Evidence consistently indicates associations between eating disorders (EDs) and childhood emotional, physical, and sexual abuse, but the relationship between EDs and abuse occurring later in development has largely been unexplored. Therefore, the objective of this study was to examine associations between past-year abuse and ED symptoms among college students. Participants represented 12 U.S. colleges and universities participating in the Healthy Bodies Study (HBS) between 2013 and 2015 (N = 10,204; M_age = 23.38 years). Students self-reported experiences of emotional, physical, and sexual abuse over the past year. Cognitive ED symptoms (i.e., dietary restraint, shape/weight overvaluation, body dissatisfaction) were measured via the Short-Eating Disorder Examination-Questionnaire (S-EDE-Q), and behavioral ED symptoms (i.e., binge eating, purging) were measured via items from the full EDE-Q. Regression models that adjusted for demographics and weight status were conducted to examine associations between past-year abuse and ED symptoms. Past-year emotional, physical, and sexual abuse each exhibited independent associations with ED symptoms. When mutually adjusting for emotional, physical, and sexual abuse, past-year emotional abuse was associated with higher levels of dietary restraint (b = 0.20, p = .02), shape/weight overvaluation (b = 0.85, p < .001), body dissatisfaction (b = 0.63, p < .001), binge eating (prevalence ratio [PR] = 1.23, p = .002), and purging (PR = 1.68, p < .001), and past-year sexual abuse was associated with shape/weight overvaluation (b = 0.35, p = .03) and purging (PR = 1.71, p = .009) but no other ED symptoms. No associations were observed for past-year physical abuse in mutually adjusted models. In summary, past-year emotional abuse emerged as a key correlate of all ED symptoms examined in this sample of U.S. college students, while past-year sexual abuse also emerged as a key correlate of shape/weight overvaluation and purging. Findings emphasize the need to screen for abuse and implement abuse prevention efforts on college campuses.

证据一致表明饮食失调 (ED) 与儿童期情感、身体和性虐待之间存在关联，但 ED 与发育后期发生的虐待之间的关系在很大程度上尚未被探索。因此，本研究的目的是调查大学生过去一年的虐待行为与 ED 症状之间的关联。参与者代表 2013 年至 2015 年间参与健康身体研究 (HBS) 的 12 所美国学院和大学（N = 10,204；M_年龄= 23.38 岁）。学生们自我报告了过去一年中遭受情感、身体和性虐待的经历。通过短食症检查问卷 (S-EDE-Q) 测量认知性 ED 症状（即饮食限制、体形/体重高估、身体不满意），并测量行为性 ED 症状（即暴饮暴食、清除）通过完整 EDE-Q 中的项目。根据人口统计数据和体重状况进行调整的回归模型被用来检查过去一年的虐待与 ED 症状之间的关联。去年的情感、身体和性虐待均与 ED 症状存在独立关联。当对情感、身体和性虐待进行相互调整时，过去一年的情感虐待与较高水平的饮食限制（b = 0.20，p = .02）、体型/体重高估（b = 0.85，p < .001）相关。 、身体不满意 ( b = 0.63, p < .001)、暴饮暴食 (患病率 [PR] = 1.23, p = .002) 和净化 (PR = 1.68, p < .001) 以及过去一年的性虐待与体形/体重高估 ( b = 0.35, p = .03) 和清除 (PR = 1.71, p = .009)相关，但没有其他 ED 症状。在相互调整的模型中没有观察到过去一年的身体虐待存在关联。总之，过去一年的情感虐待成为美国大学生样本中检查的所有 ED 症状的关键相关因素，而过去一年的性虐待也成为身材/体重高估和净化的关键相关因素。调查结果强调有必要在大学校园中筛查虐待行为并实施虐待预防工作。