边界受损、自我感和个人控制：成年女性肥胖与不良童年经历共存的终身轨迹
Impaired boundaries, sense of self, and personal control: the lifelong trajectory of co-occurring obesity and adverse childhood experiences for adult women.
摘要(中文译文)
为加深对成年女性肥胖与不良童年经历（ACEs）共存现象的理解，本研究采用定性现象学反思性生活世界研究（RLR）方法。研究对象为14名患有肥胖（BMI≥30）、年龄在18至64岁之间且至少经历过一种不良童年经历的女性。结果揭示了该现象的三种本质意义：无边界感的童年存在状态、在控制与失控之间徘徊，以及模糊或扭曲的自我感。六种相互交织的构成意义进一步阐释了该现象：肥胖作为对不良童年经历的存在性回应；与照护者共处的混乱且充满虐待的生存环境；被灌输进入食物滥用、体重担忧和身体关注的世界；他人批判性目光及其对自我的影响；承受肥胖及其他持续性健康状况的负担；以及成年后对如何挺过人生挑战的看法。这些女性在身体和自我价值方面的存在性挣扎，因不良童年经历的早期起源、由此带来的暴力与动荡，以及肥胖与不良童年经历共存所产生的终身影响而进一步加剧。本文提出了治疗女性肥胖与不良童年经历共存的新方法，并阐述了实践启示，包括建立肥胖与不良童年经历并行的管理策略，以期为在医疗保健机构中寻求帮助的女性实现更好的健康结局。
Abstract
To deepen the understanding of the phenomenon of co-occurring obesity and ACEs for adult women. A qualitative, phenomenological, Reflective Lifeworld Research (RLR) approach was used. Fourteen women living with obesity (BMI ≥ 30) who were between the ages of 18 and 64, and who had at least one ACE participated. The results revealed three essential meanings of the phenomenon: a boundaryless childhood existence, being in and out of control, and a vague or distorted sense of self. Six intertwined constituent meanings further elucidate the phenomenon: obesity as an existential response to ACEs; a chaotic, abusive existence with caregivers; indoctrination into the world of food misuse, weight concerns, and body focus; the critical gaze of others and its impact on the self; burdened with obesity and other persistent health conditions, and adult perspectives on surviving life's challenges. The women's existential struggles with their bodies and self-worth are compounded by the early genesis of ACEs, the violence and upheaval from ACEs, and the lifelong impact of co-occurring obesity and ACEs. Novel ways for treating co-occurring obesity and ACEs in women are presented. Implications for practice that include establishing concurrent obesity and ACEs management strategies to achieve better health outcomes for women seeking assistance in health care settings are included.
如何引用
AMA
Mary Christine Jared, Brian Koehler, Sally S Cohen. Impaired boundaries, sense of self, and personal control: the lifelong trajectory of co-occurring obesity and adverse childhood experiences for adult women.. International journal of qualitative studies on health and well-being. 2026; doi:10.1080/17482631.2026.2673595.
APA
Mary Christine Jared, Brian Koehler, Sally S Cohen (2026). Impaired boundaries, sense of self, and personal control: the lifelong trajectory of co-occurring obesity and adverse childhood experiences for adult women.. International journal of qualitative studies on health and well-being. https://doi.org/10.1080/17482631.2026.2673595
GB/T 7714
Mary Christine Jared, Brian Koehler, Sally S Cohen. Impaired boundaries, sense of self, and personal control: the lifelong trajectory of co-occurring obesity and adverse childhood experiences for adult women.[J]. International journal of qualitative studies on health and well-being, 2026 doi:10.1080/17482631.2026.2673595.
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