Levels of childhood traumatic experiences and dissociative symptoms in extremely obese patients with and without binge eating disorder
Engelsk titel: Levels of childhood traumatic experiences and dissociative symptoms in extremely obese patients with and without binge eating disorder
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Författare:
Ural, Cenk
;
Akbudak, Mahir
;
Sagaltıcı, Eser
;
Belli, Hasan
Email: hasan.belli@hotmail.com
Språk: Eng
Antal referenser: 37
Dokumenttyp:
Artikel
;
Jämförande studie
UI-nummer: 20020116
Sammanfattning
Background: It has been suggested that obese patients with binge eating disorder (BED) show higher levels of dissociation and childhood trauma.
Aim: This study assesses childhood trauma history and dissociative symptoms in obese patients with BED compared to obese patients without BED.
Methods: The 241 patients participating in the study had to meet obesity criteria. These patients were applicants for bariatric surgery and were consulted by a psychiatry service. Patients were separated into two groups that were accompanied by BED diagnoses according to structured clinical interviews administered according to the DSM-IV (SCID-I). Patients were assessed using the Dissociation Questionnaire (DIS-Q) and the Childhood Trauma Questionnaire (CTQ). The two groups of patients were compared.
Results: A total of 75 (31.1%) of the 241 obese patients were diagnosed with BED. The study showed that obese patients with BED had higher dissociative scores than those without BED (p < .05). The results showed higher total scores and two different types of childhood trauma (physical abuse and emotional abuse) in BED patients compared to non-BED patients (p < .05).
Conclusions: Clinicians should be fully aware of BED, dissociative symptoms and childhood traumatic experiences. These results show that, for at least a sub-group of obese patients, BED is associated with obesity and may be connected with dissociative symptoms and childhood physical abuse and emotional abuse.