饮食失调的童年逆境和共情：探索跨诊断概况和社会情感功能

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-04-06 DOI:10.1016/j.chiabu.2025.107445

Paolo Meneguzzo , Alberto De Mico , Laura Maragno , Anna Marzotto , Fabio Conti , Luca Maggi , Barbara Mezzani , Patrizia Todisco

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引用次数: 0

摘要

不良的童年经历（ace），包括虐待和忽视，与发展同理心的困难有关。饮食失调（EDs）患者通常报告ACE发生率较高，并表现出与移情相关的损伤，这可能导致适应不良的人际功能。目的：本研究探讨与普通人群样本（GP）相比，ED患者的童年逆境与共情相关结果之间的关系。参与者包括210名急诊科患者（94名神经性厌食症患者，34名暴饮暴食神经性厌食症患者，36名神经性贪食症患者，36名暴饮暴食症患者，24名OSFED患者），来自国家急诊科诊所和151名全科医生。方法参与者完成童年创伤问卷（CTQ）和共情商（EQ）。多变量分析评估了特定形式的童年逆境与情商子领域：认知共情（CE）、情绪反应（ER）和社交技能（SS）之间的群体差异和关联。结果ED组saces发生率（56%）高于GP组（33%），χ2 = 31.81, p <；0.001)。情绪虐待和忽视与较低的ER和SS有关，而身体忽视与CE和ER的降低有关。对身体虐待和性虐待没有明显影响。群体成员本身与共情结果无关。聚类分析确定了两种情况：一种是高创伤暴露和低同理心，另一种是低创伤和更保留社会情感功能。结论研究结果强调了童年逆境的情绪形式对急症患者共情的具体影响，并支持基于社会情绪特征的创伤知情、个性化干预。

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Childhood adversity and empathy in eating disorders: Exploring transdiagnostic profiles and socio-emotional functioning

Background

Adverse childhood experiences (ACEs), including abuse and neglect, have been associated with difficulties in developing empathy. People with eating disorders (EDs) often report higher rates of ACE and display empathy-related impairments, which may contribute to maladaptive interpersonal functioning.

Objective

This study explored the associations between childhood adversities and empathy-related outcomes in individuals with ED compared to a general population sample (GP).

Participants and setting

Participants included 210 people with EDs (94 anorexia nervosa restrictive, 34 binge-purge anorexia nervosa, 36 bulimia nervosa, 36 binge-eating disorder, 24 OSFED) from national ED clinics and 151 participants from the GP.

Methods

Participants completed the Childhood Trauma Questionnaire (CTQ) and the Empathy Quotient (EQ). Multivariate analyzes evaluated group differences and associations between specific forms of childhood adversity and subdomains of EQ: cognitive empathy (CE), emotional reactivity (ER) and social skills (SS).

Results

ACEs were more prevalent in the ED group (56 %) than in the GP (33 %, χ² = 31.81, p < 0.001). Emotional abuse and neglect were associated with a lower ER and SS, and physical neglect was associated with a reduction in CE and ER. No significant effects for physical or sexual abuse. Group membership alone was not associated with empathy outcomes. Cluster analysis identified two profiles: one with high trauma exposure and lower empathy, and another with lower trauma and more preserved socio-emotional functioning.

Conclusion

Findings highlight the specific impact of emotional forms of childhood adversity on empathy in EDs and support trauma-informed, individualized interventions based on socio-emotional profiles.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.