文章基本信息

标题：Trauma and dissociation in obese patients with and without binge eating disorder: A case – control study
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作者：Giovanni Luca Palmisano ; Marco Innamorati ; Diego Sarracino 等
期刊名称：Cogent Psychology
电子版ISSN：2331-1908
出版年度：2018
卷号：5
期号：1
页码：1-20
DOI：10.1080/23311908.2018.1470483
语种：English
出版社：Taylor and Francis Ltd
摘要：Abstract The aim of the current study is to evaluate the presence of childhood trauma, psychological and somatoform dissociation in obese (OB) and overweight patients with and without binge eating disorder (BED). In total, 34 patients with BED diagnosis were compared with a sex, age and social class matched sample of 34 OB patients without diagnosis of BED and with a control sample consisting of 34 healthy people (NC) with normal weight. Traumatic experiences were assessed by means of the Traumatic Experiences Checklist. Psychoform and somatoform dissociation were assessed respectively by means of the Dissociation Questionnaire and Somatoform Dissociation Questionnaire. BED patients reported significantly more childhood traumatic experiences, psychological and somatoform dissociation, compared to OB patients and NC sample. Moreover, OB patients showed more traumatic experiences compared to the NC sample. BED patients showed higher levels of childhood neglect and emotional abuse compared to the OB patients and NC sample. No significant differences were shown between OB patients and NC subjects with respect to level of psychological and somatoform dissociation. Our results confirm the necessity of evaluating emotional abuse and neglect in adults with BED, and the importance of assessing psychoform and somatoform dissociation in these patients. Tailored treatment strategies based on trauma and dissociation may improve outcomes among patients with BED and a history of childhood trauma.
关键词：Binge eating disorder ; obesity ; childhood trauma ; psychological dissociation ; somatoform dissociation