Cited by 29Child Abuse and TraumaObesity, Physical Activity, DietEating Disorders and Behaviors

Adverse childhood experiences and obesity: Systematic review of behavioral interventions for women.

McDonnell, Cheryl J., Garbers, Samantha V.·2018·Psychological Trauma: Theory, Research, Practice, and Policy

Abstract

OBJECTIVE: Studies have demonstrated a relationship between adverse childhood experiences (ACEs) and adult obesity. Group interventions addressing the psychosocial sequelae of ACES using a trauma-informed approach for adults are well described in the literature. There is also a significant body of literature on the efficacy and proposed structure of interventions addressing weight reduction in adults. However, it is unknown how often interventions addressing attainment of a healthy weight incorporate a specific focus on adult women with a history of ACEs, including childhood abuse and trauma. METHOD: A systematic review of the literature was conducted using standard approaches. Two additional reviews used broadened inclusion criteria to identify and include group-level interventions that addressed intended outcomes other than obesity. Studies that examined the link between ACEs and obesity as a primary outcome and that provided a description of any potential mediating variables were also identified. The current literature search was conducted as the first step in a multifaceted approach to the development of a set of proposed research protocol designs for an Office on Women's Health-sponsored trauma-informed healthy weight pilot intervention for obese women with a history of ACEs. RESULTS: No articles describing interventions for the treatment of obesity or overweight women with a history of ACEs were identified. Eleven articles describing ACE-related interventions and 15 studies identifying mediators were reviewed. CONCLUSIONS: Intervention studies for women with ACEs, other than psychotherapy, are limited. Significant mediators to be considered include anxiety symptoms and internalizing behaviors. Specific recommendations for interventions are provided. (PsycINFO Database Record

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Crossref · 10.1037/tra0000313

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Authors
McDonnell, C. J., & Garbers, S. V.
Affiliations
  • CDM Group (United States) (US)
  • Columbia University (US)
Venue
Psychological Trauma: Theory, Research, Practice, and Policy
Published
2018-07
Volume
10
Issue
4
Pages
387-395
ISSN
  • 1942-9681 (ISSN-L)
  • 1942-969X
OpenAlex
W2740471498
Cited by
29
References
73
Citations by year
2024: 5 · 2023: 2 · 2022: 9 · 2021: 6 · 2020: 5 · 2019: 2
FWCI
2.37
Type
journal article
Language
en
Open access
closed
Locations
  • Psychological Trauma Theory Research Practice and Policy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
adverse childhood experiences, obesity, women, trauma-informed interventions, group intervention, childhood abuse, childhood trauma, weight loss, anxiety symptoms, internalizing problems, mediators
MeSH terms
Adult Survivors of Child Adverse Events, Female, Humans, Obesity

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