- 神经科学是一个神经科学.
背景情况:
- 强迫症 (OCD) 和饮食障碍 (ED) 分享重叠的症状,并且经常同时发生.
- 童年创伤经历 (CTE) 与ED和强迫症有关,这表明潜在的共同病因.
- 了解CTE在ED和强迫症并发症中的特定作用对于有针对性的干预至关重要.
研究的目的:
- 调查儿童创伤经历 (CTE) 与痴迷强迫症 (OCD) 在患有饮食障碍 (ED) 患者的并发症之间的关联.
- 确定特定类型的CTE是否会影响ED患者发展强迫症的风险.
- 探索CTE,强迫症和ED的临床严重程度之间的关系.
主要方法:
- 在2013年3月至2020年1月期间,来自法国蒙彼利埃饮食障碍病房的562名患者被评估.
- 参与者完成了童年创伤问卷 (CTQ),饮食障碍检查问卷 (EDE-Q) 和迷你国际神经精神病学面试 (MINI).
- 为了进行比较分析,患者被分为患有并发性强迫症和没有并发性强迫症的组.
主要成果:
- 患有并发性ED和强迫症的患者报告ED-Q得分显著更高,更多的焦虑障碍,抑郁障碍和PTSD.
- 在患有并发性ED和强迫症患者中观察到更高的性虐待和身体疏忽的发生率.
- 多变量分析表明,焦虑障碍,更高的EDE-Q得分和性虐待史与ED患者的强迫症存在有显著联系.
结论:
- 童年创伤经历 (CTE) 是患有饮食障碍 (ED) 的患者中强迫症 (OCD) 发展的重要危险因素.
- 在ED患者中,强迫症的存在与ED严重程度的增加和并发性焦虑障碍的更大可能性相关.
- 性虐待成为该群体中强迫症共患病的特别强有力的预测因素.
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