Gustafson Timothy B, Gibbons Lauren M, Sarwer David B, Crerand Canice E, Fabricatore Anthony N, Wadden Thomas A, Raper Steven E, Williams Noel N
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Surg Obes Relat Dis. 2006 May-Jun;2(3):369-74, discussion 375-6. doi: 10.1016/j.soard.2006.03.002.
A history of sexual abuse is associated with a range of psychosocial difficulties and health risk behaviors in the general population. Sexual abuse also appears to be a risk factor for the development of obesity. Little is known, however, about the prevalence and psychosocial correlates of sexual abuse among persons with extreme obesity who seek bariatric surgery.
Questionnaire data were collected from 567 individuals with extreme obesity who presented for bariatric surgery. Those with and without a self-reported history of sexual abuse were compared on several psychosocial variables.
Sixteen percent of the surgery candidates (17.0% of women and 11.5% of men) reported a history of sexual abuse. Those who reported a history of sexual abuse were more likely to report previous emotional difficulties, as well as a personal and family history of substance abuse. They also were significantly more likely to meet the criteria for binge eating disorder, as determined from self-report responses to the Questionnaire on Eating and Weight Patterns, compared with those without a self-reported history of sexual abuse. In addition, those who reported a history of sexual abuse were more likely to report both current and previous psychiatric treatment than were those who denied a history of abuse.
A significant minority of bariatric surgery candidates reported a history of sexual abuse. Among these individuals, a history of sexual abuse was associated with both current and past psychiatric problems and treatment. The relationship of these variables to postoperative outcomes, however, is unknown.
在普通人群中，性虐待史与一系列心理社会问题及健康风险行为相关。性虐待似乎也是肥胖症发生的一个风险因素。然而，对于寻求减肥手术的极度肥胖者中性虐待的患病率及心理社会相关因素知之甚少。
收集了567名前来接受减肥手术的极度肥胖者的问卷数据。比较了有和没有自我报告性虐待史的个体在几个心理社会变量上的情况。
16%的手术候选人（女性为17.0%，男性为11.5%）报告有性虐待史。报告有性虐待史的人更有可能报告既往有情绪问题，以及个人和家族药物滥用史。根据对《饮食与体重模式问卷》的自我报告回答确定，与没有自我报告性虐待史的人相比，他们也显著更有可能符合暴饮暴食障碍的标准。此外，报告有性虐待史的人比否认有虐待史的人更有可能报告目前和既往接受过精神科治疗。
相当一部分减肥手术候选人报告有性虐待史。在这些个体中，性虐待史与目前和过去的精神问题及治疗相关。然而，这些变量与术后结果的关系尚不清楚。
