Associations of Child Sexual and Physical Abuse with Obesity and Depression in Middle-Aged Women

Autor/inn/en	Rohde, Paul; Ichikawa, Laura; Simon, Gregory E.; Ludman, Evette J.; Linde, Jennifer A.; Jeffery, Robert W.; Operskalski, Belinda H.
Titel	Associations of Child Sexual and Physical Abuse with Obesity and Depression in Middle-Aged Women
Quelle	In: Child Abuse & Neglect: The International Journal, 32 (2008) 9, S.878-887 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-2134
DOI	10.1016/j.chiabu.2007.11.004
Schlagwörter	Obesity; Depression (Psychology); Sexual Abuse; Child Abuse; Females; Adults; Eating Disorders; Self Concept; Telephone Surveys; Correlation + Suchen Sie Ihr Suchwort? Adipositas; Sexueller Missbrauch; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Weibliches Geschlecht; Appetite disorder; Essstörung; Selbstkonzept; Telephone interview; Telefoninterview; Korrelation
Abstract	Objective: Examine whether (1) childhood maltreatment is associated with subsequent obesity and depression in middle-age; (2) maltreatment explains the associations between obesity and depression; and (3) binge eating or body dissatisfaction mediate associations between childhood maltreatment and subsequent obesity. Methods: Data were obtained through a population-based survey of 4641 women (mean age = 52 years) enrolled in a large health plan in the Pacific Northwest. A telephone survey assessed child sexual and physical abuse, obesity (BMI greater than or equal to 30), depressive symptoms, binge eating, and body dissatisfaction. Data were analyzed using logistic regression models incorporating sampling weights. Results: Both child sexual and physical abuse were associated with a doubling of the odds of both obesity and depression, although child physical abuse was not associated with depression for the African American/Hispanic/American Indian subgroup. The association between obesity and depression (unadjusted OR = 2.82; 95% CI = 2.20-3.62) was reduced somewhat after controlling for sexual abuse (adjusted OR = 2.54; 1.96-3.29) and for physical abuse (adjusted OR = 2.63; 2.03-3.42). Controlling for potential mediators failed to substantially attenuate associations between childhood maltreatment and obesity. Conclusions: This study is the first to our knowledge that compares associations of child abuse with both depression and obesity in adults. Although the study is limited by its cross-sectional design and brief assessments, the fact that child abuse predicted two debilitating conditions in middle-aged women indicates the potential long-term consequences of these experiences. (Contains 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10