身体畸形障碍青少年的不良童年经历:频率与临床相关性。

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Benedetta Monzani, Rebecca Luxton, Amita Jassi, Georgina Krebs
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引用次数: 0

摘要

童年不良经历(ACE)在身体畸形障碍(BDD)的发展和维持中的作用越来越受到实证研究的关注。然而,目前的研究主要集中于成人和非临床 BDD 样本,对 ACE 与青少年 BDD 的相关性知之甚少。本研究调查了:(a)初诊为 BDD(50 人)和强迫症(50 人)的青少年中 ACE 的频率;(b)受 ACE 影响的 BDD 青少年的临床特征。ACE是通过对电子病历进行系统搜索,以及通过家长和自我报告的创伤事件暴露筛查项目来确定的。结果显示,与强迫症青少年相比,BDD青少年的同伴伤害率(74%对38%)和儿童虐待率(44%对24%)较高;根据患者记录,性虐待是BDD组最常见的儿童虐待类型(28%)。父母报告的创伤事件发生率在 BDD 组也明显高于 OCD 组(分别为 40% 对 18%)。有与没有ACE史的患者在临床表现和治疗结果上没有差异。本研究首次证明,一系列 ACE 在青少年 BDD 中很常见。我们的研究结果强调了筛查这些经历的重要性。尽管还需要进一步的研究,但我们的研究结果也表明,有ACE史的BDD青少年与无ACE史的青少年在临床表现上大致相似,并能从以BDD为重点的治疗中获益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Adverse Childhood Experiences Among Adolescents With Body Dysmorphic Disorder: Frequency and Clinical Correlates

Adverse Childhood Experiences Among Adolescents With Body Dysmorphic Disorder: Frequency and Clinical Correlates

Increasing empirical attention has been given to the role of adverse childhood experiences (ACEs) in the development and maintenance of body dysmorphic disorder (BDD). Yet, current research has predominantly focused on adult and nonclinical BDD samples, and little is known about relevance of ACEs in adolescent BDD. The present study examined (a) the frequency of ACEs in adolescents with a primary diagnosis of BDD (n = 50) versus obsessive compulsive disorder (OCD) (n = 50) and (b) the clinical profile of ACE-exposed youth with BDD. ACEs were ascertained through a systematic search of electronic patient records, as well as through a parent- and self-report screening item for exposure to traumatic events. Results showed higher rate of peer victimisation (74% vs. 38%) and child maltreatment (44% vs. 24%) among BDD versus OCD youths; sexual abuse was the most common type of child maltreatment documented in the BDD group (28%) according to patient records. Parent-reported exposure to traumatic events was also significantly higher in the BDD than the OCD group (40% vs. 18%, respectively). Clinical presentation and treatment outcomes did not differ between those with versus without a history of ACEs. The current study is the first to demonstrate that a range of ACEs are common in adolescent BDD. Our findings highlight the importance of screening for these experiences. Although further research is needed, our findings also indicate that adolescents with BDD who have a history of ACEs are broadly similar in their clinical presentation to those without, and benefit from BDD-focused treatment.

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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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