The current study examined the process by which attachment influences dissociation in the presence of sexual trauma history. Sixty-two female individuals completed measures of attachment, trauma, and dissociation as a part of the intake assessment process the first week of their admission to a partial hospitalization program for treatment of an eating disorder. These archival data (2006 – 2013) were hand scored and coded by the researcher to ensure consistency across measures. Multiple mediations in parallel and moderated mediations in parallel were run using Hayes’ (2012) bootstrapping PROCESS macros. Consistent with predictions derived from the literature, sexual trauma significantly predicted insecure attachment, although secure attachment was significantly negatively predicted by sexual trauma. Indirect effects of sexual trauma on dissociative pathology through insecure and secure attachment styles were not significant for participants. These findings may be useful in the application of trauma-focused work for eating disorder diagnoses.
School of Behavioral Health
Boyd, Kendal C.
Mar, Jeffrey N.
Doctor of Psychology (PsyD)
Year Degree Awarded
Date (Title Page)
Library of Congress/MESH Subject Headings
Eating Disorders - Treatment; Eating Disorders - Psychology; Dissociative Disorders;
Subject - Local
Sexual Trauma, Dissociation, Eating Disorders, Attachment, Dissociative Pathology, Sexual Abuse
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Rivinius, Kelly Cauley, "Sexual Trauma, Attachment, and Dissociation in Eating Disorder Populations" (2013). Loma Linda University Electronic Theses, Dissertations & Projects. 149.
Loma Linda University Electronic Theses & Dissertations
Loma Linda University. Del E. Webb Memorial Library. University Archives