title: History of sexual abuse and obesity treatment outcome.
abstract: In this study, clinical data from 22 obese women who reported a history of sexual abuse were compared to clinical data from 22 obese women who denied a history of sexual abuse. Subjects were matched for body mass index (BMI), sex, and age. All subjects were enrolled in a multidisciplinary outpatient hospital-based very-low-calorie diet (VLCD) weight-management program. Subjects completed a structured clinical interview, the Beck Depression Inventory (BDI), and the Weight Efficacy Life-Style Questionnaire (WEL). Subjects with a history of sexual abuse lost significantly less weight and reported more episodes of nonadherence. Possible explanations for these findings include both psychiatric distress and low weight self-efficacy. The difference between the groups in self-efficacy was greatest in situations involving negative affect or physical discomfort.
authors.affiliation: Brown University School of Medicine, Providence, RI, USA.
authors.forename: T K
authors.initials: TK
authors.lastname: King
authors.forename: M M
authors.initials: MM
authors.lastname: Clark
authors.forename: V
authors.initials: V
authors.lastname: Pera
mesh_terms: D000328:Adult; D015992:Body Mass Index; D016009:Chi-Square Distribution; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D004032:Diet; D002149:Energy Intake; D005260:Female; D006801:Humans; D009765:Obesity / Q000523:psychology* / Q000628:therapy*; D010349:Patient Compliance; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D015431:Weight Loss