Sexual abuse and bulimia: Response to inpatient treatment and preliminary outcome

Anderson, Kimberly P; LaPorte, David J.; Brandt, Harry; Crawford, Steven

doi:10.1016/s0022-3956(97)00026-5

Cited by 28 publications

(36 citation statements)

References 32 publications

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“…There are few other studies focusing on this subset of patients. Anderson, LaPorte, Brandt and Crawford (1997) found that for a series of 74 severely ill patients, not including AN restrictive subtype, with an average age of 27 years, 16% were in remission 3 months after hospital discharge. No long-term outcome is reported, but the results are comparable with the remission rate of 14% in our study at the 2-year followup.…”

Section: Discussionmentioning

confidence: 96%

Adults with chronic eating disorders. Two-year follow-up after inpatient treatment

Rø¹,

Martinsen²,

Hoffart³

et al. 2005

Eur. Eat. Disorders Rev.

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Objective: The aims of this prospective study were (1) to report on the 2-year outcome of chronically ill adult eating disorder patients, (2) to investigate whether a specialized inpatient treatment might influence the course of the illness, and (3) to search for prognostic factors. Method: Seventy-two patients were treated in a 4-5-month specialized group treatment programme for chronically ill adults with eating disorders. Sixty-five (90%) with mean age of 30 years were available for the follow-up assessment. Results: Forty-six (71%) patients had improved at the 2-year follow-up and 17 (26%) did not meet diagnostic criteria for an eating disorder. The symptom reductions per time were statistically significantly larger during the inpatient period compared to the waiting-list and follow-up periods. No significant predictors of treatment outcome were found. Patients with avoidant personality disorder had a higher level of distress at all times, but improved at the same rate as the others. Conclusion: At the 2-year follow-up, there were substantial reductions in eating disorder symptoms and general psychiatric symptoms. Most of the improvement occurred during inpatient treatment, which might be an option for chronic eating disorders.

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Section: Discussionmentioning

confidence: 96%

Adults with chronic eating disorders. Two-year follow-up after inpatient treatment

Rø¹,

Martinsen²,

Hoffart³

et al. 2005

Eur. Eat. Disorders Rev.

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“…Anderson et al (1997) found that bulimia nervosa patients with a history of sexual abuse demonstrated lower rates of abstinence from binge eating and purging behaviors at the end of treatment as compared with patients without a history of abuse. In addition, a significantly greater proportion of abused patients relapsed during the first three months after completing treatment.…”

Section: Introductionmentioning

confidence: 94%

“…Two studies found that a history of sexual abuse predicted the presence of self-injurious behavior in patients with eating disorders (Favaro & Santonastaso, 2000;Nagata, Kiriike, Iketani, Kawarada, & Tanaka, 1999). Anderson, LaPorte, Brandt, and Crawford (1997) found that eating disorder patients with a history of sexual abuse reported higher levels of depression and anxiety as compared with patients without an abuse history. Two studies found an association between a sexual abuse history and obsessive-compulsive symptoms, particularly ritualistic cleaning behavior (Lockwood, Lawson, & Waller, 2005).…”

Section: Introductionmentioning

confidence: 99%

The impact of childhood sexual abuse in anorexia nervosa

Carter

Bewell

Blackmore

et al. 2006

Child Abuse & Neglect

132

128

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Objective: The aim of this study was to examine the impact of childhood sexual abuse (CSA) on clinical characteristics and premature termination of treatment in anorexia nervosa (AN). Method: The participants were 77 consecutive patients with AN admitted to an inpatient eating disorders unit. The patients were assessed in terms of eating disorder symptoms, general psychopathology, and CSA history at admission to hospital. Results: Thirty-seven patients (48%) reported a history of CSA before the onset of the eating disorder. Individuals with a history of CSA reported significantly greater psychiatric comorbidity, including higher levels of depression and anxiety, lower self-esteem, more interpersonal problems, and more severe obsessive-compulsive symptoms. Patients with the binge-purge subtype of AN (AN-BP) were significantly more likely to report a history of CSA prior to the onset of the eating disorder as compared with patients with the restricting subtype (AN-R) of the illness (65% of the AN-BP patients vs. 37% of the AN-R patients; p < .02). Contrary to our predictions, abused patients were not significantly more likely to dropout of treatment overall. However, patients of the binge-purge subtype (AN-BP) with a history of CSA were significantly more likely to terminate treatment prematurely as compared with the other patients. Carter et al. / Child Abuse & Neglect 30 (2006) [257][258][259][260][261][262][263][264][265][266][267][268][269] Conclusions: Consistent with previous findings, the present results indicate that the prevalence of CSA is high among individuals seeking inpatient treatment for AN. A history of CSA was associated with greater psychiatric disturbance overall and a higher rate of dropout for patients of the binge-purge subtype.

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“…In terms of comorbidity, eating disorder patients in clinical samples who have experienced CSA have higher rates of disorders that are characterized by poor impulse control (Favaro & Santonastaso, 1997;Folsom et al, 1993;Sullivan et al, 1995;Waller, 1991Waller, , 1993. With respect to treatment outcome, Anderson, LaPorte, Brandt, and Crawford (1997) found that BN patients who experienced CSA initially improved as much as those without CSA. However, they were less likely to achieve complete abstinence from bulimic behaviors and they were more likely to relapse.…”

Section: Introductionmentioning

confidence: 99%

Child sexual abuse and later disordered eating: A New Zealand epidemiological study

Romans

Gendall

Martin

et al. 2001

Intl J Eating Disorders

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Sexual abuse and bulimia: Response to inpatient treatment and preliminary outcome

Cited by 28 publications

References 32 publications

Adults with chronic eating disorders. Two-year follow-up after inpatient treatment

Adults with chronic eating disorders. Two-year follow-up after inpatient treatment

The impact of childhood sexual abuse in anorexia nervosa

Child sexual abuse and later disordered eating: A New Zealand epidemiological study

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