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Body betrayed: Mediators between childhood sexual trauma and bulimia symptomatology.

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  • Author(s): Grundleger, Alexandra B.. Long Island University, The Brooklyn Center, US
  • Source:
    Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 79(1-B)(E), 2018.
  • Publisher:
    US : ProQuest Information & Learning
  • Language:
    English
  • Document Type:
    Dissertation
  • Publication Type:
    Dissertation Abstract
  • Additional Information
    • Other Journal Titles:
      Dissertation Abstracts International
    • ISSN:
      0419-4217 (Print)
    • ISBN:
      978-0355332254
    • Keywords:
      childhood sexual trauma, bulimia symptomatology, eating disorders, childhood sexual abuse
    • Abstract:
      Over the last several decades the prevalence and rate of eating disorders (EDs) has been on the rise. Consequently, researchers and clinicians alike have been focused on identifying the etiology and contributing factors to this multifaceted and complex disorder. One of the leading factors in the research and clinical realm has been having a history of childhood sexual abuse (CSA); however, this connection between EDs and sexual trauma in childhood has been increasingly debated and has sparked much controversy. Thus, the first goal of the current study was to assess the relationship between CSA and bulimia, a type of ED that is characterized by episodes of compensatory bingeing and purging. In particular, the study hypothesized that there would be a significant correlation between CSA and bulimia. Two particular mediating factors between CSA and bulimia were also analyzed: feelings of shame and experiences of dissociation. Both were expected to have a significant indirect effect on the relationship between CSA and bulimia. Participants ( N = 196) were recruited both in person and online in various ED treatment centers, email listservs, online support groups, and by recommendations from therapists. Results revealed that CSA was significantly related to bulimia severity as measured by the frequency of symptoms. Additionally, both levels of shame and dissociation successfully mediated the relationship between CSA and bulimia severity. In supplemental analyses it was found that there were significantly higher levels of bulimia severity and symptomatology in the group that experienced CSA from the ages of 0-5 when compared to the 13-18 age group. Through exploratory analyses, the study found that the relationship to the abuser and the nature of the sexual abuse (involving and not involving touch) did not affect bulimia. Lastly, the study found that self-halm was positively and significantly correlated with all variables (bulimia, CSA, dissociation, and shame). These results are valuable in both the clinical and research realm as they shed light on the underlying nature of the relationship between cases of sexual trauma in childhood and EDs, in particular bulimia. In addition, results point to two particular factors, shame and dissociation, that appear to play a distinct role in the relationship between CSA and bulimia. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
    • Dissertation Details:
      UMI Order Number: AAI10666683
      OpenURL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqm&rft_dat=xri:pqdiss:10666683
      Advisor(s): Gary Kose
      Degree: Ph.D., 2017
      Institution: Long Island University, The Brooklyn Center
    • Subject Terms:
    • PsycINFO Classification:
      Health & Mental Health Treatment & Prevention (3300)
    • Population:
      Human
    • Age Group:
      Childhood (birth-12 yrs)
      Neonatal (birth-1 mo)
      Infancy (2-23 mo)
      Preschool Age (2-5 yrs)
      Adolescence (13-17 yrs)
    • Methodology:
      Empirical Study; Quantitative Study
    • Physical Description:
      Electronic
    • Publication Date:
      20180212
    • Accession Number:
      2017-54457-230
  • Citations
    • ABNT:
      GRUNDLEGER, A. B. Body betrayed: Mediators between childhood sexual trauma and bulimia symptomatology. 2018. ProQuest Information & Learning, US, 2018. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-54457-230. Acesso em: 30 nov. 2020.
    • AMA:
      Grundleger AB. Body betrayed: Mediators between childhood sexual trauma and bulimia symptomatology. Dissertation Abstracts International: Section B: The Sciences and Engineering. 2018;79(1-B(E)). Accessed November 30, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-54457-230
    • APA:
      Grundleger, A. B. (2018). Body betrayed: Mediators between childhood sexual trauma and bulimia symptomatology [ProQuest Information & Learning]. In Dissertation Abstracts International: Section B: The Sciences and Engineering (Vol. 79, Issue 1–B(E)).
    • Chicago/Turabian: Author-Date:
      Grundleger, Alexandra B. 2018. “Body Betrayed: Mediators between Childhood Sexual Trauma and Bulimia Symptomatology.” Dissertation Abstracts International: Section B: The Sciences and Engineering. US: ProQuest Information & Learning. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-54457-230.
    • Harvard:
      Grundleger, A. B. (2018) Body betrayed: Mediators between childhood sexual trauma and bulimia symptomatology, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-54457-230 (Accessed: 30 November 2020).
    • Harvard: Australian:
      Grundleger, AB 2018, ‘Body betrayed: Mediators between childhood sexual trauma and bulimia symptomatology’, ProQuest Information & Learning, US, Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 79, no. 1–B(E), viewed 30 November 2020, .
    • MLA:
      Grundleger, Alexandra B. “Body Betrayed: Mediators between Childhood Sexual Trauma and Bulimia Symptomatology.” Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 79, no. 1–B(E), ProQuest Information & Learning, 2018. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-54457-230.
    • Chicago/Turabian: Humanities:
      Grundleger, Alexandra B. “Body Betrayed: Mediators between Childhood Sexual Trauma and Bulimia Symptomatology.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning, 2018. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-54457-230.
    • Vancouver/ICMJE:
      Grundleger AB. Body betrayed: Mediators between childhood sexual trauma and bulimia symptomatology [Internet]. Vol. 79, Dissertation Abstracts International: Section B: The Sciences and Engineering. [US]: ProQuest Information & Learning; 2018 [cited 2020 Nov 30]. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-54457-230