Post-traumatic Stress Symptoms and Childhood Abuse Categories in a National Representative Sample for a Specific Age Group: Associations to Body Mass Index

Overview

Journal Eur J Psychotraumatol

Date 2012 Aug 16

PMID 22893831

Citations 15

Authors

Stine Roenholt

Nina N Beck

Sidsel H Karsberg

Ask Elklit

Affiliations

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Abstract

Background: Studies of specific groups such as military veterans have found that posttraumatic stress disorder (PTSD) is linked to adverse health outcomes including unhealthy weight. The aim of this study was to examine the relationship between PTSD symptoms, experiences of childhood trauma and weight in a community sample.

Methods: A stratified random probability survey was conducted in Denmark by the Danish National Centre for Social Research between 2008 and 2009 with 2,981 participants born in 1984, achieving a response rate of 67%. The participants were interviewed with a structured interview with questions pertaining PTSD symptomatology, exposure to childhood abuse, exposure to potentially traumatizing events, height, and weight. Underweight was defined by a body mass index (BMI) <18.5, overweight was defined by a BMI ≥25 and <30 and obesity was defined by a BMI ≥30.

Results: PTSD symptomatology and childhood abuse were significantly associated with both underweight and overweight/obesity. Childhood emotional abuse was especially associated with underweight, whereas sexual abuse and overall abuse were particularly associated with overweight/obesity.

Conclusion: These findings indicate that health care professionals may benefit from assessing PTSD and childhood abuse in the treatment of both overweight and underweight individuals.

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References

Pederson C, Wilson J . Childhood emotional neglect related to posttraumatic stress disorder symptoms and body mass index in adult women. Psychol Rep. 2009; 105(1):111-26. DOI: 10.2466/PR0.105.1.111-126. View

Hansen M, Andersen T, Armour C, Elklit A, Palic S, Mackrill T . PTSD-8: A Short PTSD Inventory. Clin Pract Epidemiol Ment Health. 2011; 6:101-8. PMC: 3023946. DOI: 10.2174/1745017901006010101. View

Reyes-Rodriguez M, Holle A, Ulman T, Thornton L, Klump K, Brandt H . Posttraumatic stress disorder in anorexia nervosa. Psychosom Med. 2011; 73(6):491-7. PMC: 3132652. DOI: 10.1097/PSY.0b013e31822232bb. View

Gunstad J, Paul R, Spitznagel M, Cohen R, Williams L, Kohn M . Exposure to early life trauma is associated with adult obesity. Psychiatry Res. 2006; 142(1):31-7. DOI: 10.1016/j.psychres.2005.11.007. View

Scott K, Von Korff M, Angermeyer M, Benjet C, Bruffaerts R, de Girolamo G . Association of childhood adversities and early-onset mental disorders with adult-onset chronic physical conditions. Arch Gen Psychiatry. 2011; 68(8):838-44. PMC: 3402030. DOI: 10.1001/archgenpsychiatry.2011.77. View

Perkonigg A, Owashi T, Stein M, Kirschbaum C, Wittchen H . Posttraumatic stress disorder and obesity: evidence for a risk association. Am J Prev Med. 2008; 36(1):1-8. DOI: 10.1016/j.amepre.2008.09.026. View

Deitel M, Greenstein R . Recommendations for reporting weight loss. Obes Surg. 2003; 13(2):159-60. DOI: 10.1381/096089203764467117. View

Roberts R . Can self-reported data accurately describe the prevalence of overweight?. Public Health. 1995; 109(4):275-84. DOI: 10.1016/s0033-3506(95)80205-3. View

Kolassa I, Kolassa S, Ertl V, Papassotiropoulos A, de Quervain D . The risk of posttraumatic stress disorder after trauma depends on traumatic load and the catechol-o-methyltransferase Val(158)Met polymorphism. Biol Psychiatry. 2009; 67(4):304-8. DOI: 10.1016/j.biopsych.2009.10.009. View

10.

May-Chahal C, Cawson P . Measuring child maltreatment in the United Kingdom: a study of the prevalence of child abuse and neglect. Child Abuse Negl. 2005; 29(9):969-84. DOI: 10.1016/j.chiabu.2004.05.009. View

11.

Hay P, Mond J, Buttner P, Darby A . Eating disorder behaviors are increasing: findings from two sequential community surveys in South Australia. PLoS One. 2008; 3(2):e1541. PMC: 2212110. DOI: 10.1371/journal.pone.0001541. View

12.

Tagay S, Schlegl S, Senf W . Traumatic events, posttraumatic stress symptomatology and somatoform symptoms in eating disorder patients. Eur Eat Disord Rev. 2009; 18(2):124-32. DOI: 10.1002/erv.972. View

13.

Mamun A, Lawlor D, OCallaghan M, Bor W, Williams G, Najman J . Does childhood sexual abuse predict young adult's BMI? A birth cohort study. Obesity (Silver Spring). 2007; 15(8):2103-10. DOI: 10.1038/oby.2007.250. View

14.

Pinaquy S, Chabrol H, Simon C, Louvet J, Barbe P . Emotional eating, alexithymia, and binge-eating disorder in obese women. Obes Res. 2003; 11(2):195-201. DOI: 10.1038/oby.2003.31. View

15.

Gunstad J, Schofield P, Paul R, Spitznagel M, Cohen R, Williams L . BDNF Val66Met polymorphism is associated with body mass index in healthy adults. Neuropsychobiology. 2006; 53(3):153-6. DOI: 10.1159/000093341. View

16.

Swinbourne J, Touyz S . The co-morbidity of eating disorders and anxiety disorders: a review. Eur Eat Disord Rev. 2007; 15(4):253-74. DOI: 10.1002/erv.784. View

17.

Vieweg W, Julius D, Fernandez A, Tassone D, Narla S, Pandurangi A . Posttraumatic stress disorder in male military veterans with comorbid overweight and obesity: psychotropic, antihypertensive, and metabolic medications. Prim Care Companion J Clin Psychiatry. 2006; 8(1):25-31. PMC: 1510907. DOI: 10.4088/pcc.v08n0104. View

18.

Wonderlich S, Rosenfeldt S, Crosby R, Mitchell J, Engel S, Smyth J . The effects of childhood trauma on daily mood lability and comorbid psychopathology in bulimia nervosa. J Trauma Stress. 2007; 20(1):77-87. DOI: 10.1002/jts.20184. View

19.

Scott K, McGee M, Wells J, Oakley Browne M . Obesity and mental disorders in the adult general population. J Psychosom Res. 2007; 64(1):97-105. DOI: 10.1016/j.jpsychores.2007.09.006. View

20.

Day J, Ternouth A, Collier D . Eating disorders and obesity: two sides of the same coin?. Epidemiol Psichiatr Soc. 2009; 18(2):96-100. View