Objectives:

To determine whether childhood maltreatment is a risk factor for two eating disorders (anorexia nervosa and bulimia nervosa) using objective and subjective case definitions.

Methods:

Using a prospective cohorts design, children with documented cases of physical abuse, sexual abuse, and neglect (ages 0–11) from 1967 to 1971 in a Midwestern metropolitan county area were matched on age, race, sex, and approximate family socioeconomic status with non-maltreated children. Both groups were followed up. Retrospective self-reports about childhood maltreatment were collected at age 29. DSM-IV anorexia nervosa (AN) and bulimia nervosa (BN) disorders were assessed at age 41 (N = 807). Logistic and linear regression results are reported.

Results:

Using documented cases, childhood maltreatment was not a significant risk factor for AN or BN diagnoses or symptoms in adulthood. However, adults who retrospectively reported any maltreatment and physical and sexual abuse reported significantly more symptoms of AN than those who did not.

Conclusions:

The prediction that childhood maltreatment is a risk factor for anorexia nervosa and bulimia nervosa was partially supported in this longitudinal study. While misattribution of cases might have occurred, these results suggest that researchers and clinicians should use caution in drawing inferences about these relationships and designing interventions.

中文翻译：

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儿童虐待和饮食失调：一项前瞻性调查

目标：

使用客观和主观案例定义确定儿童虐待是否是两种饮食失调（神经性厌食症和神经性贪食症）的危险因素。

方法：

使用前瞻性队列设计，将 1967 年至 1971 年在中西部大都市县地区有记录的身体虐待、性虐待和忽视案例（0-11 岁）的儿童在年龄、种族、性别和大致的家庭社会经济地位与未受虐待的儿童。两组均进行了随访。在 29 岁时收集了有关儿童虐待的回顾性自我报告。在 41 岁时评估了 DSM-IV 神经性厌食症 (AN) 和神经性贪食症 (BN) 障碍 ( N = 807)。报告了逻辑回归和线性回归结果。

结果：

使用记录在案的案例，童年虐待不是成年期 AN 或 BN 诊断或症状的重要危险因素。然而，回顾性报告任何虐待、身体和性虐待的成年人报告的 AN 症状明显多于未报告的成年人。

结论：

这项纵向研究部分支持了童年虐待是神经性厌食症和神经性贪食症的危险因素的预测。虽然可能发生了病例分配错误，但这些结果表明，研究人员和临床医生在推断这些关系和设计干预措施时应谨慎行事。