Pathways between childhood maltreatment and life satisfaction in adolescents with eating disorders: A network analysis.

Autor: Monteleone AM; Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy., Cascino G; Department of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', University of Salerno, Salerno, Italy., Meule A; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.; Schoen Clinic Roseneck, Prien am Chiemsee, Germany., Barone E; Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy., Voderholzer U; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.; Schoen Clinic Roseneck, Prien am Chiemsee, Germany.; Department of Psychiatry and Psychotherapy, University Hospital of Freiburg, Freiburg im Breisgau, Germany., Kolar DR; Department of Psychology, University of Regensburg, Regensburg, Germany.
Jazyk: angličtina
Zdroj: European eating disorders review : the journal of the Eating Disorders Association [Eur Eat Disord Rev] 2023 Sep; Vol. 31 (5), pp. 724-733. Date of Electronic Publication: 2023 Jun 21.
DOI: 10.1002/erv.3000
Abstrakt: Objective: This study explored the association between Childhood maltreatment (CM) experiences and life satisfaction in adolescents with eating disorders (EDs).
Methods: Adolescent inpatients with EDs completed the Childhood Trauma Questionnaire, the Satisfaction With Life Scale, the Brief Symptom Inventory and the Eating Disorder Inventory-2 at admission (n = 361) and discharge (n = 354). A network analysis was conducted to identify the shortest pathways between different types of CM and life satisfaction at admission and discharge.
Results: General psychopathology, life satisfaction, and ED symptoms improved from admission to discharge. At admission, emotional abuse and emotional neglect were included in the pathway between sexual/physical abuse and life satisfaction. Emotional neglect was directly connected with life satisfaction while emotional abuse was connected through feeling disliked by others, feelings of inferiority and worthlessness. At discharge, only the direct negative connection between emotional neglect and perception of excellent conditions in the life persisted.
Conclusions: Emotional maltreatment experiences and general psychopathology, but not disordered eating symptoms, are involved in the association between sexual/physical CM and life satisfaction in adolescents with EDs. Emotional neglect may affect life satisfaction regardless of symptoms severity. These findings inform clinicians for assessment and treatment of maltreated adolescents with EDs.
(© 2023 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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