Associations between childhood maltreatment latent classes and eating disorder symptoms in a nationally representative sample of young adults in the United States |
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| Institution: | 1. Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan, USA;2. Center for Human Growth and Development, University of Michigan, Ann Arbor, Michigan, USA;3. Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan, USA;4. Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA;5. Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA;1. The Ohio State University College of Medicine, 370 West 9th Avenue, Columbus, OH 43210, USA;2. Center for Pediatric Trauma Research, Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA;3. Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA;4. The Center for Family Safety and Healing, Nationwide Children''s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA;5. Trauma Program, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA;1. School of Health in Social Science, University of Edinburgh, Edinburgh EH8 9AG, UK;2. NHS Borders Child and Adolescent Mental Health Service, The Andrew Lang Unit, View?eld Lane, Selkirk TD7 4LJ, UK;1. Department of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy;2. Department of Medicine, Surgery and Dentistry ''Scuola Medica Salernitana'', University of Salerno, Salerno, Italy;1. Department of Clinical Child and Family Studies, VU University Amsterdam, the Netherlands;2. Department of Innovation and Research, Children’s and Youth Trauma Center, KJTC Kenter Youth Care, Haarlem, the Netherlands;3. Department of Epidemiology, Health Promotion, and Healthcare Innovations, Public Health Service, Amsterdam, the Netherlands;4. Hogrefe Publishers, Scientific Publisher for Psychology, Psychiatry, and Mental Health, Amsterdam, the Netherlands |
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| Abstract: | BackgroundChildhood maltreatment is associated with eating disorders, but types of childhood maltreatment often co-occur.ObjectiveTo examine associations between childhood maltreatment patterns and eating disorder symptoms in young adulthood.Participants and SettingData came from the National Longitudinal Study of Adolescent to Adult Health (N = 14,322).MethodsLatent class analysis was conducted, using childhood physical neglect, physical abuse, and sexual abuse as model indicators. Logistic regression models adjusted for demographic covariates were conducted to examine associations between childhood maltreatment latent classes and eating disorder symptoms.ResultsIn this nationally representative sample of U.S. young adults (mean age = 21.82 years), 7.3% of participants reported binge eating-related concerns, 3.8% reported compensatory behaviors, and 8.6% reported fasting/skipping meals. Five childhood maltreatment latent classes emerged: “no/low maltreatment” (78.5% of the sample), “physical abuse only” (11.0% of the sample), “multi-type maltreatment” (7.8% of the sample), “physical neglect only” (2.1% of the sample), and “sexual abuse only” (0.6% of the sample). Compared to participants assigned to the “no/low maltreatment” class, participants assigned to the “multi-type maltreatment” class were more likely to report binge eating-related concerns (odds ratio = 1.97; 95% confidence interval CI]: 1.52, 2.56) and fasting/skipping meals (OR = 1.85; 95% CI: 1.46, 2.34), and participants assigned to the “physical abuse only” class were more likely to report fasting/skipping meals (OR = 1.35; 95% CI: 1.04, 1.76).ConclusionsThis study provides evidence that distinct childhood maltreatment profiles are differentially associated with eating disorder symptoms. Individuals exposed to multi-type childhood maltreatment may be at particularly high risk for eating disorders. |
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| Keywords: | Feeding and eating disorders Child abuse Child neglect Young adult |
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