Relationship of Childhood Sexual Abuse and Eating
Disorders
Stephen A. Wonderlich, Timothy D. Brewerton, Zeljko Jocic,
Bonnie S. Dansky, David W.Abbott
Abstract
Objective: To review the literature that has examined the
relationship between childhood sexual abuse and the eating disorders.
Method: Each of the five authors reviewed all identified empirical
studies to be certain that inclusion/exclusion criteria were met. Two teams of
raters then independently reviewed each study to determine whether it supported
any of a series of six hypotheses that had been tested in this literature.
Results: This review indicates that childhood sexual abuse is a
nonspecific risk factor for bulimia nervosa, particularly when there is
psychiatric comorbidity. There is some indication that childhood sexual abuse
is more strongly associated with bulimic disorders than restricting anorexia,
but it does not appear to be associated with severity of the disturbance.
Conclusions: Childhood sexual abuse is a risk factor for bulimia
nervosa with significant comorbidity. Further study of the nature of this
relationship is warranted.
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