Childhood trauma and disordered eating behaviors in youth: examining individual types, cumulative numbers, and latent patterns.

IF 4.6 3区医学 Q1 PEDIATRICS

Child and Adolescent Psychiatry and Mental Health Pub Date : 2025-08-01 DOI:10.1186/s13034-025-00928-y

Yan'e Lu, Wenwen Xu, Suying Wu, Liangliang Ping, Qingyan Wu, Yuyun Huang, Li Zhang, Farong Liu, Jia Jia Liu, Jianyu Que

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引用次数: 0

Abstract

Background: Although traumatic experiences in childhood have been recognized as contributors to disordered eating behaviors, critical gaps remain in our understanding. There is limited evidence on the individual, cumulative, and distinct patterns of childhood trauma associated with risky restrictive eating and binge/purging behaviors.

Methods: Individuals aged 12-25 years from Xiamen, Fujian Province, China, completed online questionnaires assessing childhood trauma, risky restrictive eating and binge/purging behaviors. Childhood trauma was examined through three analytical approaches: individual types, cumulative trauma scores, and latent class analysis. Logistic regression models were used to investigate the associations between childhood trauma and disordered eating behaviors.

Results: Among the 3424 participants, 7.3% (n = 251) reported disordered eating behaviors occurring two or more times per month over the past year. After adjusting for covariates, our analyses showed that emotional abuse independently associated with increased odds of both risky restrictive eating (OR: 2.11, 95% CI 1.28-3.47) and binge/purging behaviors (OR: 2.20, 95% CI 1.34-3.62). Physical abuse was associated only with increased odds of binge/purging behavior (OR: 2.09, 95% CI 1.20-3.64). Traumatic experiences showed a cumulative effect on disordered eating, significant at two or more incidents. Three trauma patterns were identified: 'low trauma,' 'low neglect,' and 'high trauma.' Youth with the 'high trauma' pattern exhibited the highest odds of both risky restrictive eating (OR: 2.88, 95% CI 1.65-5.02) and binge/purging behaviors (OR: 3.21, 95% CI 1.85-5.54), whereas those in the 'high neglect' pattern showed increased odds only for binge/purging behavior (OR: 1.52, 95% CI 1.01-2.29).

Conclusions: Our findings highlight the need to consider the types, numbers, and patterns of childhood trauma when developing prevention and treatment strategies for disordered eating behaviors.

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童年创伤和青少年饮食行为失调：检查个体类型，累积数字和潜在模式。

背景：虽然童年时期的创伤经历被认为是导致饮食失调的原因，但我们的理解仍然存在重大差距。个体的、累积的和独特的童年创伤模式与危险的限制性饮食和暴食/清除行为相关的证据有限。方法：来自中国福建省厦门市的12-25岁的个体完成了评估童年创伤、危险限制性饮食和暴食/泻食行为的在线问卷。儿童创伤通过三种分析方法进行检查：个体类型、累积创伤评分和潜在类别分析。Logistic回归模型用于调查儿童创伤与饮食失调行为之间的关系。结果：在3424名参与者中，7.3% （n = 251）报告在过去一年中每月发生两次或两次以上的饮食失调行为。在调整协变量后，我们的分析显示，情绪虐待与限制性饮食风险（OR: 2.11, 95% CI 1.28-3.47）和暴食/排毒行为（OR: 2.20, 95% CI 1.34-3.62）增加的几率独立相关。身体虐待仅与暴食/排毒行为增加的几率相关（OR: 2.09, 95% CI 1.20-3.64）。创伤性经历对饮食失调的影响是累积的，在两次或两次以上的事件中尤为显著。他们确定了三种创伤模式：“低创伤”、“低忽视”和“高创伤”。具有“高创伤”模式的青少年表现出高风险限制性饮食（OR: 2.88, 95% CI 1.65-5.02）和暴食/排便行为（OR: 3.21, 95% CI 1.85-5.54）的最高几率，而处于“高忽视”模式的青少年仅在暴食/排便行为（OR: 1.52, 95% CI 1.01-2.29）的几率增加。结论：我们的研究结果强调，在制定饮食失调行为的预防和治疗策略时，需要考虑儿童创伤的类型、数量和模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY

CiteScore

7.00

自引率

3.60%

发文量

审稿时长

16 weeks

期刊介绍： Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.