Trauma exposure and disordered eating: A qualitative study

Breland, Jessica Y.; Donalson, Rosemary; Dinh, Julie; Maguen, Shira

doi:10.1080/03630242.2017.1282398

Cited by 44 publications

(34 citation statements)

References 27 publications

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“…Our findings are supported by past work identifying specific pathways from sexual trauma to disordered eating (e.g., disordered eating as way to change shape and weight to avoid attention from trauma perpetrators (Breland et al, 2017; Mott et al, 2012)). It is less clear why combat exposure was not associated with eating disorders.…”

Section: Discussionsupporting

confidence: 87%

“…We used a logistic regression model to predict whether participants met criteria for an eating disorder as a function of military sexual trauma and combat exposure. While anorexia, bulimia, and binge eating disorder can have different courses and treatment, we included them as a single outcome variable due to past work demonstrating that women may restrict or binge as a result of traumatic exposures (Breland et al, 2017). We adjusted analyses for participant characteristics that may be related to disordered eating (i.e., age, race, education, service branch (Bartlett & Mitchell, 2015; Gagne et al, 2012; Mitchison & Hay, 2014; Smolak, 2015)).…”

Section: Methodsmentioning

confidence: 99%

“…Understanding whether military sexual trauma and combat exposure are independent predictors of eating disorder diagnoses could improve understanding of eating disorder risk factors and inform subsequent screening, prevention, and intervention efforts. We hypothesized that both military sexual trauma and combat exposure would be associated with eating disorders, but that military sexual trauma would be a stronger predictor of eating disorders given qualitative research suggesting a specific pathway between military sexual trauma and eating disorders (Breland, Donalson, Dinh, & Maguen, 2017; Mott et al, 2012).…”

mentioning

confidence: 99%

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Military sexual trauma is associated with eating disorders, while combat exposure is not.

Breland¹,

Donalson²,

Li³

et al. 2018

Psychological Trauma: Theory, Research, Practice, and

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The high rates of military sexual trauma and eating disorders highlight a need for continued work. Results suggest that it may be useful to focus on women reporting military sexual trauma when implementing eating disorder screening and treatment programs. Given associations among trauma, eating disorders, obesity, and mortality, such efforts could greatly improve veteran health. (PsycINFO Database Record

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Section: Discussionsupporting

confidence: 87%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Military sexual trauma is associated with eating disorders, while combat exposure is not.

Breland¹,

Donalson²,

Li³

et al. 2018

Psychological Trauma: Theory, Research, Practice, and

Self Cite

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show abstract

“…Others used disordered eating to cope with trauma-related negative affect (often in relation to military sexual trauma), either by using food to numb emotions, to increase positive affect, or to reduce negative affect (Breland, Donalson, Dinh, & Maguen, 2017). …”

Section: Resultsmentioning

confidence: 99%

Military experience can influence Women's eating habits

et al. 2017

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Background. Disordered eating, ranging from occasional binge eating or restriction to behaviors associated with eating disorder diagnoses, is common among military personnel and veterans. However, there is little information on how military service affects eating habits. Objective. To describe possible pathways between military service and disordered eating among women veterans, a high risk group. Materials and Methods. Twenty women veterans who reported changing eating habits in response to stress participated in audio-recorded focus groups or dyadic interviews between April 2013 and October 2014. We used thematic analysis of transcripts to identify and understand women’s self-reported eating habits before, during, and after military service. Results. Participants reported entering the military with varied eating habits, but little disordered eating. Participants described several ways military environments affected eating habits, for example, by promoting fast, irregular, binge-like eating and disrupting the reward value of food. Participants believed military-related stressors, which were often related to gender, also affected eating habits. Such stressors included military sexual trauma and the need to meet military weight requirements in general and after giving birth. Participants also reported that poor eating habits continued after military service, often because they remained under stress. Conclusions. For some women, military service can result in socialization to poor eating habits, which when combined with exposure to stressors can lead to disordered eating. Additional research is needed, including work to understand possible benefits associated with providing support in relation to military weight requirements and the transition out of military service. Given the unique experiences of women in the military, future work could also focus on health services surrounding pregnancy-related weight change and the stress associated with being a woman in predominantly male military environments.

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“…Recent research has shown that DE is generally defined as a psychological illness [ 2 ]. Exposure to traumatic events (TEs) may be a risk factor for subsequent development of DE [ 3 ], as it can provide short-term, but not long-term, relief from trauma-related negative effects [ 4 ]. Studies investigating patients with anorexia or bulimia nervosa found high prevalence of posttraumatic stress (PTS) symptoms among them [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Lifetime Traumatic Experiences and Disordered Eating among University Students: The Role of Posttraumatic Stress Symptoms

Malinauskienė

Malinauskas

2018

BioMed Research International

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The associations between lifetime traumatic events (TEs), posttraumatic stress (PTS) symptoms, and disordered eating (DE) were studied in a sample of 614 university students (mean age 20 years). An anonymous questionnaire included 32 lifetime TEs, IES-revised measured PTS symptoms, and EAT-26 evaluated DE symptoms. Statistical analyses included Pearson correlations and structural equation models (SEM) with bootstrapping method. Findings reveal the prevalence of DE in 8.1% of participants, while 73.9% of students experienced at least one lifetime TE. 52.0% of students with DE had PTS symptoms (p < 0.0001) and 30.8% of students with lifetime TEs had PTS symptoms (p < 0.001). In SEM, direct paths from lifetime TEs to PTS symptoms (0.38, p < 0.0001) and from PTS symptoms to DE (0.40, p < 0.0001) were observed. The final SEM confirmed the mediating role of PTS symptoms in the path between some TEs (traffic accident and seriously injured) and DE among the university students. If PTS symptoms are associated with DE, then addressing PTS symptoms in the context of DE treatment may improve treatment efficacy.

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Trauma exposure and disordered eating: A qualitative study

Cited by 44 publications

References 27 publications

Military sexual trauma is associated with eating disorders, while combat exposure is not.

Military sexual trauma is associated with eating disorders, while combat exposure is not.

Military experience can influence Women's eating habits

Lifetime Traumatic Experiences and Disordered Eating among University Students: The Role of Posttraumatic Stress Symptoms

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