Attachment insecurity mediates the relationship between childhood trauma and eating disorder psychopathology in a clinical sample: A structural equation model

被引：52

作者：

Tasca, Giorgio A. ^{[1
,2
,3
]}

Ritchie, Kerri ^{[1
,2
]}

Zachariades, Fotini ^{[2
]}

Proulx, Genevieve ^{[1
]}

Trinneer, Anne ^{[2
]}

Balfour, Louise ^{[1
,2
]}

Demidenko, Natasha ^{[1
,2
]}

Hayden, Genevieve ^{[1
]}

Wong, Alison ^{[1
]}

Bissada, Hany ^{[1
,2
]}

机构：

[1] Univ Ottawa, Ottawa, ON K1N 6N5, Canada

[2] Ottawa Hosp, Ottawa, ON K1H 8L6, Canada

[3] Carleton Univ, Ottawa, ON K1S 5B6, Canada

来源：

CHILD ABUSE & NEGLECT | 2013年 / 37卷 / 11期

关键词：

Eating disorders; Attachment; Trauma; Structural equation modeling; Childhood maltreatment; Child abuse and trauma scale; ADULT ATTACHMENT; SYMPTOMS; ABUSE; CONSEQUENCES; BEHAVIOR;

D O I：

10.1016/j.chiabu.2013.03.004

中图分类号：

D669 [社会生活与社会问题]; C913 [社会生活与社会问题];

学科分类号：

1204 ;

摘要：

Objectives: Childhood maltreatment occurs often among those with an eating disorder and is considered a nonspecific risk factor. However, the mechanisms by which childhood maltreatment may lead to an eating disorder are not well understood. The current study tests a model in which attachment insecurity is hypothesized to mediate the relationship between childhood maltreatment and eating disorder psychopathology. Method: Treatment seeking adults with eating disorders (N = 308) completed questionnaires about childhood maltreatment, eating disorder psychopathology, and adult attachment. Results: Structural equation models indicated that childhood trauma had a direct effect on eating disorder symptoms. Also, attachment anxiety and avoidance each equally mediated the childhood maltreatment to eating disorder psychopathology relationship. Conclusions: Attachment insecurity, characterized by affect dysregulation and interpersonal sensitivities may help to explain why eating disorder symptoms may be one consequence of childhood maltreatment in a clinical sample. Clinicians treating primarily those with trauma might assess for disordered eating as a potential manifestation of the sequelae of trauma and attachment insecurity. (C) 2013 Elsevier Ltd. All rights reserved.

引用

页码：926 / 933

页数：8

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