The extant literature indicates negative self-perceptions are a risk
factor for disordered eating (DE) and DE is a risk factor for overweight and
obesity. While childhood emotional abuse (EA) is often linked to DE and obesity,
it is typically not included in comprehensive models of these health problems.
Further investigation of interactions among EA, self-perception, and DE is
needed to refine treatments for overweight, obesity, and DE. This study
evaluated a model of DE and weight difficulties in which negative
self-perception mediate the relationship between EA and DE, and DE predicts body
mass index (BMI) in a population of emerging adults. Further, this study
investigated the utility of history of EA for prediction of DE and
classification of individuals with and without DE. Self-report questionnaires on
childhood trauma, psychopathology, and eating behaviors were administered to 598
undergraduate students. Latent variable analysis confirmed the hypothesized
model. Recursive partitioning determined that individuals reporting a high level
of EA likely meet criteria for night eating syndrome (NES) or binge eating
disorder (BED), and history of EA has a moderate to high level of specificity as
a predictor of BED and NES. These findings confirm the necessity of evaluating
EA and DE in emerging adults with weight difficulties, and the importance of
assessing self-perception and DE in individuals with a history of EA. Future
studies should investigate the utility of addressing EA and self-perception in
interventions for DE and obesity and to determine whether these findings can be
generalized to a clinical population.