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Stress as a Spectrum: Associations of Stress and Trauma With Disordered Eating
Stress as a Spectrum: Associations of Stress and Trauma With Disordered Eating
Stress as a Spectrum: Associations of Stress and Trauma With Disordered Eating

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20250211150916
ISBN  
9798384103530
DDC  
150
저자명  
Convertino, Alexandra D.
서명/저자  
Stress as a Spectrum: Associations of Stress and Trauma With Disordered Eating
발행사항  
[Sl] : University of California, San Diego, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
158 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-03, Section: B.
주기사항  
Advisor: Blashill, Aaron J.
학위논문주기  
Thesis (Ph.D.)--University of California, San Diego, 2024.
초록/해제  
요약Objective: Multiple stressors are critical in the development of eating disorders (EDs). The most widely studied forms of stress associated with EDs are childhood trauma, sexual assault, weight-related criticism, and pressure to obtain the appearance ideals. However, it is unclear how relatively underexplored forms of stress (i.e., sexual minority stress, non-interpersonal trauma, and posttraumatic stress) are associated with EDs in vulnerable populations. Methods: The tripartite influence model of EDs proposes that body dissatisfaction and subsequent ED behavior are the result of social pressure, thin ideal internalization, and social appearance comparison. Study 1 integrated sexual minority stressors into the tripartite influence model in a sample of young adult sexual minority men (n = 479) and women (n = 483) to determine whether integrating chronic stressors improved model explanation of variance. Study 2 examined the association of traumatic events with eating disorders, specifically to differentiate whether war-related trauma, non-interpersonal trauma, non-sexual interpersonal trauma, or sexual interpersonal trauma were associated with EDs in a nationally representative sample of 36,309 US adults. Study 3 examined the longitudinal associations in a network analysis of ED symptoms and posttraumatic stress disorder (PTSD) symptoms in a sample of US undergraduates (N = 50) with elevated symptoms of these disorders. Results: Study 1 demonstrated that the tripartite influence model and minority stress theory could be successfully integrated and explained more variance in ED outcomes as compared to models that do not incorporate both theories. Study 2 found that sexual interpersonal trauma was significantly positively associated with anorexia nervosa and binge eating disorder (BED). BED was found to be equally associated with sexual interpersonal, other interpersonal, and non-interpersonal trauma. Study 3 found that loss of control eating, concentration impairment related to shape and weight, purging, fear of weight gain, negative alterations in cognition and mood, and body dissatisfaction demonstrated the strongest associations in the network. Discussion: Studies 1, 2, and 3 confirmed that minority stress, traumatic events, and PTSD symptoms are associated with eating pathology. The consideration of these stressors in explanatory models of EDs could help refine prevention and intervention efforts with various vulnerable populations.
일반주제명  
Psychology
일반주제명  
Pathology
일반주제명  
Mental health
일반주제명  
Clinical psychology
키워드  
Eating disorders
키워드  
Posttraumatic stress disorder
키워드  
Trauma
키워드  
Sexual minority stress
기타저자  
University of California, San Diego Clinical Psychology (Joint Doctoral with SDSU)
기본자료저록  
Dissertations Abstracts International. 86-03B.
전자적 위치 및 접속  
로그인 후 원문을 볼 수 있습니다.

MARC

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■040    ▼aMiAaPQ▼cMiAaPQ
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■1001  ▼aConvertino,  Alexandra  D.
■24510▼aStress  as  a  Spectrum:  Associations  of  Stress  and  Trauma  With  Disordered  Eating
■260    ▼a[Sl]▼bUniversity  of  California,  San  Diego▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a158  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-03,  Section:  B.
■500    ▼aAdvisor:  Blashill,  Aaron  J.
■5021  ▼aThesis  (Ph.D.)--University  of  California,  San  Diego,  2024.
■520    ▼aObjective:  Multiple  stressors  are  critical  in  the  development  of  eating  disorders  (EDs).  The  most  widely  studied  forms  of  stress  associated  with  EDs  are  childhood  trauma,  sexual  assault,  weight-related  criticism,  and  pressure  to  obtain  the  appearance  ideals.  However,  it  is  unclear  how  relatively  underexplored  forms  of  stress  (i.e.,  sexual  minority  stress,  non-interpersonal  trauma,  and  posttraumatic  stress)  are  associated  with  EDs  in  vulnerable  populations.  Methods:  The  tripartite  influence  model  of  EDs  proposes  that  body  dissatisfaction  and  subsequent  ED  behavior  are  the  result  of  social  pressure,  thin  ideal  internalization,  and  social  appearance  comparison.  Study  1  integrated  sexual  minority  stressors  into  the  tripartite  influence  model  in  a  sample  of  young  adult  sexual  minority  men  (n  =  479)  and  women  (n  =  483)  to  determine  whether  integrating  chronic  stressors  improved  model  explanation  of  variance.  Study  2  examined  the  association  of  traumatic  events  with  eating  disorders,  specifically  to  differentiate  whether  war-related  trauma,  non-interpersonal  trauma,  non-sexual  interpersonal  trauma,  or  sexual  interpersonal  trauma  were  associated  with  EDs  in  a  nationally  representative  sample  of  36,309  US  adults.  Study  3  examined  the  longitudinal  associations  in  a  network  analysis  of  ED  symptoms  and  posttraumatic  stress  disorder  (PTSD)  symptoms  in  a  sample  of  US  undergraduates  (N  =  50)  with  elevated  symptoms  of  these  disorders.  Results:  Study  1  demonstrated  that  the  tripartite  influence  model  and  minority  stress  theory  could  be  successfully  integrated  and  explained  more  variance  in  ED  outcomes  as  compared  to  models  that  do  not  incorporate  both  theories.  Study  2  found  that  sexual  interpersonal  trauma  was  significantly  positively  associated  with  anorexia  nervosa  and  binge  eating  disorder  (BED).  BED  was  found  to  be  equally  associated  with  sexual  interpersonal,  other  interpersonal,  and  non-interpersonal  trauma.  Study  3  found  that  loss  of  control  eating,  concentration  impairment  related  to  shape  and  weight,  purging,  fear  of  weight  gain,  negative  alterations  in  cognition  and  mood,  and  body  dissatisfaction  demonstrated  the  strongest  associations  in  the  network.  Discussion:  Studies  1,  2,  and  3  confirmed  that  minority  stress,  traumatic  events,  and  PTSD  symptoms  are  associated  with  eating  pathology.  The  consideration  of  these  stressors  in  explanatory  models  of  EDs  could  help  refine  prevention  and  intervention  efforts  with  various  vulnerable  populations.
■590    ▼aSchool  code:  0033.
■650  4▼aPsychology
■650  4▼aPathology
■650  4▼aMental  health
■650  4▼aClinical  psychology
■653    ▼aEating  disorders
■653    ▼aPosttraumatic  stress  disorder
■653    ▼aTrauma
■653    ▼aSexual  minority  stress
■690    ▼a0621
■690    ▼a0347
■690    ▼a0622
■690    ▼a0571
■71020▼aUniversity  of  California,  San  Diego▼bClinical  Psychology  (Joint  Doctoral  with  SDSU).
■7730  ▼tDissertations  Abstracts  International▼g86-03B.
■790    ▼a0033
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17160136▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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