Background

Child maltreatment may be an important risk factor for eating disorder (ED) behaviors. However, most previous research has been limited to clinical, female, and cross-sectional samples, and has not adequately accounted for complex abuse patterns.

Objective

To determine whether women and men with distinct patterns of child and adolescent maltreatment have higher risks of developing ED behaviors in young adulthood than individuals with a low probability of maltreatment.

Participants and setting

Data came from 7010 U.S. women and men (95% White) in the Growing Up Today Study, a prospective, community-based cohort study (14 waves between 1996 and 2016).

Methods

We used a previously created maltreatment variable that was empirically derived using latent class analysis. Maltreatment groups were characterized as: “no/low abuse,” “child physical abuse,” “adolescent emotional abuse,” “child and adolescent physical and emotional abuse,” and “child and adolescent sexual abuse.” We estimated risk ratios for ED behaviors developing in young adulthood using the modified Poisson approach with generalized estimating equations. We stratified models by sex.

Results

Groups characterized by maltreatment had elevated risks of incident ED behaviors compared with the “no/low abuse” group among both women and men. For women, risks tended to be strongest among the “child and adolescent sexual abuse” group. For men, risks tended to be strongest among the “child and adolescent physical and emotional abuse” group. Risks were particularly strong for purging behaviors.

Conclusion

Risk of incident ED behaviors in young adulthood varied by distinct maltreatment groups. Detecting maltreatment early may help prevent EDs and subsequent maltreatment.

中文翻译：

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儿童和青少年虐待模式和在青年期发展饮食失调行为的风险

背景

虐待儿童可能是饮食失调 (ED) 行为的重要危险因素。然而，大多数先前的研究仅限于临床、女性和横断面样本，并没有充分考虑复杂的滥用模式。

客观的

确定具有不同儿童和青少年虐待模式的女性和男性在青年期发生 ED 行为的风险是否高于受虐待可能性低的个体。

参与者和设置

数据来自“今日成长研究”中的 7010 名美国女性和男性（95% 白人），这是一项基于社区的前瞻性队列研究（1996 年至 2016 年间的 14 次浪潮）。

方法

我们使用了一个先前创建的虐待变量，该变量是使用潜在类别分析根据经验得出的。虐待组的特点是：“无/低虐待”、“儿童身体虐待”、“青少年情感虐待”、“儿童和青少年身体和情感虐待”以及“儿童和青少年性虐待”。我们使用带有广义估计方程的改进泊松方法估计了在年轻成年期发展的 ED 行为的风险比。我们按性别对模型进行分层。

结果

与女性和男性中的“无/低虐待”组相比，以虐待为特征的组发生 ED 行为的风险更高。对于女性来说，“儿童和青少年性虐待”群体的风险往往最大。对于男性来说，“儿童和青少年身体和情感虐待”组的风险往往最大。清除行为的风险尤其大。

结论

青年期发生 ED 行为的风险因不同的虐待群体而异。及早发现虐待可能有助于预防 ED 和随后的虐待。