Comparison of abuse experiences and mindful eating in women with high body mass index with and without binge eating disorder and normal-weight women

Authors
1 Department of Psychology, Faculty of literature and human science, University of Guilan, Rasht, Iran
2 Department of Clinical Nutrition, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Abstract
This study investigated the comparison of abuse experiences and mindful eating in women with high body mass index with and without binge eating disorder and women with normal weight. This study was descriptive with comparative design. The study population consisted of women referring to two nutrition counseling centers in Rasht in 1400. The sample consisted of 179 women who were selected by purposive sampling method. Data were collected using Stice's Eating Disorder Diagnostic Scale (2000), Bernstein's Childhood Trauma Questionnaire (2003), and Framson's Mindful Eating Questionnaire (2009). Results of univariate and multivariate analysis of covariance showed that the abuse experiences in overweight and obese women with binge eating disorder were higher than overweight and obese women without the disorder and in both groups were more than normal weight women. Women in the binge eating group had lower scores in mindful eating than women without the disorder, and both groups had lower scores than normal-weight women, even when controlling for age. According to the findings, abuse experiences and mindful eating have important role in the pathology of obesity, overweight and binge eating disorder. Designing educational/therapeutic programs aimed at reducing the psychological consequences of abuse and teaching mindful eating techniques can be helpful.
Keywords

World Health Organization (WHO). [Internet]. 2020. Available online: https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi
World Population Review. [Internet]. 2021. Available online: https://worldpopulationreview.com/country-rankings/most-obese-countries
Rahmani A, Sayehmiri K, Asadollahi K, Sarokhani D, Islami F, Sarokhani M. Investigation of the Prevalence of Obesity in Iran: a Systematic Review and Meta-Analysis Study. Acta Med Iran. 2015; 53(10):596-607.
Blüher M. Obesity: global epidemiology and pathogenesis. Nat Rev Endocrinol. 2019; 15:288-298.
American Medical Association. [Internet]. 2018. Available online: https://www.ama-assn.org/delivering-care/public-health/adult-obesity-rates-rise-6-states-exceed-35-7
Nuttall FQ. Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutr Today, 2015; 50(3):117–128.
Kessler RC, Berglund PA, Chiu WT, Deitz AC, Hudson JI, Shahly V, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Benjet C, Bruffaerts R, de Girolamo G, de Graaf R, Maria Haro J, Kovess-Masfety V, O'Neill S, Posada-Villa J, Sasu C, Scott K, Viana MC, Xavier M. The prevalence and correlates of binge eating disorder in the World
Health Organization World Mental Health Surveys. Biol Psychiatry, 2013; 73(9):904-914.
Hilbert A. Binge Eating Disorder. Psychiatr Clin North Am, 2019; 1(42): 33-43.
Faulconbridge LF, Wadden TA, Thomas JG, Jones-Corneille LR, Sarwer DB, Fabricatore AN. Changes in depression and quality of life in obese individuals with binge eating disorder: bariatric surgery versus lifestyle modification. Surg Obes Relat Dis. 2013; (9):790-796.
Leehr EJ, Krohmer K, Schag K, Dresler T, Zipfel S, Giel KE. Emotion regulation model in binge eating disorder and obesity– a systematic review. Neurosci Biobehav Rev. 2015; (49):125–134.
Hemmingsson E, Johansson K, Reynisdottir S. Effects of childhood abuse on adult obesity: a systematic review and meta-analysis. Obes Rev. 2014; 15(11):882-893.
Grilo CM, Masheb RM. Childhood Psychological, Physical, and Sexual Maltreatment in Outpatients with Binge Eating Disorder: Frequency and Associations with Gender, Obesity, and Eating-Related Psychopathology. Obes Res, 2001; 9(5):320-325.
Williamson DF, Thompson TJ, Anda RF, Dietz WH, Felitti V. Body weight and obesity in adults and self-reported abuse in childhood. Int J Obes Relat Metab Disord, 2002; 26:1072-1075.
Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, Zule W. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl, 2003; 27(2):169-190.
Abrams M, Milisavljevic M, Soskic A. Childhoodabuse: Differential gender effects on mental health and sexuality. Sexologies, 2019; (28):89-96.
Noll JG, Zeller MH, Trickett PK, Putnam FW. Obesity Risk for Female Victims of Childhood Sexual Abuse: A Prospective Study. Pediatrics, 2007; 120(1):61-67.
Amianto F, Spalatro AV, Rainis M, Andriulli C, Lavagnino L, Abbate-Daga G, Fassino S. Childhood emotional abuse and neglect in obese patients with and without binge eating disorder: Personality and psychopathology correlates in adulthood. Psychiatry Res, 2018; (269):692-699.
Monteleone AM, Tzischinsky O, Cascino G, Alon S, Pellegrino F, Ruzzi V, Latzer Y. The connection between childhood maltreatment and eating disorder psychopathology: a network analysis study in people with bulimia nervosa and with binge eating disorder. Eat Weight Disord. 2021; https://doi.org/10.1007/s40519-021-01169-6
Feinson, MC, Hornik-Lurie T. Binge eating & childhood emotional abuse: A mediating role for anger. Appetite. 2016; (105):487-493.
Kent A, Waller G. Childhood Emotional Abuse and Eating Psychology. Clin Psychol Rev. 2000; 20(7):887-903.
Kong J, Martire LM, Liu Y, Almeida DM. Effects of Parental Childhood Abuse on Daily Stress Processes in Adulthood. J Interpers Violence. 2021; 36(19-20):9580-9599
Tchernof A, Despres J. Pathophysiology of human visceral obesity: an update. Physiol Rev. 2013; 93:359–404.
Fujioka K, Yan E, Wang HJ, Li Z. Evaluating preoperative weight loss, binge eating disorder, and sexual abuse history on Roux-en-Y gastric bypass outcome. Surg Obes Relat Dis. 2008; 4(2):137-43.
Mantzios M, Egan H, Hussain M, Keyte R, Bahia H. Mindfulness, self-compassion, and mindful eating in relation to fat and sugar consumption: an exploratory investigation. Eat Weight Disord. 2018; 23(6):833-840.
Pintado-Cucarella S, Rodríguez-Salgado P. Mindful eating and its relationship with body mass index
binge eating, anxiety and negative affect. Journal of Behavior, Health & Social Issues, 2016; 8(2):19-24.
Framson CK, Schenk JM, Littman AJ, Zeliadt S, Benitez D. Development and validation of the mindful eating questionnaire. J Am Dietetic Assoc, 2009; 109(8):1439-1444.
Moor K, Scott A, McIntosh W. Mindful Eating and Its Relationship to Body Mass Index and Physical Activity Among University Students. Mindfulness, 2012; 4(3). http://dx.doi.org/10.1007/s12671-012-0124-3
Warren JM, Smith N, Ashwell M. A structured literature review on the role of mindfulness, mindful eating and intuitive eating in changing eating behaviours: effectiveness and associated potential mechanisms. Nutr Res Rev. 2017; 30(2):272-283.
Adewumi O, Brantley C, Knol L. P14 Mindful Eating Scores Differ by Body Mass Index and Self-Reported Health Status among College Students. JNEB. 2020; 52(7):22.
Giannopoulou I, Kotopoulea-Nikolaidi M, Daskou S, Martyn K, Patel A. Mindfulness in Eating Is Inversely Related to Binge Eating and Mood Disturbances in University Students in Health-Related Disciplines. Nutrients, 2020; 12(2):396.
Faul F, Erdfelder E, Lang A, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; (39):175- 191.
Stice E, Telch CF, Rizvi SL. Development and validation of the Eating Disorder Diagnostic Scale: a brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychol Assess. 2000; 12(2):123-131.
Garrusi B, Nakhaee N. Validity and Reliability of a Persian Version of the Childhood Trauma Questionnaire. Psychol Rep. 2009; 104(2):509-516.
Kline RB. Principles and practice of structural equation modeling. Guilford publications. 2015.
Kendall-Tackett K. The health effects of childhood abuse: four pathways by which abuse can influence health. Child Abuse Negl. 2002; 26(6-7):715-2