当童年创伤遇到战争:PTSD镜头下的情绪化进食。

IF 1.3 Q2 MEDICINE, GENERAL & INTERNAL
Zohar Spivak-Lavi, Yael Latzer, Orna Tzischinsky
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引用次数: 0

摘要

目的:本研究探讨了童年创伤、战争暴露和适应不良应对机制之间的相互作用,重点研究了创伤后应激障碍(PTSD)在童年创伤与情绪性饮食之间的中介作用和战争暴露在童年创伤与情绪性饮食之间的潜在调节作用。方法:参与者完成了儿童创伤、创伤后应激障碍和情绪性饮食的有效测量。统计分析包括Pearson相关性、逐步线性回归和调节中介模型,调整了年龄和性别。结果:该研究包括426名讲希伯来语的以色列成年人(女性52.8%,男性47.2%,平均年龄40岁)。童年创伤,尤其是情感虐待,与创伤后应激障碍和情绪化进食有显著关联。童年创伤与情绪性进食之间的关系完全由PTSD介导,其中对情绪虐待的影响更大。战争暴露能显著预测PTSD,但不能缓和PTSD和情绪化进食之间的联系。性别差异出现了,女性参与者表现出比男性更高的PTSD水平。结论:研究结果强调了童年创伤(尤其是情绪虐待)对由PTSD介导的情绪进食等不适应应对机制的持久影响。虽然战争暴露加剧了创伤后应激障碍症状,但它对情绪性饮食没有显著影响。这些结果突出了早期和后期生活创伤的不同影响,为创伤恢复的有针对性干预提供了见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
When Childhood Trauma Meets War: Emotional Eating Through the Lens of PTSD.

Objective: This study examines the interplay between childhood trauma, war exposure, and maladaptive coping mechanisms, with a focus on post-traumatic stress disorder (PTSD) as a mediator and war exposure as a potential moderator in the relationship between childhood trauma and emotional eating.

Methods: Participants completed validated measures of childhood trauma, PTSD, and emotional eating. Statistical analyses included Pearson correlations, stepwise linear regression, and moderated mediation models, adjusting for age and gender.

Results: The study included 426 Hebrew-speaking Israeli adults (52.8% female, 47.2% male, mean age 40). Childhood trauma, particularly emotional abuse, was significantly associated with PTSD and emotional eating. The relationship between childhood trauma and emotional eating was fully mediated by PTSD, with a stronger effect observed for emotional abuse. War exposure significantly predicted PTSD but did not moderate the link between PTSD and emotional eating. Sex differences emerged, with female participants exhibiting higher PTSD levels than males.

Conclusions: The findings emphasize the enduring impact of childhood trauma, particularly emotional abuse, on maladaptive coping mechanisms like emotional eating, mediated by PTSD. While war exposure intensified PTSD symptoms, it did not significantly influence emotional eating. These results highlight the differential effects of early- and later-life traumas, offering insights for targeted interventions in trauma recovery.

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来源期刊
Rambam Maimonides Medical Journal
Rambam Maimonides Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
6.70%
发文量
55
审稿时长
8 weeks
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