The International journal of eating disorders · 2002
Bulimia nervosa following psychological and multiple child abuse: support for the self-medication hypothesis in a population-based cohort study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Schoemaker Casper, Smit Filip, Bijl Rob V, Vollebergh Wilma A M
Аннотация
OBJECTIVE: To unravel the complex role of child abuse as a risk factor for bulima nervosa (BN), from the perspective of the self-medication hypothesis which asserts that in abused BN cases binge eating is primarily a way of coping with the anxiety or mood disorders that stem from the abuse.
METHOD: In a population-based study (N = 1,987) DSM-III-R diagnoses were assessed with the CIDI. Differences in exposure rates to child abuse between BN cases versus healthy, psychiatric, substance use, and dual diagnosis controls were employed to test the self-medication hypothesis.
RESULTS: A history of psychological or multiple abuse was found to be a specific risk factor for dual diagnosis disorder (cases with psychiatric and substance use disorders) and for BN. Nearly all BN cases that experienced multiple or psychological child abuse, showed such comorbid anxiety or mood disorders.
DISCUSSION: We found tentative support for the self-medication hypothesis.
METHOD: In a population-based study (N = 1,987) DSM-III-R diagnoses were assessed with the CIDI. Differences in exposure rates to child abuse between BN cases versus healthy, psychiatric, substance use, and dual diagnosis controls were employed to test the self-medication hypothesis.
RESULTS: A history of psychological or multiple abuse was found to be a specific risk factor for dual diagnosis disorder (cases with psychiatric and substance use disorders) and for BN. Nearly all BN cases that experienced multiple or psychological child abuse, showed such comorbid anxiety or mood disorders.
DISCUSSION: We found tentative support for the self-medication hypothesis.
Предметные рубрики MeSH
Adaptation, PsychologicalAdolescentAdultAnxiety DisordersBulimiaCase-Control StudiesChildChild AbuseCohort StudiesComorbidityDiagnosis, Dual (Psychiatry)FemaleHumansMiddle AgedMultivariate AnalysisNetherlandsOdds RatioPopulation SurveillanceRisk FactorsSubstance-Related DisordersSurveys and Questionnaires