ABSTRACT

Childhood maltreatment appears to increase the risk for eating disorders (EDs). The current study examined potential moderating factors (i.e., self-discrepancy and negative self-directed style), which may increase or decrease the impact of maltreatment (i.e., emotional abuse, physical abuse, sexual abuse) on later ED symptoms. One hundred seven men and women with binge-eating disorder (BED) completed semi-structured interviews and questionnaires assessing childhood maltreatment, self-discrepancy, negative self-directed style, and ED pathology. Linear regression was used to examine the moderating role of self-discrepancy and negative self-directed style in the associations between each type of abuse and level of ED severity. Actual:ought self-discrepancy (i.e., the difference between one’s self and who one believes they ought to be) moderated the relationships between ED pathology and emotional abuse (β =.26 p =.007), as well as physical abuse (β =.23, p =.02). Results suggest that the relationship between childhood abuse (i.e., emotional abuse, physical abuse) and ED pathology may be stronger for those with higher levels of actual:ought self-discrepancy. Further clarification of the relationships between actual:ought self-discrepancy and distinct forms of childhood abuse is needed, as well as intervention studies examining whether targeting actual:ought self-discrepancy provides an additional benefit for trauma-exposed individuals with BED.

 抽象的

童年虐待似乎会增加饮食失调（ED）的风险。目前的研究考察了潜在的调节因素（即自我差异和消极的自我导向风格），这些因素可能会增加或减少虐待（即情感虐待、身体虐待、性虐待）对后来的 ED 症状的影响。一百七名患有暴食症 (BED) 的男性和女性完成了半结构化访谈和问卷调查，评估童年虐待、自我差异、消极自我导向风格和 ED 病理。线性回归用于检验自我差异和消极自我导向风格在每种类型的虐待与 ED 严重程度之间的关联中的调节作用。实际：自我差异（即一个人的自我与一个人认为自己应该成为的人之间的差异）调节了 ED 病理学与情感虐待 ( β =.26 p =.007) 以及身体虐待 ( β ) 之间的关系=.23， p =.02)。结果表明，对于那些“实际：应该”自我差异水平较高的人来说，童年虐待（即情感虐待、身体虐待）与 ED 病理之间的关系可能更强。需要进一步澄清实际：应该的自我差异与不同形式的儿童虐待之间的关系，以及干预研究，以检查针对实际：应该的自我差异是否为遭受创伤的暴食症患者提供额外的好处。