Wiederman M W, Sansone R A, Sansone L A
Department of Psychological Science, Ball State University, Muncie, IN 47306-0520, USA.
Women Health. 1999;29(1):89-100. doi: 10.1300/J013v29n01_07.
In an attempt to explore the possibly adaptive function obesity may serve for some women with histories of sexual trauma, we examined relationships among sexual abuse history, body dissatisfaction, and maximum weight fluctuation among obese (n = 38; Body Mass Index > or = 27.3) and nonobese (n = 112; Body Mass Index < 27.3) women sampled from a primary care medical setting. History of sexual abuse was unrelated to current body weight within the entire sample, as well as the nonobese and the obese subsamples. However, the interaction between obesity and sexual abuse was statistically significant in the prediction of both current/ideal body-weight discrepancy (i.e., body dissatisfaction) and maximum weight fluctuation during adulthood. Among nonobese women, history of sexual abuse was unrelated to current body dissatisfaction but was related to greater maximal weight fluctuation during adulthood. Among obese women, those with a history of sexual abuse reported relatively less current body dissatisfaction and less weight fluctuation during adulthood compared to nonsexually-abused obese women. Results are discussed with regard to the potential adaptive function obesity may play for some sexually abused women and the need for additional research using larger, more diverse samples and more elaborate measures.
为了探究肥胖可能对一些有性创伤史的女性起到的适应性作用，我们研究了性虐待史、身体不满以及肥胖女性（n = 38；体重指数≥27.3）和非肥胖女性（n = 112；体重指数<27.3）的最大体重波动之间的关系，这些女性是从初级保健医疗机构抽取的样本。在整个样本以及非肥胖和肥胖子样本中，性虐待史与当前体重均无关联。然而，在预测当前/理想体重差异（即身体不满）和成年期最大体重波动方面，肥胖与性虐待之间的交互作用具有统计学意义。在非肥胖女性中，性虐待史与当前身体不满无关，但与成年期更大的最大体重波动有关。在肥胖女性中，与未遭受性虐待的肥胖女性相比，有性虐待史的女性报告的当前身体不满相对较少，成年期体重波动也较小。我们讨论了肥胖可能对一些遭受性虐待的女性所起的潜在适应性作用，以及使用更大、更多样化的样本和更精细的测量方法进行更多研究的必要性。
