In recent years there has been a resurgence of interest in the contribution of abuse to the development of subsequent psychopathology (de Groot, 1999; Smolak, 2002). Although the literature tends to focus on one specific form of abuse, typically sexual, more than one type can be found within families: physical and emotional abuse are in fact also common; they tend to interact and exacerbate each other. Research on the relationship between childhood abuse and EDs has been contradictory and inconclusive and seems to suggest that, if there is a relationship between abuse and eating disorders, it is causally complex. This study had the goal to examine the magnitude and consistency of the association among different types of child abuse – sexual (CSA), physical (CPA), emotional (CEA) - and eating disorders (EDs) in the literature to date. Meta-analysis was used to examine the question. Electronic databases through January 2014 were searched. Studies reporting rates of sexual, physical, emotional abuse, in people with anorexia nervosa, bulimia nervosa and BED were retrieved. Child Sexual, Physical or Emotional abuse rates as well as demographic, clinical, and methodological variables were extracted from each publication independently by two authors. Data were pooled according to random effect model. 50 of 1714 studies assessed for eligibility met the inclusion criteria, comprising a total of individuals with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorders and documenting different type of abuse. The pooled association effect for a form of abuse in people with ED were statistically significant (p< 0.05). Altough many theoretical perspectives have tried to explain the link between abuse and EDs, the controversy in the literature regarding the associations between abuse and EDs arises first from the methodological variability - diagnostic criteria for EDs, definitions of abuse, assessment techniques - and second from the limitations of the studies (Pope, 1992). Research will have to direct to more complex models that might expatiate these links in the context of complex interplay of other antecedent and moderating factors (Jenkins, 2013).
Child Abuse and Eating Disorders: a systematic review and meta-analysis. PROSPERO International prospective register of systematic reviews.
DAKANALIS, ANTONIOS;
2015-01-01
Abstract
In recent years there has been a resurgence of interest in the contribution of abuse to the development of subsequent psychopathology (de Groot, 1999; Smolak, 2002). Although the literature tends to focus on one specific form of abuse, typically sexual, more than one type can be found within families: physical and emotional abuse are in fact also common; they tend to interact and exacerbate each other. Research on the relationship between childhood abuse and EDs has been contradictory and inconclusive and seems to suggest that, if there is a relationship between abuse and eating disorders, it is causally complex. This study had the goal to examine the magnitude and consistency of the association among different types of child abuse – sexual (CSA), physical (CPA), emotional (CEA) - and eating disorders (EDs) in the literature to date. Meta-analysis was used to examine the question. Electronic databases through January 2014 were searched. Studies reporting rates of sexual, physical, emotional abuse, in people with anorexia nervosa, bulimia nervosa and BED were retrieved. Child Sexual, Physical or Emotional abuse rates as well as demographic, clinical, and methodological variables were extracted from each publication independently by two authors. Data were pooled according to random effect model. 50 of 1714 studies assessed for eligibility met the inclusion criteria, comprising a total of individuals with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorders and documenting different type of abuse. The pooled association effect for a form of abuse in people with ED were statistically significant (p< 0.05). Altough many theoretical perspectives have tried to explain the link between abuse and EDs, the controversy in the literature regarding the associations between abuse and EDs arises first from the methodological variability - diagnostic criteria for EDs, definitions of abuse, assessment techniques - and second from the limitations of the studies (Pope, 1992). Research will have to direct to more complex models that might expatiate these links in the context of complex interplay of other antecedent and moderating factors (Jenkins, 2013).I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
