<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_gp-2019-0008_s_009_w2aab3b7b8b1b6b1aab1c17b1Aa"><h3>Objectives</h3><p>Obesity is associated with several somatic diseases and increased psychological burden. This study focused on two potential psychological predictors of the body mass index (BMI), childhood trauma and depressive symptoms.</p></sec><sec id="j_gp-2019-0008_s_010_w2aab3b7b8b1b6b1aab1c17b2Aa"><h3>Methods</h3><p>We used three independent populations: two general population samples (Study of Health in Pomerania, SHIP-2, N = 1,657; SHIP-TREND-0, N = 3,278) and one patient sample (GANI_MED, N = 1,742). Childhood trauma was measured with the childhood trauma questionnaire (CTQ) and depression with the Beck Depression Inventory (BDI-II) in SHIP-2 and the Patient Health Questionnaire (PHQ-9) in SHIP-TREND-0 and GANI_MED. We investigated the impact of childhood trauma and depression on BMI. Furthermore, we used mediation analysis to assess whether depression was a significant mediator on the path from childhood trauma to adult BMI in each of the three samples.</p></sec><sec id="j_gp-2019-0008_s_011_w2aab3b7b8b1b6b1aab1c17b3Aa"><h3>Results</h3><p>In all the three populations, depressive symptoms exhibited a significant association towards higher BMI (p &lt; 0.05). Childhood trauma was positively associated with BMI with significant associations in SHIP-TREND-0 (p &lt; 0.001) and GANI_MED (p = 0.005). The relationship between CTQ and BMI was significantly partially mediated (p &lt; 0.05) by depressive symptoms in SHIP-TREND-0 (38.0%) and GANI_MED (16.4%), in SHIP-2 results pointed in the same direction. All the trauma sub-dimensions, except sexual abuse, exhibited at least one significant association towards increased BMI in one of the samples.</p></sec><sec id="j_gp-2019-0008_s_012_w2aab3b7b8b1b6b1aab1c17b4Aa"><h3>Conclusions</h3><p>Childhood trauma and depressive symptoms may be considered as causes of obesity. These results suggest that psychological treatments against obesity should address childhood maltreatment as well as depressive symptoms in their diagnostic assessment and could facilitate psychotherapeutic treatment when necessary.</p></sec></abstract>

ObjectivesObesity is associated with several somatic diseases and increased psychological burden. This study focused on two potential psychological predictors of the body mass index (BMI), childhood trauma and depressive symptoms.MethodsWe used three independent populations: two general population samples (Study of Health in Pomerania, SHIP-2, N = 1,657; SHIP-TREND-0, N = 3,278) and one patient sample (GANI_MED, N = 1,742). Childhood trauma was measured with the childhood trauma questionnaire (CTQ) and depression with the Beck Depression Inventory (BDI-II) in SHIP-2 and the Patient Health Questionnaire (PHQ-9) in SHIP-TREND-0 and GANI_MED. We investigated the impact of childhood trauma and depression on BMI. Furthermore, we used mediation analysis to assess whether depression was a significant mediator on the path from childhood trauma to adult BMI in each of the three samples.ResultsIn all the three populations, depressive symptoms exhibited a significant association towards higher BMI (p < 0.05). Childhood trauma was positively associated with BMI with significant associations in SHIP-TREND-0 (p < 0.001) and GANI_MED (p = 0.005). The relationship between CTQ and BMI was significantly partially mediated (p < 0.05) by depressive symptoms in SHIP-TREND-0 (38.0%) and GANI_MED (16.4%), in SHIP-2 results pointed in the same direction. All the trauma sub-dimensions, except sexual abuse, exhibited at least one significant association towards increased BMI in one of the samples.ConclusionsChildhood trauma and depressive symptoms may be considered as causes of obesity. These results suggest that psychological treatments against obesity should address childhood maltreatment as well as depressive symptoms in their diagnostic assessment and could facilitate psychotherapeutic treatment when necessary.

The Impact of Childhood Trauma and Depressive Symptoms on Body Mass Index

Global Psychiatry

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"The Impact of Childhood Trauma and Depressive Symptoms on Body Mass Index"}

ObjectivesObesity is associated with several somatic diseases and increased psychological burden. This study focused on two potential psychological predictors...

The Impact of Childhood Trauma and Depressive Symptoms on Body Mass Index

Publicado en línea: 13 may 2019

Páginas: 97 - 105

Recibido: 06 mar 2019

Aceptado: 21 mar 2019

DOI: https://doi.org/10.2478/gp-2019-0008

Palabras clave
Depression, trauma, obesity, epidemiology, live events

© 2019 Lara N. Schulze et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

The Impact of Childhood Trauma and Depressive Symptoms on Body Mass Index

Publicado en línea: 13 may 2019

Páginas: 97 - 105

Recibido: 06 mar 2019

Aceptado: 21 mar 2019

DOI: https://doi.org/10.2478/gp-2019-0008

Palabras claveDepression, trauma, obesity, epidemiology, live events

© 2019 Lara N. Schulze et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Palabras clave
Depression, trauma, obesity, epidemiology, live events