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Childhood abuse victimization, stress-related eating, and weight status in young women.

ABSTRACT: Abuse in childhood predicts stress-related overeating and excess weight gain in young women. We investigated whether two stress-related overeating behaviors--binge eating and coping-motivated eating--explain childhood abuse associations with weight status in young women.Analyses included 4377 women participating in the Growing Up Today Study, a longitudinal cohort of youth enrolled at age 9 to 14 years. We used marginal structural models to estimate the effects of abuse before age 11 years on weight status at age 22 to 29 years with and without adjustment for binge eating and coping-motivated eating.Women with severe physical, sexual, and emotional abuse had early adult body mass indexes (BMIs) that were 0.74 kg/m(2) (95% confidence interval [CI]: 0.15-1.33), 0.69 (95% CI: -0.46 to 1.83), and 0.85 (95% CI: 0.24-1.45) kg/m(2) higher, respectively, than those without abuse. Adjustment for coping-motivated eating attenuated the excess BMI associated with severe physical abuse, but no other important attenuations were found.Physical, sexual, and emotional abuse before age 11 years were associated with higher early adult weight status, although the sexual abuse estimate was not statistically significant. Evidence for a role of stress-related eating in abuse--BMI associations was limited and inconsistent across abuse types.

SUBMITTER: Mason SM

PROVIDER: S-EPMC4567939 | biostudies-literature | 2015 Oct

REPOSITORIES: biostudies-literature

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Childhood abuse victimization, stress-related eating, and weight status in young women.

Mason Susan M SM MacLehose Richard F RF Katz-Wise Sabra L SL Austin S Bryn SB Neumark-Sztainer Dianne D Harlow Bernard L BL Rich-Edwards Janet W JW

Annals of epidemiology 20150716 10

<h4>Purpose</h4>Abuse in childhood predicts stress-related overeating and excess weight gain in young women. We investigated whether two stress-related overeating behaviors--binge eating and coping-motivated eating--explain childhood abuse associations with weight status in young women.<h4>Methods</h4>Analyses included 4377 women participating in the Growing Up Today Study, a longitudinal cohort of youth enrolled at age 9 to 14 years. We used marginal structural models to estimate the effects of ...[more]

PMID: 26272779

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Project description:Background: Depression among those who have experienced childhood abuse is associated with earlier onset, more persistent and severe symptoms, more frequent relapse, and poorer treatment outcomes across a variety of psychiatric disorders. In addition, individuals with a history of childhood abuse are more likely to develop post-traumatic stress disorder (PTSD) co-occurring with depression. Objective: This study evaluated whether severity of depression moderated the outcome in a PTSD treatment for childhood abuse survivors. Specifically, we assessed whether individuals with significant depression obtained better outcomes when provided with a two-module treatment which included a skills training component with behavioral activation interventions, Skills Training in Affective and Interpersonal Regulation (STAIR) followed by a trauma-focused component, Narrative Therapy, as compared to two control conditions where one component (STAIR or Narrative Therapy) was replaced with Supportive Counseling. Method: Participants were 104 women with PTSD related to childhood abuse. Participants were randomized into three conditions: (1) STAIR plus Narrative Therapy (SNT), (2) STAIR plus Supportive Counseling (SSC), and (3) Supportive Counseling plus Narrative Therapy (SCNT). Clinician-Administered PTSD Scale for DSM-IV (CAPS-IV) PTSD symptom severity was assessed at pre-treatment, post-treatment, and 3 and 6 month follow-up. Results: Participants with severe depression showed superior PTSD symptom reduction following SNT, while those in the other two conditions experienced a loss of improvement after treatment ended. A similar finding was obtained among those with moderate depression, while among those with low levels of depression, outcomes did not differ across the three treatment conditions. Conclusions: Childhood abuse survivors with severe depression obtained superior outcomes in a treatment that combined skills training with trauma-focused work. Skills packages which contain behavioral activation interventions in combination with trauma-focused work may be particularly beneficial for patients with childhood abuse and severe depression.

Project description:BackgroundEating behaviors may contribute to differences in body weight and diet over time. Our study aims to examine how eating behaviors of young adults relate to their current weight status and dietary patterns and to explore longitudinal associations with eating behaviors in early childhood.MethodsStudy participants are young adults (n = 698) taking part in the Quebec Longitudinal Study of Child Development. At age 22, eating behaviors were assessed using the Adult Eating Behavior Questionnaire. Dietary patterns were derived from information collected by food frequency questions. Weight status was based on self-reported data. Information on eating behaviors in childhood had been collected when participants were 2.5 to 6 years old. Pearson's correlations were used to determine associations between adult eating behaviors and body mass index. Simple and multivariate linear regression analyses were used to examine associations between eating behaviors and dietary patterns at age 22, and longitudinal associations with behaviors in early childhood. Ordinal logistic regression analyses were used to assess associations between overeating and fussy eating in childhood and weight status at age 22.ResultsBody mass index was positively correlated with Emotional overeating, Enjoyment of food, and Food responsiveness and negatively correlated with Satiety responsiveness, Emotional undereating, Slowness in eating and Hunger. A Healthy dietary pattern was positively associated with both Enjoyment of food and Hunger, and negatively associated with Food fussiness. Inversely, a Beverage-rich dietary pattern was negatively associated with Enjoyment of food and positively associated with Food fussiness. A Protein-rich pattern was positively associated with Enjoyment of food, while a High energy density pattern was positively associated with Food fussiness. Young adults with higher scores for fussy eating in early childhood were more likely to manifest Food fussiness and Emotional undereating, and less likely to adopt a Healthy dietary pattern. Young adults with higher scores for overeating in early childhood were less likely to show traits such as Slowness in eating and more likely to be overweight.ConclusionsOur findings suggest that eating behaviors in childhood have long-term influence on diet and weight status, thereby reinforcing the importance of early interventions that promote healthy eating.

Project description:This study examined how different forms of childhood family victimization are associated with the attitudinal (not actual action) refusal of wife abuse among women and men in rural Bangladesh. It included 1,929 randomly selected married women and men. Of the sample, 31.3% (Men = 49.3%, Women = 13.5%) attitudinally refused overall wife abuse, 38.5% (Men = 53.2%, Women = 23.8%) refused emotional abuse, 67.0% (Men = 82.5%, Women = 51.6%) refused physical abuse, 78.0% (Men = 88.6%, Women = 67.4%) refused abuse on wife's disobeying family obligations, and 32.3% (Men = 50.3%, Women = 14.6%) refused abuse on challenging male authority. Multivariate logistic regression revealed that the odds ratio (ORs) of the attitudinal refusal of overall wife abuse were 1.75 (p = .041) for the childhood non-victims of emotional abuse and 2.31 (p < .001) for the victims of mild emotional abuse, compared to the victims of severe emotional abuse. On the other hand, the ORs of the overall refusal of abuse were 1.84 (p = .031) for the non-victims of physical abuse and 1.29 (p = .465) for the victims of mild physical abuse, compared to the childhood victims of severe physical abuse. Data further revealed that the childhood non-victimization of physical abuse increased all types of attitudinal refusal of wife abuse, e.g., emotional abuse, physical abuse, abuse on disobeying family obligations, and abuse on challenging male authority. Compared to the childhood experiences of severe emotional abuse, data also indicated that childhood exposure to mild emotional abuse might increase the attitudinal refusal of wife abuse on a few issues, e.g., abuse on disobeying family obligations, abuse on challenging male authority, and physical abuse. It appeared that childhood experiences of family victimization greatly influence different types of attitudinal refusal of wife abuse. We argue that the issue of childhood victimization should be brought to the forefront in the discourse. We recommend that state machinery and social welfare agencies should expend significant efforts to stop child abuse within the family and in other areas of society in rural Bangladesh.

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Childhood abuse victimization, stress-related eating, and weight status in young women.

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Childhood abuse victimization, stress-related eating, and weight status in young women.

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