Relationship Between Childhood Abuse and Body Mass Index in Young Adulthood: Mediated by Depression and Anxiety?

Relationship Between Childhood Abuse and Body Mass Index in Young Adulthood: Mediated by Depression and Anxiety?
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DOI:
10.1177/10775595221092946
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发表时间:
2023-05
期刊:
影响因子:
5.1
通讯作者:
Smidt, Nynke
Smidt, Nynke
中科院分区:
法学2区
文献类型:
--
作者:
Elsenburg, Leonie K.;Liefbroer, Aart C.;van Eeden, Annelies E.;Hoek, Hans W.;Oldehinkel, Albertine J.;Smidt, Nynke

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我们研究了童年虐待是否与年轻人的体重指数(BMI)相关,以及这种关系是否由抑郁和焦虑介导。数据来自荷兰纵向队列研究 TRAILS(nfemales = 836,nmales = 719)。在第 4 波中,对儿童期性虐待、身体虐待和言语虐待以及终生重度抑郁症 (MDD) 和广泛性焦虑症 (GAD) 进行了评估。 BMI 在第 4 波和第 5 波测量(平均年龄 = 19.2/22.4 岁)。估计了性别分层结构方程模型。与未经历过性虐待的女性相比,经历过性虐待的女性在第 4 波时的 BMI 较高(B = 0.97,95%CI = [−0.01,1.96]),并且在第 4 波和第 5 波之间的 BMI 增幅较高(B = 0.52,95%CI = [0.04,1.01])。此外,女性中第 4 波的 MDD 和 BMI 相关(B = 1.35,95% CI = [0.52,2.18])。 MDD 在女性第 4 波中介导性虐待与 BMI 之间的关系。此外,性虐待在第 4 波中调节了 MDD 和 BMI 之间的关系。经历过性虐待的女性中这种关系比没有经历过性虐待的女性中更强。因此,预防经历过性虐待的女性的体重指数变化可能是必要的,特别是当她们患上重度抑郁症时。 MDD 治疗,例如以虐待为中心的心理治疗,可能有助于这种预防。
We examined whether childhood abuse is related to body mass index (BMI) in young adults and whether this relationship is mediated by depression and anxiety. Data are from the Dutch longitudinal cohort study TRAILS (nfemales = 836, nmales = 719). At wave 4, childhood sexual, physical and verbal abuse, and lifetime major depressive disorder (MDD) and generalized anxiety disorder (GAD) were assessed. BMI was measured at wave 4 and 5 (mean age = 19.2/22.4 years). Sex-stratified structural equation models were estimated. Females who had experienced sexual abuse had a higher BMI at wave 4 (B = 0.97, 95%CI = [−0.01,1.96]) and a higher increase in BMI between wave 4 and 5 (B = 0.52, 95%CI = [0.04,1.01]) than females who had not experienced sexual abuse. Additionally, MDD and BMI at wave 4 were related in females (B = 1.35, 95%CI = [0.52,2.18]). MDD mediated the relationship between sexual abuse and BMI at wave 4 in females. In addition, sexual abuse moderated the relationship between MDD and BMI at wave 4. The relationship was stronger among females who had experienced sexual abuse than among females who had not. Prevention of BMI changes among females who experienced sexual abuse may thus be warranted, particularly when they developed MDD. MDD treatment, such as abuse-focused psychotherapy, may aid this prevention.
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