TY  - JOUR
PY  - 2013//
TI  - Attachment insecurity mediates the relationship between childhood trauma and eating disorder psychopathology in a clinical sample: A structural equation model
JO  - Child abuse and neglect
A1  - Tasca, Giorgio A.
A1  - Ritchie, Kerri
A1  - Zachariades, Fotini
A1  - Proulx, Genevieve
A1  - Trinneer, Anne
A1  - Balfour, Louise
A1  - Demidenko, Natasha
A1  - Hayden, Genevieve
A1  - Wong, Alison
A1  - Bissada, Hany
SP  - 926
EP  - 933
VL  - 37
IS  - 11
N2  - OBJECTIVES: Childhood maltreatment occurs often among those with an eating disorder and is considered a nonspecific risk factor. However, the mechanisms by which childhood maltreatment may lead to an eating disorder are not well understood. The current study tests a model in which attachment insecurity is hypothesized to mediate the relationship between childhood maltreatment and eating disorder psychopathology. METHOD: Treatment seeking adults with eating disorders (N=308) completed questionnaires about childhood maltreatment, eating disorder psychopathology, and adult attachment. RESULTS: Structural equation models indicated that childhood trauma had a direct effect on eating disorder symptoms. Also, attachment anxiety and avoidance each equally mediated the childhood maltreatment to eating disorder psychopathology relationship. CONCLUSIONS: Attachment insecurity, characterized by affect dysregulation and interpersonal sensitivities may help to explain why eating disorder symptoms may be one consequence of childhood maltreatment in a clinical sample. Clinicians treating primarily those with trauma might assess for disordered eating as a potential manifestation of the sequelae of trauma and attachment insecurity.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2013.03.004
ID  - ref1
ER  -