Trauma, binge eating, and the “strong Black woman”.

Ellen F. Harrington · Janis H. Crowther · Jillian C. Shipherd

177 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Racial and Ethnic Identity Research

Abstract

OBJECTIVE: The primary goal of this study was to test a culturally specific model of binge eating in African American female trauma survivors, investigating potential mechanisms through which trauma exposure and distress were related to binge eating symptomatology. METHOD: Participants were 179 African American female trauma survivors who completed questionnaires about traumatic experiences; emotional inhibition/regulation difficulties; self-silencing (prioritizing others' needs and adopting external self-evaluation standards); eating for psychological reasons; binge eating; and internalization of "Strong Black Woman" (SBW) ideology, an important cultural symbol emphasizing strength and self-sufficiency. RESULTS: Structural path analysis supported the proposed model in which SBW ideology, emotional inhibition/regulation difficulties, and eating for psychological reasons mediated the relationship between trauma exposure/distress and binge eating. The proposed model provided better fit to the data than several competing models. CONCLUSIONS: These findings suggest that among African American trauma survivors, trauma exposure and distress predict greater internalization of SBW ideology, which is associated with emotional inhibition/regulation difficulties, eating for psychological reasons, and ultimately binge eating. Implications of these findings for assessment, treatment, and prevention efforts are discussed.

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References

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2018Underneath the Mask of the Strong Black Woman Schema: Disentangling Influences of Strength and Self-Silencing on Depressive Symptoms among U.S. Black Women 2015“I Had To Be Strong”2017Strong Black Woman Schema and Psychological Distress: The Mediating Role of Perceived Emotional Support 2019The Misunderstood Schema of the Strong Black Woman: Exploring Its Mental Health Consequences and Coping Responses Among African American Women

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