PMID: 9447567Feb 3, 1998Paper

Sexual abuse and bulimia: response to inpatient treatment and preliminary outcome

Journal of Psychiatric Research
K P AndersonS Crawford

Abstract

The purpose of this study was to explore the clinical impact of child sex abuse on bulimic patients. Specifically, differences in treatment response and preliminary treatment outcome between hospitalized bulimic patients with and without a reported history of sexual abuse were examined. The patients were evaluated for past history of alleged sexual abuse by investigator-based interview and ratings of severity of sexual abuse were made. Assessments of mood, eating disordered-related attitudes, and eating behaviors were conducted at the start of treatment, weekly during treatment, and three months post discharge. Sixty-one per cent (45) of the 74 patients enrolled in the study reported a history of child sexual abuse. The majority of such events constituted serious and very serious abuse by this study's criteria. The abused subjects exhibited higher levels of depression, anxiety, and eating disordered attitudes at each assessment point relative to nonabused subjects. In addition, abused subjects were more likely to be re-hospitalized in the 3 month post-discharge period. Significant differences in the extent of actual bulimic behaviors were not detected. Both the abused and nonabused bulimic patients demonstrated significant redu...Continue Reading

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Citations

Mar 29, 2002·The International Journal of Eating Disorders·Linda Smolak, Sarah K Murnen
Dec 29, 2000·Child Abuse & Neglect·K P AndersonS Crawford
Sep 25, 2004·Journal of Child Sexual Abuse·Mark J KrejciJames E Mitchelle
Apr 3, 2012·Scandinavian Journal of Caring Sciences·Sigrun SigurdardottirSóley S Bender
Mar 10, 2006·Child Abuse & Neglect·Jacqueline C CarterD Blake Woodside
Apr 4, 2001·The International Journal of Eating Disorders·S E RomansP E Mullen
Mar 5, 2021·European Eating Disorders Review : the Journal of the Eating Disorders Association·Vivienne M HazzardStephen A Wonderlich

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