@article{ref1,
title="The impact of retrospective childhood maltreatment on eating disorders as mediated by food addiction: a cross-sectional study",
journal="Nutrients",
year="2020",
author="Bou Khalil, Rami and Sleilaty, Ghassan and Richa, Sami and Seneque, Maude and Iceta, Sylvain and Rodgers, Rachel and Alacreu-Crespo, Adrián and Maimoun, Laurent and Lefebvre, Patrick and Renard, Eric and Courtet, Philippe and Guillaume, Sébastien",
volume="12",
number="10",
pages="e2969-e2969",
abstract="BACKGROUND: The current study aimed to test whether food addiction (FA) might mediate the relationship between the presence of a history of childhood maltreatment and eating disorder (ED) symptom severity.   METHODS: Participants were 231 patients with ED presenting between May 2017 and January 2020 to a daycare treatment facility for assessment and management with mainly the Eating Disorder Inventory-2 (EDI-2), the Child Trauma Questionnaire (CTQ), and the Yale Food Addiction Scale (YFAS 2.0).   RESULTS: Participants had a median age of 24 (interquartile range (IQR) 20-33) years and manifested anorexia nervosa (61.47%), bulimia nervosa (16.88%), binge-eating disorders (9.09%), and other types of ED (12.55%). They were grouped into those likely presenting FA (N = 154) and those without FA (N = 77). The group with FA reported higher scores on all five CTQ subscales, as well as the total score of the EDI-2 (p < 0.001). Using mediation analysis; significant indirect pathways between all CTQ subscales and the EDI-2 total score emerged via FA, with the largest indirect effect emerging for physical neglect (standardized effect = 0.208; 95% confidence interval (CI) 0.127-0.29) followed by emotional abuse (standardized effect = 0.183; 95% CI 0.109-0.262).   CONCLUSION: These results are compatible with a model in which certain types of childhood maltreatment, especially physical neglect, may induce, maintain, and/or exacerbate ED symptoms via FA which may guide future treatments.<p /> <p>Language: en</p>",
language="en",
issn="2072-6643",
doi="10.3390/nu12102969",
url="http://dx.doi.org/10.3390/nu12102969"
}