Weight-related abuse: Perceived emotional impact and the effect on disordered eating |
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| Institution: | 1. Department of Community Health and Health Behavior, University at Buffalo, SUNY, Kimball Tower, 3435 Main St., Buffalo, NY 14214, USA;2. Department of Counseling, School, and Educational Psychology, University at Buffalo, SUNY, 424 Baldy Hall, Buffalo, NY 14260, USA;1. Cognitive and Behavioral Research Centre, University of Coimbra, Portugal;2. Miguel Torga Superior Institute (ISMT), Coimbra, Portugal;1. Rudd Center for Food Policy & Obesity, Department of Human Development and Family Studies, University of Connecticut, Hartford, CT, United States;2. Department of Biostatistics, Mailman School of Public Health, Columbia University, New York City, NY, United States;3. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Division of Adolescent and Young Adult Medicine, Boston Children''s Hospital, Boston, MA, United States;4. Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, MN, United States;5. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, United States |
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| Abstract: | The purpose of this article was to evaluate theories that (1) weight-related abuse (WRA) plays a unique role in the development of disordered eating, above and beyond general childhood verbal abuse and weight-related teasing, and (2) the perceived emotional impact of WRA mediates the relationship between WRA and current disordered eating. Self-report questionnaires on childhood trauma, weight-related teasing, WRA, and current eating behaviors were administered to a total of 383 undergraduate students. In initial regressions, WRA significantly predicted binge eating, emotional eating, night eating, and unhealthy weight control. WRA continued to significantly predict all 4 forms of disordered eating following the introduction of measures of weight-related teasing and childhood verbal abuse into the regression. Latent variable analysis confirmed that perceived emotional impact of WRA mediated the relationship between WRA and disordered eating, and tests for indirect effects yielded a significant indirect effect of WRA on disordered eating through perceived emotional impact. In sum, WRA is a unique construct and the content of childhood or adolescent maltreatment is important in determining eventual psychopathology outcomes. These findings support the necessity of incorporating information on developmental history and cognitive factors into assessment and treatment of individuals with disordered eating. |
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| Keywords: | Weight-related abuse Obesity Disorder eating Childhood abuse Cognition Weight-related teasing |
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