@article{ref1,
title="Sexual abuse in eating disorder subtypes and control women: the role of comorbid substance dependence in bulimia nervosa",
journal="International journal of eating disorders",
year="1999",
author="Deep, A. L. and Lilenfeld, L. R. and Plotnicov, K. H. and Pollice, C. and Kaye, W. H.",
volume="25",
number="1",
pages="1-10",
abstract="OBJECTIVE: The relationship between sexual abuse and eating disorders remains uncertain. Recent data have raised the possibility of differential rates of sexual abuse among subtypes of eating disorders. METHODS: We studied women with three subtypes of eating disorders: (1) 26 anorexia nervosa subjects (AN); (2) 20 bulimia nervosa subjects with comorbid substance dependence (BN + SDD); and (3) 27 bulimia nervosa subjects without substance dependence (BN - SDD). We compared women with these eating disorder subtypes to 44 control women (CW). Sexual abuse rates and diagnoses were assessed through direct structured interviews. RESULTS: We found an order effect for sexual abuse which was most common (65%) in BN + SDD subjects, followed by a rate of 37% in BN - SDD subjects and 23% in AN subjects. Subjects of all eating disorder subtypes had significantly higher rates of sexual abuse compared to a rate of 7% in CW subjects. DISCUSSION: Women with BN + SDD had the highest frequency and the most severe history of sexual abuse. However, the causal relationship between eating disorders and sexual abuse remains to be elucidated.<p /><p>Language: en</p>",
language="en",
issn="0276-3478",
doi="",
url="http://dx.doi.org/"
}