Previous research suggests that dating, intimate partner, and sexual violence victimization throughout the life span are predictive of numerous adverse health outcomes including addictive behaviors, psychopathology, and physical health symptoms. Self-medication hypotheses posit that victims may drink heavily, use substances, or rely on food to cope with negative affect and psychological symptoms. We examined a self-medication hypothesis-driven model linking dating and sexual violence victimization with food addiction symptoms through their relationships with emotion regulation, impulsivity, and loss-of-control eating in a sample of 313 single, non-treatment-engaged, college student women aged 18–25 years old enrolled in a minority serving, urban university. Participants completed an online survey with measures of dating and sexual violence victimization since age 14 years, emotion regulation, impulsivity, loss-of-control eating, and food addiction symptoms. Seventy-nine percent of participants reported experiencing some form of intimate partner violence victimization. Using path analyses, we found some support for our model as well as significant, positive, direct pathways from victimization to loss-of-control eating and food addiction symptoms. Clinicians and policy makers should incorporate these findings into practice by honoring the experiences of past victimizations in current health behaviors and by utilizing trauma-informed care practices. To extend this study’s findings, researchers should examine the role of trauma-informed interventions targeting emotional regulation and impulsivity to decrease loss-of-control eating and food addiction symptoms.

先前的研究表明，一生中的约会、亲密伴侣和性暴力受害可以预测许多不利的健康结果，包括成瘾行为、精神病理学和身体健康症状。自我药疗假设假设受害者可能会大量饮酒、使用物质或依赖食物来应对负面情绪和心理症状。我们在 313 名未接受治疗的单身大学生样本中，研究了一种自我药疗假设驱动模型，该模型将约会和性暴力受害与食物成瘾症状联系起来，通过它们与情绪调节、冲动和饮食失控的关系18-25 岁的女学生就读于少数族裔服务的城市大学。参与者完成了一项在线调查，其中包括自 14 岁以来的约会和性暴力受害情况、情绪调节、冲动、饮食失控和食物成瘾症状。79% 的参与者报告称经历过某种形式的亲密伴侣暴力受害。使用路径分析，我们发现了对我们模型的一些支持，以及从受害到失控饮食和食物成瘾症状的重要、积极、直接的途径。临床医生和政策制定者应通过尊重过去在当前健康行为中受害的经历并利用创伤知情护理实践，将这些发现付诸实践。为了扩展这项研究的结果，