A Prospective Examination of the Mechanisms Linking Childhood Physical Abuse to Body Mass Index in Adulthood

Overview

Journal Child Maltreat

Date 2015 Feb 5

PMID 25648448

Citations 13

Authors

Melville M Francis

Valentina Nikulina

Cathy Spatz Widom

Affiliations

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Abstract

Previous research has reported associations between childhood physical abuse and body mass index (BMI) in adulthood. This article examined the role of four potential mediators (anxiety, depression, posttraumatic stress, and coping) hypothesized to explain this relationship. Using data from a prospective cohort design, court-substantiated cases of childhood physical abuse (N = 78) and nonmaltreated comparisons (N = 349) were followed up and assessed in adulthood at three time points (1989-1995, 2000-2002, and 2003-2005) when participants were of age 29.2, 39.5, and 41.2, respectively. At age 41, average BMI of the current sample was 29.97, falling between overweight and obese categories. Meditation analyses were conducted, controlling for age, sex, race, smoking, and self-reported weight. Childhood physical abuse was positively associated with subsequent generalized anxiety, major depression, and post-traumatic stress disorder symptoms at age 29.2 and higher levels of depression and posttraumatic stress predicted higher BMI at age 41.2. In contrast, higher levels of anxiety predicted lower BMI. Coping did not mediate between physical abuse and BMI. Anxiety symptoms mediated the relationship between physical abuse and BMI for women, but not for men. These findings illustrate the complexity of studying the consequences of physical abuse, particularly the relationship between psychiatric symptoms and adult health outcomes.

Citing Articles

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References

Hach I, Ruhl U, Klose M, Klotsche J, Kirch W, Jacobi F . Obesity and the risk for mental disorders in a representative German adult sample. Eur J Public Health. 2006; 17(3):297-305. DOI: 10.1093/eurpub/ckl227. View

Leuzzi C, Sangiorgi G, Modena M . Gender-specific aspects in the clinical presentation of cardiovascular disease. Fundam Clin Pharmacol. 2010; 24(6):711-7. DOI: 10.1111/j.1472-8206.2010.00873.x. View

Hussey J, Chang J, Kotch J . Child maltreatment in the United States: prevalence, risk factors, and adolescent health consequences. Pediatrics. 2006; 118(3):933-42. DOI: 10.1542/peds.2005-2452. View

Greenfield E, Marks N . Violence from parents in childhood and obesity in adulthood: using food in response to stress as a mediator of risk. Soc Sci Med. 2009; 68(5):791-8. PMC: 2649023. DOI: 10.1016/j.socscimed.2008.12.004. View

Paus T, Keshavan M, Giedd J . Why do many psychiatric disorders emerge during adolescence?. Nat Rev Neurosci. 2008; 9(12):947-57. PMC: 2762785. DOI: 10.1038/nrn2513. View

Widom C, Czaja S, Bentley T, Johnson M . A prospective investigation of physical health outcomes in abused and neglected children: new findings from a 30-year follow-up. Am J Public Health. 2012; 102(6):1135-44. PMC: 3483964. DOI: 10.2105/AJPH.2011.300636. View

Lovasi G, Underhill L, Jack D, Richards C, Weiss C, Rundle A . At Odds: Concerns Raised by Using Odds Ratios for Continuous or Common Dichotomous Outcomes in Research on Physical Activity and Obesity. Open Epidemiol J. 2012; 5:13-17. PMC: 3446823. DOI: 10.2174/1874297101205010013. View

Felitti V, Anda R, Nordenberg D, Williamson D, Spitz A, Edwards V . Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998; 14(4):245-58. DOI: 10.1016/s0749-3797(98)00017-8. View

Kubzansky L, Koenen K . Is posttraumatic stress disorder related to development of heart disease? An update. Cleve Clin J Med. 2009; 76 Suppl 2:S60-5. PMC: 2746556. DOI: 10.3949/ccjm.76.s2.12. View

10.

Grassi-Oliveira R, Ashy M, Stein L . Psychobiology of childhood maltreatment: effects of allostatic load?. Braz J Psychiatry. 2008; 30(1):60-8. DOI: 10.1590/s1516-44462008000100012. View

11.

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

12.

Blaine B . Does depression cause obesity?: A meta-analysis of longitudinal studies of depression and weight control. J Health Psychol. 2008; 13(8):1190-7. DOI: 10.1177/1359105308095977. View

13.

Dave D, Tennant J, Colman G . Isolating the effect of major depression on obesity: role of selection bias. J Ment Health Policy Econ. 2012; 14(4):165-86. View

14.

Lau D, Douketis J, Morrison K, Hramiak I, Sharma A, Ur E . 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary]. CMAJ. 2007; 176(8):S1-13. PMC: 1839777. DOI: 10.1503/cmaj.061409. View

15.

Widom C, DuMont K, Czaja S . A prospective investigation of major depressive disorder and comorbidity in abused and neglected children grown up. Arch Gen Psychiatry. 2007; 64(1):49-56. DOI: 10.1001/archpsyc.64.1.49. View

16.

Leitenberg H, Gibson L, Novy P . Individual differences among undergraduate women in methods of coping with stressful events: the impact of cumulative childhood stressors and abuse. Child Abuse Negl. 2004; 28(2):181-92. DOI: 10.1016/j.chiabu.2003.08.005. View

17.

Herringa R, Birn R, Ruttle P, Burghy C, Stodola D, Davidson R . Childhood maltreatment is associated with altered fear circuitry and increased internalizing symptoms by late adolescence. Proc Natl Acad Sci U S A. 2013; 110(47):19119-24. PMC: 3839755. DOI: 10.1073/pnas.1310766110. View

18.

Rivenes A, Harvey S, Mykletun A . The relationship between abdominal fat, obesity, and common mental disorders: results from the HUNT study. J Psychosom Res. 2009; 66(4):269-75. DOI: 10.1016/j.jpsychores.2008.07.012. View

19.

Jia H, Li J, Leserman J, Hu Y, Drossman D . Relationship of abuse history and other risk factors with obesity among female gastrointestinal patients. Dig Dis Sci. 2004; 49(5):872-7. DOI: 10.1023/b:ddas.0000030102.19372.52. View

20.

Springer K, Sheridan J, Kuo D, Carnes M . Long-term physical and mental health consequences of childhood physical abuse: results from a large population-based sample of men and women. Child Abuse Negl. 2007; 31(5):517-30. PMC: 3031095. DOI: 10.1016/j.chiabu.2007.01.003. View