Eating Disturbance and Incest

Wonderlich, Stephen A.; Donaldson, Mary Ann; Carson, David K.; Staton, Dennis; Gertz, Linda M.; Leach, Laurie; Johnson, Maureen

doi:10.1177/088626096011002004

Cited by 21 publications

(20 citation statements)

References 22 publications

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“…In another recent study that supports the present findings (Wonderlich, Donaldson, Carson, Staton, Gertz, Leach & Johnson, 1993) incest victims displayed pervasive evidence of behavioral and emotional dysregulation. In this study incest victims were much more likely than treatment controls to make suicide gestures, mutilate themselves, and to shoplift.…”

Section: Discussionsupporting

confidence: 91%

Clinical characteristics of eating disorder patients who report sexual or physical Abuse

Fullerton

Wonderlich

Gosnell

1995

Int. J. Eat. Disord.

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At initial contact in an eating disorders clinic, 712 female eating disorder patients were asked if they had been physically or sexually abused as children. They also completed a Beck Depression Inventory (BDI) and an Eating Disorders Inventory (EDI). Their eating disorder symptom frequency and severity was determined. They were asked if they had alcohol problems, had attempted suicide, or had shoplifting problems. Twenty‐nine percent reported sexual abuse. Twenty‐five percent reported physical abuse. There was no correlation between reports of abuse and symptom frequency or severity. The abused subjects were more depressed on the BDI and showed more psychological disturbance on the EDI. Abused subjects were much more likely than nonabused subjects to report alcohol problems, suicide attempts, or shoplifting. © 1995 by John Wiley & Sons, Inc.

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Section: Discussionsupporting

confidence: 91%

Clinical characteristics of eating disorder patients who report sexual or physical Abuse

Fullerton

Wonderlich

Gosnell

1995

Int. J. Eat. Disord.

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“…It may also be that psychological abuse among our subjects tended to be much more chronic and insidious than other abuse forms. An investigation beginning with a sample selected for abuse status rather than eating disorder status (e.g., Wonderlich et al, 1992) might yield important relationships between eating disturbance, sexual and physical abuse, and personality disorder that did not appear in our investigation.…”

Section: Discussionmentioning

confidence: 85%

Childhood sexual, physical, and psychological abuse and their relationship to comorbid psychopathology in bulimia nervosa

Rorty

Yager

Rossotto

1994

Int. J. Eat. Disord.

120

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We examined the relationship between childhood sexual, physical, psychological, and “multiple” abuse (i.e., abuse in more than one form) and comorbid Axis I and personality psychopathology among women with a lifetime history of bulimia nervosa (BN group; n = 80) and a control group of noneating‐disordered women (n = 40). Subjects were recruited primarily by newspaper advertisement. They participated in structured clinical interviews for diagnosis of Axis I and personality pathology, and they completed child abuse questionnaires in the interview setting. At odds with prediction, child abuse in various forms was not associated with the presence of lifetime comorbid Axis I disorders in general (i.e., 1 or more) or disorder classes in particular (mood, alcohol/substance use, anxiety) among BN subjects, although sexual, psychological, and multiple abuse were associated with the diagnosis of a higher total number of Axis I conditions. A history of psychological and multiple abuse (but not physical or sexual abuse alone) among BN subjects was strongly associated with the presence of personality disorder diagnoses, especially those in the “anxious‐fearful” cluster (Cluster C). Finally, we found that when a personality disorder was present in addition to the Axis I conditions in question, significant relationships emerged between abuse and Axis I pathology, particularly for psychological and multiple abuse. In general, control group findings were in accord with BN group findings, indicating that our findings were not specific to eating‐disordered women. Our results suggest that childhood abuse, particularly psychological abuse and abuse in multiple forms, increase the likelihood of lifetime comorbid Axis I disorders and personality pathology among bulimic patients. Eating‐disordered women with a history of child abuse may thus represent a subgroup of patients requiring especially intensive intervention. © 1994 by John Wiley & Sons, Inc.

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“…An increasing number of empirical studies, using both adult (Bushnell, Wells, & Oakley-Brown, 1992;Dansky, Brewerton, Kilpatrick, & O'Neil, 1997;Garfinkel et al, 1995;Pribor & Dinwiddie, 1992;Steiger & Zankow, 1990;Wonderlich, Donaldson, et al, 1996;Wonderlich, Wilsnack, Wilsnack, & Harris, 1996) and child (Brewerton, Ralston, & Hand, 1998;Wonderlich et al, in press) samples, suggest that a history of child sexual abuse is associated with disturbances in eating. Some studies have failed to find a link between sexual abuse and eating disorders.…”

Section: Introductionmentioning

confidence: 99%