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Background <p>Food and Alcohol Disturbance (FAD) is characterized by a functional relationship between disordered eating behaviors and problematic alcohol use. Childhood adversity has been found to be associated with FAD, but its potential impacts on attachment profiles and FAD behaviors have never been examined. The present study tests a model in which insecure attachment mediates the relationship between childhood maltreatment and FAD.</p> Methods <p>University students (<i>N</i> = 629) participated in the study, completing questionnaires on FAD, childhood maltreatment history, and adult attachment. Structural equation modeling was used to test the mediated effect of childhood maltreatment through attachment on FAD behaviors.</p> Results <p>Insecure attachment and childhood maltreatment were related; however, only insecure attachment was directly related to FAD behaviors. A history of childhood maltreatment was indirectly related to FAD, mediated by insecure attachment. Attachment insecurity, particularly preoccupied and fearful patterns, was directly related to FAD behaviors in students and mediated the relationship between childhood maltreatment and FAD.</p> Conclusions <p>These findings may explain how early experiences of child maltreatment can be related to attachment style, and later, in adulthood, influence FAD behaviors in students. Clinicians should adapt treatment and preventions strategies to help patients transition from insecure attachment to a more secure pattern and regulate their negative emotions.</p>

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Indirect association between childhood maltreatment and food and alcohol disturbance through insecure attachment in university students

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月1日

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  • Ludivine Ritz,
  • Nicolas Mauny,
  • Charlotte Montcharmont,
  • Ninon Dessommes,
  • Denis Jacquet,
  • Maud Lemercier-Dugarin

摘要

Background

Food and Alcohol Disturbance (FAD) is characterized by a functional relationship between disordered eating behaviors and problematic alcohol use. Childhood adversity has been found to be associated with FAD, but its potential impacts on attachment profiles and FAD behaviors have never been examined. The present study tests a model in which insecure attachment mediates the relationship between childhood maltreatment and FAD.

Methods

University students (N = 629) participated in the study, completing questionnaires on FAD, childhood maltreatment history, and adult attachment. Structural equation modeling was used to test the mediated effect of childhood maltreatment through attachment on FAD behaviors.

Results

Insecure attachment and childhood maltreatment were related; however, only insecure attachment was directly related to FAD behaviors. A history of childhood maltreatment was indirectly related to FAD, mediated by insecure attachment. Attachment insecurity, particularly preoccupied and fearful patterns, was directly related to FAD behaviors in students and mediated the relationship between childhood maltreatment and FAD.

Conclusions

These findings may explain how early experiences of child maltreatment can be related to attachment style, and later, in adulthood, influence FAD behaviors in students. Clinicians should adapt treatment and preventions strategies to help patients transition from insecure attachment to a more secure pattern and regulate their negative emotions.