Early adult sexual assault and disordered eating: The mediating role of posttraumatic stress symptoms

Early adult sexual assault and disordered eating: The mediating role of posttraumatic stress symptoms
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DOI:
10.1002/jts.21664
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发表时间:
2012-02-01
影响因子:
3.3
通讯作者:
Rodgers, Rachel F.
Rodgers, Rachel F.
中科院分区:
医学3区
文献类型:
--
作者:
Dubosc, Auberi;Capitaine, Maud;Rodgers, Rachel F.

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尽管成年人的性侵犯被认为是饮食失调的一个危险因素,但人们对导致这种失调的途径知之甚少。本研究旨在探讨抑郁症状和创伤后应激障碍(PTSD)症状在女学生性侵犯与饮食失调之间的中介作用。296名法国女学生完成了一份调查问卷,评估15岁起的性侵犯经历、创伤后应激障碍症状、抑郁症状和饮食失调。结果显示,创伤后应激障碍症状完全介导成人早期性侵犯对饮食失调的影响(B = 1.10, SE = 1.64),抑郁症状是部分中介(B = 2.64, SE = 1.28)。当同时检查两个中介时,关系是完全中介的,没有一个变量出现为显着更强的中介。我们的研究结果强调了性侵犯后PTSD症状、抑郁症状和饮食失调之间的复杂关系。进一步调查这些变量之间的时间关系将有助于为饮食失调的预防干预提供信息。
Although adult sexual assault has been suggested to be a risk factor for disordered eating, little is known about the pathways leading to this disorder. This study aimed to examine the mediating effect of depressive symptoms and symptoms of posttraumatic stress disorder (PTSD), in the relationship between sexual assault and disordered eating among female students. A sample of 296 French female students completed a questionnaire assessing experiences of sexual assault from age 15, PTSD symptoms, depressive symptoms, and disordered eating. Results revealed that PTSD symptoms fully mediated the effect of early adult sexual assault on disordered eating (B = 1.10, SE = 1.64), and depressive symptoms were a partial mediator of this relationship (B = 2.64, SE = 1.28). When examining both mediators simultaneously the relationship was fully mediated and neither variable emerged as a significantly stronger mediator. Our findings highlight the complex relationship between PTSD symptoms, depressive symptoms, and disordered eating following sexual assault. Further investigation into the temporal relationships between these variables would contribute to inform prevention interventions for disordered eating.