Nonstandard abbreviations: BED, binge eating disorder; CTQ, Childhood Trauma Questionnaire; QEWP-R, Questionnaire on Eating and Weight Patterns-Revised; EDEQ, Eating Disorder Examination-Questionaire; BSQ, Body Shape Questionaire; BDI, Beck Depression Inventory; RSE, Rosenberg Self-Esteem Scale.
Childhood Maltreatment in Extremely Obese Male and Female Bariatric Surgery Candidates**
Version of Record online: 31 DEC 2012
2005 North American Association for the Study of Obesity (NAASO)
Volume 13, Issue 1, pages 123–130, January 2005
How to Cite
Grilo, C. M., Masheb, R. M., Brody, M., Toth, C., Burke-Martindale, C. H. and Rothschild, B. S. (2005), Childhood Maltreatment in Extremely Obese Male and Female Bariatric Surgery Candidates. Obesity Research, 13: 123–130. doi: 10.1038/oby.2005.16
The costs of publication of this article were defrayed, in part, by the payment of page charges. This article must, therefore, be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
- Issue online: 31 DEC 2012
- Version of Record online: 31 DEC 2012
- Submitted for publication December 01, 2003; Accepted for publication in final form November 29, 2004
- bariatric surgery;
- binge eating;
- eating disorders;
- childhood abuse;
Objective: To examine rates of self-reported childhood maltreatment in extremely obese bariatric surgery candidates and to explore associations with sex, eating disorder features, and psychological functioning.
Research Methods and Procedures: Three hundred forty (58 men and 282 women) extremely obese consecutive candidates for gastric bypass surgery completed a questionnaire battery. The Childhood Trauma Questionnaire was given to assess childhood maltreatment.
Results: Overall, 69% of patients self-reported childhood maltreatment: 46% reported emotional abuse, 29% reported physical abuse, 32% reported sexual abuse, 49% reported emotional neglect, and 32% reported physical neglect. Except for higher rates of emotional abuse reported by women, different forms of maltreatment did not differ significantly by sex. Different forms of maltreatment were generally not associated with binge eating, current BMI, or eating disorder features. At the Bonferonni-corrected significance level, emotional abuse was associated with higher eating concerns and body dissatisfaction, and emotional neglect was associated with higher eating concerns. In terms of psychological functioning, at the Bonferonni-corrected level, emotional abuse and emotional neglect were associated with higher depression and lower self-esteem, and physical abuse was associated with higher depression.
Discussion: Extremely obese bariatric surgery candidates reported rates of maltreatment comparable with those reported by clinical groups and roughly two to three times higher than normative community samples. Reported experiences of maltreatment differed little by sex and were generally not significantly associated with current BMI, binge eating, or eating disorder features. In contrast, maltreatment—notably emotional abuse and neglect—were significantly associated with higher depression and lower self-esteem.