The involvement of psychosexual factors in the causation of eating disorders: Time for a reappraisal

Scott, Derek Anthony

doi:10.1002/1098-108x(198703)6:2<199::aid-eat2260060205>3.0.co;2-w

Cited by 22 publications

(8 citation statements)

References 34 publications

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“…In addition to the findings discussed, some researchers have been unable to reveal any sex role orientation or sex role ideology differences between women with and without eating disorders (Beren & Chrisler, 1990;Scott, 1987;Xinaris & Boland, 1989). Others have argued that any type of gender-role typing (whether masculine or feminine) is related to eating disorder (Thornton et al, 1991).…”

Section: Discussionmentioning

confidence: 94%

“…Femininity has been found to receive higher endorsement among women with bulimia than among women with no eating disorders (Holleran, Pascale, & Fraley, 1988;Scott, 1987;Szymanski & Chrisler, 1990). Some researchers have therefore concluded that hyperfemininity is a trait among women with eating disorders (Steiger, Fraenkel, & Leichner, 1989).…”

Section: Femininitymentioning

confidence: 99%

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Sex Role Conflict, Social Desirability, and Eating-Disorder Attitudes and Behaviors

Johnson

Brems

Fischer

1996

The Journal of General Psychology

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The relationship of conflict between sex role ideology and sex role orientation with eating-disorder behaviors and attitudes was examined. American participants were 321 female college students who completed the Bem Sex Role Inventory (Bem, 1974), Sex Role Ideology Scale (Kalin & Tilby, 1978), and Eating Disorders Inventory (EDI; Garner, Olmsted, & Polivy, 1983). The results indicated that conflict between ideology and self-perception had little effect on responses to the Inventory. Instead, students with higher levels of self-rated social desirability and lower levels of masculinity reported higher prevalence of eating-disorder behaviors and attitudes. Analyses of sex role orientation data revealed that participants categorized as undifferentiated had the most pathological responses to the EDI. Overall, the results suggested that social desirability and masculinity, more than sex role orientation or conflict, are strongly related to eating-disorder behavior, perhaps because of a third mediating factor.

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Section: Discussionmentioning

confidence: 94%

Section: Femininitymentioning

confidence: 99%

Sex Role Conflict, Social Desirability, and Eating-Disorder Attitudes and Behaviors

Johnson

Brems

Fischer

1996

The Journal of General Psychology

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“…However, other papers have taken issue with this and claim there is a variety or little' evidence for disturbed psychosexual function in eating-disordered. patients (20,21). Part of this confusion may stem from a failure to distinguish between patients with anorexia nervosa and those with bulimia nervosa.…”

Section: Sexualitymentioning

confidence: 99%

Reproductive Functions in Eating Disorders

Stewart

1992

Annals of Medicine

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This article reviews current knowledge about the effects of anorexia nervosa, bulimia nervosa and partial syndromes on ovulation, menstruation, sexuality, fertility, pregnancy and fetal-infant health. Eating disorders may result in failure to ovulate, oligomenorrhea, amenorrhea, reduced sex drive, infertility, hyperemesis gravidarum, low maternal weight gain in pregnancy, small babies for gestational date, low birth weight infants, increased neonatal morbidity and problems in infant feeding. The available information suggests that clinicians should inquire about nutritional intake, a history of eating disorders and weight reducing behaviours as part of the routine assessment of patients with the disorders of reproductive function listed above. If an eating disorder is discovered before conception, the woman should be encouraged to delay pregnancy until the eating disorder is treated and effectively under control. If the woman is pregnant, early diagnosis and treatment are essential to reduce maternal and fetal complications. The infants of eating-disordered women should be carefully followed to ensure adequate nutritional intake. Problems in reproductive function related to eating disorders offer rich opportunities for multispecialty collaboration in primary and secondary prevention programmes directed toward both mother and infant.

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“…Russell (1979) and Garfinkel and Garner (1982) stated that bulimics were more sexually active and experienced than restricting anorexics. Scott (1987) concluded that many beliefs as noted above find little basis in the few empirical studies done to date.…”

mentioning

confidence: 98%

Sexual functioning of female eating-disordered patients

Rothschild

Fagan²,

Woodall

et al. 1991

Int. J. Eat. Disord.

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Many theories about relating eating disorders with sexual development and experience have been proposed. The authors employed a normed psychometric instrument, the Derogatis Sexual Functioning Inventory (DSFI), to study empirically sexual characteristics of subtypes of eating‐disordered patients. Forty‐four female inpatients were divided into three subcategories; restricting anorexics (AR), bulimic anorexics (AB), and subjects exhibiting bulimia nervosa (BN). Starved anorexics were first allowed to attain their goal weight range before participating in the study. The three groups did not differ demographically. Comparing the eating‐disordered group as a whole to the DSFI norms showed these patients to have quite poor sexual functioning and satisfaction. The “Sexual Functioning Index” representing the global DSFI score put these patients below the first percentile when compared to the normative sample. Nine out of the ten scales of the DSFI failed to show a significant difference between patient subgroups. Only the “fantasy” scale distinguished the AR subgroup with its paucity of sexual fantasy from the BN subgroup who were in the average range, with AB in between. These results are somewhat contrary to other studies comparing outpatient bulimics and anorexics and suggest that patients with eating disorders severe enough to warrant hospitalization represent a more homogenous group regarding their psychosexual characteristics.

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The involvement of psychosexual factors in the causation of eating disorders: Time for a reappraisal

Cited by 22 publications

References 34 publications

Sex Role Conflict, Social Desirability, and Eating-Disorder Attitudes and Behaviors

Sex Role Conflict, Social Desirability, and Eating-Disorder Attitudes and Behaviors

Reproductive Functions in Eating Disorders

Sexual functioning of female eating-disordered patients

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