Background Although previous reviews suggest a strong association between abuse and eating disorders, less is known about non-abuse adverse life experiences, such as parental mental illness or family discord, which occur frequently for this population. The aim of the current study was to identify family-related non-abuse adverse life experiences occurring for adults with eating disorders, and to establish whether they occur for people with anorexia nervosa, bulimia nervosa or binge-eating disorder more than the general population and other psychiatric populations. Method A systematic review of studies focusing on family-related non-abuse adverse life experiences and eating disorders was conducted in accordance with PRISMA guidelines. The search string was applied to four electronic databases including Psycinfo, PubMed/Medline, CINAHL Plus and EMBASE. Results Of the 26 studies selected for inclusion, six types of family-related non-abuse adverse life experiences were identified: adverse parenting style; family disharmony; loss of a family member, relative or close person; familial mental health issues; family comments about eating, or shape, weight and appearance; and family disruptions. Findings provided tentative evidence for eating disorder specific (i.e. parental demands and criticism) and non-specific (i.e. familial loss and family disruptions) non-abuse adversities, with findings also suggesting that those with bulimia nervosa and binge-eating disorder were more impacted by loss, family separations and negative parent-child interactions compared to those with anorexia nervosa. Conclusions This review provides a clear synthesis of previous findings relating to family-related non-abuse adverse life experiences and eating disorders in adults. Implications for trauma-informed care in clinical practice were discussed (e.g. considering the impact of past life events, understanding the function of ED behaviours, reducing the risk of potential re-traumatisation).

中文翻译：

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诊断患有饮食失调的成年人发生的与家庭相关的非虐待不良生活经历：系统评价


背景 尽管之前的评论表明虐待和饮食失调之间存在密切关系，但人们对非虐待不良生活经历知之甚少，例如父母精神疾病或家庭不和，这些情况在这一人群中经常发生。本研究的目的是确定患有饮食失调的成年人中发生的与家庭相关的非虐待不良生活经历，并确定神经性厌食症、神经性贪食症或暴食症患者是否比一般人群和暴食症患者更容易发生这些不良生活经历。其他精神病人群。方法 根据 PRISMA 指南，对关注家庭相关非虐待不良生活经历和饮食失调的研究进行系统回顾。搜索字符串应用于四个电子数据库，包括 Psycinfo、PubMed/Medline、CINAHL Plus 和 EMBASE。结果 在入选的 26 项研究中，确定了六种与家庭相关的非虐待不良生活经历：不良养育方式；家庭不和睦；失去家庭成员、亲属或关系密切的人；家庭心理健康问题；家人对饮食、体型、体重和外表的评论；以及家庭的干扰。研究结果为饮食失调特定（即父母的要求和批评）和非特定（即家庭损失和家庭破裂）非虐待逆境提供了初步证据，研究结果还表明，患有神经性贪食症和暴食症的人更容易受到饮食失调的影响。与神经性厌食症患者相比，失去亲人、家庭分离和消极的亲子互动。结论 本综述清晰地综合了先前有关成人家庭相关非虐待不良生活经历和饮食失调的研究结果。 讨论了创伤知情护理在临床实践中的意义（例如考虑过去生活事件的影响、了解急诊科行为的功能、降低潜在再次创伤的风险）。