The impact of childhood sexual abuse in anorexia nervosa

Carter, Jacqueline C.; Bewell, Carmen; Blackmore, Elizabeth; Woodside, D. Blake

doi:10.1016/j.chiabu.2005.09.004

Cited by 132 publications

(142 citation statements)

References 50 publications

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“…51,52 Childhood sexual abuse may be more highly associated with symptoms of bulimia, such as binging and purging, because these behaviors can represent an attempt to regulate negative internal states, such as depression or anxiety, that can be the result of a history of childhood abuse. 51,53 Prior studies have suggested that values and norms in the gay male community place a heightened focus on physical appearance to which men may feel pressured to conform, thereby increasing the risk for eating disorders in this population. 5,54 While there might be validity to this explanation, our findings suggest that a history of childhood sexual abuse might also be an important factor in understanding what might place gay and bisexual men at risk for developing an eating disorder.…”

Section: Resultsmentioning

confidence: 99%

Childhood abuse and eating disorders in gay and bisexual men

Feldman¹,

Meyer

2007

Intl J Eating Disorders

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Objective-This study examines the association between eating disorders and a history of childhood abuse in gay and bisexual men, and how substance abuse and depression might impact this relationship.Method-193 white, black, Latino gay, and bisexual men were sampled from community venues. DSM-IV diagnoses of anorexia, bulimia, and binge eating disorder were assessed using the World Health Organization's Composite International Diagnostic Interview.Results-Men with a history of childhood sexual abuse are significantly more likely to have subclinical bulimia or any current full-syndrome or subclinical eating disorder compared with men who do not have a history of childhood sexual abuse. A history of depression and/or substance use disorders did not mediate this relationship. Conclusion-Researchersshould study other potential explanations of the relationship between a history of childhood abuse and eating disorders in gay and bisexual men. Clinicians working with gay and bisexual men who have a history of childhood abuse should assess for disordered eating as a potential mechanism to cope with the emotional sequelae associated with abuse.

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Section: Resultsmentioning

confidence: 99%

Childhood abuse and eating disorders in gay and bisexual men

Feldman¹,

Meyer

2007

Intl J Eating Disorders

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“…Posteriormente, outros trabalhos com achados negativos para tal associação deixaram menos claro qual o impacto do ASI para a anorexia nervosa 14 . Este estudo reforça, portanto, o papel do ASI como fator de risco, alinhando-se com a hipótese de que o ASI seria relevante também para a anorexia nervosa 15 , e não apenas para a bulimia nervosa, como vinha sendo descrito 13 .…”

Section: Discussionunclassified

“…Por outro lado, encontrou-se história de abuso sexual infantil antecedendo o início dos sintomas em aproximadamente 48% dos pacientes com anorexia nervosa. Além disso, mostrou-se também que a maior parte desses indivíduos encontrava-se no subtipo purgativo da doença, em vez do subtipo restritivo, denotando maior grau de psicopatologia no grupo mais afetado 15 . Uma explicação plausível é que comportamentos de purgação possam ajudar a modular estados internos negativos, que se assemelham aos efeitos emocionais do abuso 15 .…”

Section: Introductionunclassified

“…Essas grandes divergências de resultados nos trabalhos de abuso sexual infantil e anorexia nervosa são explicadas por diferenças nas amostras, na metodologia ou mesmo na definição de abuso que cada pesquisador procurou 15 , o que acaba por prejudicar a interpretação e a comparação dos achados. Tais considerações metodológicas já haviam sido alertadas quando se apontou que o modo como as informações de abuso sexual na infância são coletadas é um ponto de extrema importância e impacto para a evolução do estudo.…”

Section: Introductionunclassified

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Estudo de caso controle para avaliar o impacto do abuso sexual infantil nos transtornos alimentares

Paraventi¹,

Claudino²,

Morgan³

et al. 2011

Rev. psiquiatr. clín.

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ResumoContexto: O objetivo deste estudo foi investigar se antecedente de abuso sexual na infância (ASI) está associado com transtornos alimentares na vida adulta. Mé-todos: Realizou-se um estudo de caso controle (N = 120) comparando mulheres com transtornos alimentares tratadas em ambulatório universitário especializado com um grupo controle de pacientes de clínica não psiquiátrica (ambulatório de oftalmologia). Resultados: Este estudo encontrou maior prevalência de ASI na anorexia nervosa (AN) comparada ao grupo controle (50% versus 14,8%; OR = 5,8 IC 95% = 1,3-25,6; p < 0,05), entretanto não identificou diferença estatística entre os grupos comparando com casos de bulimia nervosa (BN) (26,7% versus 27% no grupo controle; OR = 0,99; IC 95% = 0,24-4,1) e com transtorno de compulsão alimentar periódica (TCAP), apesar da maior prevalência de ASI observada neste último em relação ao grupo controle (43,7% versus 27,3%; OR = 2,1 IC 95% = 0,5-8,1). Considerando-se a presença de dois ou mais episódios de ASI, observou-se também maior prevalência em AN (35,7% versus 3,7% nos controles; OR = 14,4 IC 95% = 1,5-140,8; p < 0,05). Conclusão: Este estudo mostrou forte associação da anorexia nervosa com antecedentes de abuso sexual na infância. F, et al. / Rev Psiq Clín. 2011;38(6):222-6 Palavras-chave: Abuso sexual, anorexia, bulimia, transtorno de compulsão alimentar periódica, caso controle. Paraventi AbstractBackground: The aim of this study is to evaluate if exposure to childhood sexual abuse (CSA) is related with eating disorders in adult life. Methods: A case-control study was performed comparing women with diagnoses of eating disorders -from PROATA (acronym in Portuguese meaning Eating Disorders Program) of Federal University of São Paulo -and non-psychiatric clinic patients as control group at Ophthalmology Centre. Results: The prevalence of CSA for bingeeating disorder was 43.7%, whilst in the control group it was 27.3% (OR = 2.1; CI 95% = 0.5-8.1). The prevalence of CSA for bulimia nervosa was 26.7% and, 27% in control group (OR = 0.99; CI 95% = 0.24-4.1). The prevalence of CSA in anorexia nervosa was 50%, whilst in control group it was 14.8% (OR = 5.8; CI 95% = 1.3-25.6; p < 0.05). Taking into account only the history of two or more CSA episodes, those patients with anorexia nervosa had 35.7% CSA prevalence, and 3.7% in control group (OR = 14.4; CI 95% = 1.5-140.8; p < 0.05). Conclusion: This study has shown a strong association between anorexia nervosa and childhood sexual abuse.

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“…Previous research investigating IPV among women with ED at other life points (not during the perinatal period) has been criticized for inadequately controlling for other factors that may influence the association between ED and IPV, particularly history of sexual abuse 11. Childhood sexual abuse has been associated with both ED19, 20, 21 and IPV in adulthood (revictimization) 22, 23. It is possible that the relationship between ED and IPV during and after the perinatal period may be partly due to the high levels of childhood sexual abuse among women with ED,11 or other factors associated with the pregnancy itself.…”

Section: Introductionmentioning

confidence: 99%

Intimate partner violence among women with eating disorders during the perinatal period

Kothari¹,

Easter²,

Lewis³

et al. 2015

Intl J Eating Disorders

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Objective Prevalence of intimate partner violence (IPV) during pregnancy is estimated to be 4%–8%. Women with mental health difficulties are at increased risk for IPV during the perinatal period. Prevalence of IPV is high among women with eating disorders (ED); however, prevalence of IPV during the perinatal period among women with ED is unknown.Method We studied women from a population‐based cohort, the Avon Longitudinal Study of Parents and Children. Prevalence and odds of physical and emotional IPV during and after the perinatal period was investigated among women with lifetime ED, with (n = 174) or without pregnancy shape and weight concern and/or purging behaviors (n = 189), and women with no ED (n = 8723).Results Women with lifetime ED showed higher prevalence of IPV during and after the perinatal period (physical = 9.6%–14.3% and emotional = 24.1%–28.1%). Lifetime ED was associated with higher odds of physical IPV during the perinatal period (odds ratio: 2.34, 95% confidence interval: 1.11–4.93, p = .03). Lifetime ED with and without pregnancy shape and weight concerns and/or purging was associated with higher odds of IPV after the perinatal period, and higher odds of reporting emotional IPV at all time points. Associations were moderated by partner's response to pregnancy and maternal experience of childhood sexual abuse.Discussion Mothers with ED and their children may be vulnerable to negative effects due to maternal ED and IPV combined, both of which have been associated with severe and long‐lasting harmful consequences. Partner's response to pregnancy and maternal experience of childhood sexual abuse might contribute to the association between ED and IPV perinatally. © 2015 The Authors. International Journal of Eating Disorders published by Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:727–735)

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The impact of childhood sexual abuse in anorexia nervosa

Cited by 132 publications

References 50 publications

Childhood abuse and eating disorders in gay and bisexual men

Childhood abuse and eating disorders in gay and bisexual men

Estudo de caso controle para avaliar o impacto do abuso sexual infantil nos transtornos alimentares

Intimate partner violence among women with eating disorders during the perinatal period

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