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The Significance of a History of Childhood Sexual Abuse in Bulimia Nervosa

Published online by Cambridge University Press:  02 January 2018

Patrick F. Sullivan ,
Cynthia M. Bulik ,
Frances A. Carter  and
Peter R. Joyce
Patrick F. Sullivan*
Affiliation:
University Department of Psychological Medicine, Christchurch School of Medicine
Cynthia M. Bulik
Affiliation:
Department of Psychology, University of Canterbury, Christchurch, New Zealand
Frances A. Carter
Affiliation:
Department of Psychology, University of Canterbury, Christchurch, New Zealand
Peter R. Joyce
Affiliation:
University Department of Psychological Medicine, Christchurch School of Medicine
*
Dr Sullivan, University Department of Psychological Medicine, Christchurch School of Medicine, PO Box 4345, Christchurch, New Zealand
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Abstract

Background

Childhood sexual abuse (CSA) is found to have occurred to a substantial minority of women with bulimia nervosa. Its clinical significance is unclear.

Method

We studied 87 bulimic women in a clinical trial. Structured interviews determined the presence of CSA, DSM–III–R disorders, global functioning, and depressive and bulimic symptoms.

Results

Forty-four per cent reported a history of CSA. Bulimic women with CSA reported earlier onset of bulimia, greater depressive symptoms, worse global functioning and more suicide attempts, and were more likely to meet criteria for bipolar II disorder, alcohol and drug dependence, conduct disorder and avoidant personality disorder.

Conclusions

Although those with CSA had greater comorbidity, it was not an important modifier of bulimic symptoms.

Type
Papers
Information
The British Journal of Psychiatry , Volume 167 , Issue 5 , November 1995 , pp. 679 - 682
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Bushnell, J. A., Wells, J. E. & Oakley-Browne, M. A. (1992) Long-term effects of intrafamilial sexual abuse in childhood. Acta Psychiatrica Scandinavica, 85, 136–142.CrossRefGoogle ScholarPubMed
Hamilton, M. (1960) A rating scale for measuring depression. Journal of Neurological and Neurosurgical Psychiatry, 23, 56–62.Google Scholar
McClelland, L., Mynors-Wallis, L. & Treasure, J. (1991) Sexual abuse, disordered personality and eating disorders. British Journal of Psychiatry, 158, 63–68.Google Scholar
Mulder, R. T., Joyce, P. R. & Cloninger, C. R. (1994) Temperament and early environment influence comorbidity and personality disorders in major depression. Comprehensive Psychiatry, 35, 225–233.Google Scholar
Mullen, P. E., Martin, J. L., Anderson, J. C., et al (1993) Childhood sexual abuse and mental health in adult life. British Journal of Psychiatry, 163, 721–732.Google Scholar
Pope, H. & Hudson, J. (1992) Is childhood sexual abuse a risk factor for bulimia nervosa? American Journal of Psychiatry, 149, 455–463.Google ScholarPubMed
Spitzer, R., Williams, J. & Gibbon, M. (1987) Structured Clinical Interview for DSM–III–R. Personality Disorders (SCID-II, 3/1/87). New York, NY: Biometrics Research Department, New York State Psychiatric Institute.Google Scholar
Spitzer, R., Williams, J. & Gibbon, M., et al (1992) The structured clinical interview for DSM–III–R (SCID) I: history, rationale, and description. Archives of General Psychiatry, 49, 624–629.CrossRefGoogle ScholarPubMed
Steiger, H. & Zanko, M. (1990) Sexual traumata among eating disordered, psychiatric and normal female groups. Journal of Interpersonal Violence, 5, 74–86.Google Scholar
Waller, G. (1992) Sexual abuse and the severity of bulimic symptoms. British Journal of Psychiatry, 161, 90–93.Google Scholar
Waller, G. (1993) Sexual abuse and eating disorders. Borderline personality disorder as a mediating factor. British Journal of Psychiatry, 162, 771–775.CrossRefGoogle ScholarPubMed
Welch, S. & Fairburn, C. (1994) Sexual abuse and bulimia nervosa: Three integrated case control comparisons. American Journal of Psychiatry, 151, 402–407.Google Scholar
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