TY - JOUR PY - 1999// TI - Sexual abuse in eating disorder subtypes and control women: the role of comorbid substance dependence in bulimia nervosa JO - International journal of eating disorders A1 - Deep, A. L. A1 - Lilenfeld, L. R. A1 - Plotnicov, K. H. A1 - Pollice, C. A1 - Kaye, W. H. SP - 1 EP - 10 VL - 25 IS - 1 N2 - 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.
Language: en
LA - en SN - 0276-3478 UR - http://dx.doi.org/ ID - ref1 ER -