Sexual Abuse in Patients with Eating Disorder, Patients with Depression, and Normal Controls

1995 ◽  
Vol 167 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Christine M. Vize ◽  
Peter J. Cooper
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Psychiatric Patients ◽  
Self Report ◽  
High Rate ◽  
Clinical Samples ◽  
Control Group ◽  
History Of

BackgroundA history of sexual abuse has been widely reported in patients with eating disorders. However, the association does not appear to be specific, because a high rate of such abuse has also been found in other psychiatric patients.MethodA standardised interview method was used to elicit details of sexual abuse in a psychiatrically normal control group and samples of patients with anorexia nervosa, bulimia nervosa, or depression.ResultsAn equally high rate of abuse was found in all three clinical samples. Among the patients with anorexia nervosa the presence of bulimic episodes was not found to be associated with reports of abuse; and among the patients with bulimia nervosa there was no relationship between abuse and a history of anorexia nervosa. Among the patients with eating disorders, borderline personality disorder, assessed by means of self-report questionnaire, was not found to be related to reports of abuse, although there was an association between abuse and both indices of impulsive behaviour and the overall level of personality disturbance.ConclusionsChildhood sexual abuse appears to be a vulnerability factor for psychiatric disorder in general and not eating disorders in particular. The way in which abuse interacts with other aetiological factors to produce different psychopathological trajectories remains to be elucidated.

scholarly journals Perilaku Makan Menyimpang pada Remaja di Jakarta

2008 ◽  
Vol 2 (6) ◽  
pp. 255
Author(s):  
Trulyana Tantiani ◽  
Ahmad Syafiq
Keyword(s):  
Qualitative Research ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Quantitative Research ◽  
Past History ◽  
Self Report ◽  
Depth Interview ◽  
Life Style Changes ◽  
History Of

Salah satu transisi gaya hidup yang terjadi adalah perubahan perilaku makan yang paling berdampak pada kaum perempuan untuk terlihat cantik dengan berdiet berlebihan yang menjurus pada Perilaku Makan Menyimpang (PMM). Tujuan dari penelitian ini adalah mengetahui penyebab, mekanisme, dan proses terjadinya PMM dari persepsi penderita. Desain penelitian yang digunakan adalah kualitatif dan kuantitatif. Penelitian kualitatif dilakukan pada 3 informanyang pernah mengalami PMM. Penelitian kuantitatif, dilakukan pada 397 responden yang belum mengalami PMM. Waktu pengambilan data adalah bulan Mei-Juni 2007 dengan menggunakan metode wawancara mendalam untuk penelitian kualitatif dan wawancara terstruktur menggunakan kuesioner dari Sarafino dari Stice untuk penelitian kuantitatif. Studi kualitatif menemukan bahwa semua informan bermasalah dengan anggota keluarganya, terdapat pengaruh pola asuh keluarga yang cukup besar, memiliki citra tubuh dan konsep diri yang terdistorsi, dan berada di lingkungan yang tidak mendukung orang gemuk. Hasil penelitian kuantitatif menemukan prevalensi PMM yang terjadi di Jakarta dengan kuasioner Sarafino adalah 37,3% dan prevalensi anoreksianervosa dengan kuesioneri Stice adalah 11,6 % dan prevalensi kecenderungan bulimia nervosa adalah 27%.Kata kunci : Perilaku makan menyimpang, anoreksia nervosa, bulimia nervosaAbstractOne of the life style changes that occur recently is related to eating behavior that affect mostly women because of the desire to look beautiful with a thin and tall body. One way to achieve this figure is to strictly go on dieting which could lead to eating disorders. The objective of this research is to understand thecause, mechanism, and process of eating disorders. The methods in this research are both qualitative and quantitative. The subjects of the qualitative research are three persons who are willing to be the subject and have a past history of eating disorders. The quantitative subjects are 397 respondents thathave not been diagnosed with eating disorders. The research was held at May-June 2007. The information are gathered through in-depth interview for the qualitative research and by through self report questionnaire for the quantitative research. The result from qualitative research shows that all of the subjects have problems with their family, the parenting practice have a big influence in their life, they also have a distorted body image and poor self-concept, and they are living in an environment that have a negative behavior towards overweight problems. The quantitative research shows that using Sarafino questionnaire, there are 37.3% adolescents who have a tendency toward eating disorders. Using the Stice and Telch questionnaire, there are 11.6% adolescents that have a tendency towards anorexia nervosa, and 27.0% adolescents that have a tendency towards bulimia nervosa.Keywords : Eating disorder, anorexia nervosa, bulimia nervosa

scholarly journals Orthorexia Nervosa: differences between clinical and non-clinical samples

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
C. Novara ◽  
E. Maggio ◽  
S. Piasentin ◽  
S. Pardini ◽  
S. Mattioli
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Diet Group ◽  
Orthorexia Nervosa ◽  
Clinical Samples ◽  
Control Group ◽  
Obsessive Compulsive

Abstract Background Orthorexia Nervosa (ON) is a construct characterized by behaviors, emotions, and beliefs on eating healthy food and excessive attention to diet; moreover, dieting has been considered a risk factor in ON symptoms development. The principal aim of this study was to investigate the differences in clinical and non-clinical groups most at risk of ON. Aspects that could be associated with ON (Eating Disorders [EDs], obsessive-compulsive symptomatology, perfectionistic traits, anxiety, depression, Body Mass Index [BMI]) were investigated in all groups. Methods The sample consisted of 329 adults belonging to four different groups. Three were on a diet: Anorexia/Bulimia Nervosa group (N = 90), Obesity/Binge Eating Disorder group (N = 54), Diet group (N = 91). The Control group consisted of people who were not following a diet (N = 94). Participants completed several self-administered questionnaires (EHQ-21, EDI-3, OCI-R, MPS, BAI, BDI-II) to assess ON-related features in different groups. Results Analyses highlighted higher orthorexic tendencies in Anorexia/Bulimia Nervosa, Obesity/BED, and Diet groups than in the Control group. Moreover, results have shown that in the AN/BN group, eating disorders symptomatology and a lower BMI were related to ON and that in Obesity/Binge Eating Disorder and Diet groups, perfectionism traits are associated with ON. Conclusion Individuals who pursue a diet share some similarities with those who have an eating disorder regarding emotions, behaviors, and problems associated with orthorexic tendencies. Moreover, perfectionistic traits seem to predispose to higher ON tendencies. In general, these results confirm the ON as an aspect of the main eating disorders category.

Is there a Relationship between Sexual Abuse or Incest and Eating Disorders?

1986 ◽  
Vol 31 (7) ◽  
pp. 656-660 ◽  
Author(s):  
G. Sloan ◽  
P. Leichner
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Anorexia Nervosa ◽  
Childhood Sexual Abuse ◽  
Present Article ◽  
Sexual Trauma ◽  
Early History ◽  
Eating Disordered ◽  
Sexual Conflicts ◽  
History Of

The significance of sexual conflicts in many patients with eating disorders has been well documented. However, even when these have been considered to have some degree of etiological importance, the occurrence of actual sexual trauma or incest in the early lives of these patients has been generally neglected in the literature. At one point in time, it was noted that five of six patients on an inpatient unit for eating disorders revealed an early history of sexual abuse or incest. These five cases are described. A parallel is drawn between the psychological problems experienced by victims of childhood sexual abuse and by patients with anorexia nervosa and/or bulimia. Our suspicion that these experiences may not be atypical led to the present article, which has implications for the investigation and management of eating-disordered patients.

PERSONALITY AND SELF-CONCEPT IN SUBGROUPS OF PATIENTS WITH ANOREXIA NERVOSA AND BULIMIA NERVOSA

2002 ◽  
Vol 30 (4) ◽  
pp. 347-357 ◽  
Author(s):  
Erica B. FÄldt Ciccolo ◽  
Per Johnsson
Keyword(s):  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Undergraduate Students ◽  
Self Report ◽  
Self Concept ◽  
Control Group ◽  
Eating Disordered ◽  
Diagnostic And Statistical Manual ◽  
Group A ◽  
High Degree

The question of subgroups in eating disorders was addressed in this study. According to the Diagnostic and Statistical Manual of Mental Disorders, IV, the two subtypes for anorexia nervosa are restricting and binge-eating/purging. For bulimia nervosa, the subtypes are purging and nonpurging. An attempt was made here to examine alternative ways to create meaningful subgroups in the eating-disordered patient group. A cluster analysis was performed in a group of 52 female patients (AN=21, BN=31). Fifty-five undergraduate students served as a control group. Three self-report instruments were used: the Eating Disorder Inventory-2, Karolinska Scales of Personality, and Tennessee Self-Concept Scale. The results reveal three different groups of patients. Factors like poor interoceptive ability and high degree of somatization differentiate between the groups, and contribute to severity of pathology, as well as to lower levels of self-concept.The results reveal three different groups of patients. Factors like poor interoceptive ability and high degree of somatization differentiate between the groups, and contribute to severity of pathology, as well as to lower levels of self-concept.

The links between body dysmorphic disorder and eating disorders

2000 ◽  
Vol 15 (5) ◽  
pp. 302-305 ◽  
Author(s):  
J. Rabe-Jablonska Jolanta ◽  
M. Sobow Tomasz
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Bulimia Nervosa ◽  
Life Events ◽  
Affective Disorders ◽  
Body Dysmorphic Disorder ◽  
Control Group ◽  
Healthy Controls

SummaryThe aim of the study was to search for a body dysmorphic disorder (BDD) period preceding the symptoms meeting the criteria of either anorexia or bulimia nervosa, and an evaluation of the prevalence of BDD symptoms in a control group of girls without any eating disorder. Ninety-three girls (12–21 years old) were included in the study (36 with anorexia nervosa, 17 with bulimia nervosa and 40 healthy controls). The Structured Clinical Interview (SCID), including the BDD module, and a novel questionnaire (for the presence of preceding life events) were used. We found the symptoms of BDD in 25% of anorexia nervosa sufferers for at least six months before observing a clear eating disorder picture. Moreover, other mental disorders were also present among these patients. The results may support the idea that BDD and anorexia nervosa both belong to either OCD or affective disorders spectra.

Dissociation, Abuse and the Eating Disorders: Evidence from an Australian Population

1999 ◽  
Vol 33 (4) ◽  
pp. 521-528 ◽  
Author(s):  
Lisa Brown ◽  
Janice Russell ◽  
Christopher Thornton ◽  
Stewart Dunn
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Current Knowledge ◽  
Self Report ◽  
Australian Population ◽  
Eating Disordered ◽  
Self Mutilation ◽  
History Of ◽  
Australian Experience ◽  
Report Measure

Objective: Anumber of European and Northern American studies have investigated a possible association between dissociative phenomena, eating disorders, child sexual abuse and self-mutilation. However, there has been little confirmation from other countries and cultures, and the Australian experience of these interrelationships has not previously been studied. Method: Dissociative symptomatology and self-reported history of abusive experiences, physical and sexual, were retrospectively studied in a sample of Australian eating disordered patients using a self-report measure, the Dissociation Questionnaire (DIS-Q). Results: As hypothesised, dissociative symptoms were particularly frequent in those who reported child and adult sexual abuse and in those who self-mutilated. A correlation between multiple forms of abuse and higher dissociation scores was only partially upheld. Conclusions: Interrelationships between victimisation and dissociation are discussed within the context of current knowledge in the field, and brief suggestions for therapeutic strategies are offered.

scholarly journals Advances in Diagnosis and Treatment of Anorexia Nervosa and Bulimia Nervosa*

1992 ◽  
Vol 37 (5) ◽  
pp. 309-315 ◽  
Author(s):  
Sidney H. Kennedy ◽  
Paul E. Garfinkel
Keyword(s):  
Substance Abuse ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Psychiatric Comorbidity ◽  
High Rate ◽  
Obsessive Compulsive ◽  
Related Disorder ◽  
Compulsive Disorder ◽  
Cognitive Behavioural

This paper reviews four areas of research into anorexia nervosa (AN) and bulimia nervosa (BN). First, in terms of diagnosis, the psychological concerns about weight and shape are now addressed in BN, bringing it more in line with the related disorder, anorexia nervosa. Second, studies of psychiatric comorbidity confirm the overlap between eating disorders and depression, obsessive compulsive disorder, substance abuse, and personality disorder. Nevertheless, there are reasons to accept the distinct qualities of each syndrome, and eating disorders are not merely a variant of these other conditions. Third, treatment advances in BN involve mainly cognitive-behavioural or interpersonal psycho-therapies and pharmacotherapies primarily with antidepressants. The effect of combining more than one approach is beginning to be addressed. Finally, outcome studies involving people with both AN and BN have shown that the disorders “cross over” and that both conditions have a high rate of relapse. A renewed interest in the treatment of AN is needed.

Autonomic Arousal in Eating Disorders: Further Evidence for the Clinical Subdivision of Anorexia Nervosa

1983 ◽  
Vol 142 (1) ◽  
pp. 38-42 ◽  
Author(s):  
Paul Calloway ◽  
Peter Fonagy ◽  
Anthony Wakeling
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Skin Conductance ◽  
Skin Conductance Level ◽  
Autonomic Arousal ◽  
Control Group ◽  
Control Subjects ◽  
Skin Conductance Responses ◽  
Conductance Level

SummaryAutonomic arousal, measured by skin conductance level and response, was examined in 36 female patients with eating disorders (anorexia nervosa and bulimia nervosa) and 32 control subjects. No differences were found between the control group and anorexics who lost weight solely through dieting (restricting anorexics). Patients with a diagnosis of bulimia nervosa and anorexics with bulimic features, however, showed fewer spontaneous skin conductance responses and were faster to habituate to 85 dB tones than either controls or restricting anorexic patients. The pattern of findings supports recent views concerning the clinical subdivision of anorexia nervosa.

The relationship of partial syndrome eating disorders to anorexia nervosa and bulimia nervosa

1995 ◽  
Vol 25 (5) ◽  
pp. 1019-1025 ◽  
Author(s):  
I. F. Dancyger ◽  
P. E. Garfinkel
Keyword(s):  
High School ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
High School Students ◽  
Bulimia Nervosa ◽  
Past History ◽  
School Students ◽  
Hospital Patients ◽  
History Of ◽  
Eat 26

SYNOPSISA variety of sociocultural, familial and individual features associated with the eating disorders were examined in subjects with full syndrome (FS) and partial syndrome (PS) eating disorders and in normal high school students. The EAT-26 was administered to 995 high school students. This was followed by individual interviews with those who scored in the symptomatic range. Fifty-one students with PS eating disorders, 57 students without eating disorders (normal controls) and 30 hospital patients with FS, anorexia nervosa or bulimia nervosa were compared on subscales of the Eating Disorder Inventory, the Diagnostic Survey for Eating Disorders and the Beck Depression Inventory. The three groups displayed statistically significant differences on dimensions of EDI subscales Ineffectiveness and Interoceptive Awareness and also with respect to depression, history of being overweight and past history of emotional problems, as well as having mothers with medical illnesses. On these characteristics, the FS subjects displayed higher levels than the PS subjects, who in turn were higher than the NC subjects. The PS subjects displayed elevations on Body Dissatisfaction (EDI subscale), past medical illnesses, and mother's over-concern with eating and weight. These data support a continuum model of the eating disorders, but a continuum of multiple associated features rather than of dieting.

scholarly journals Description of characteristics and outcomes of a cohort of patients with severe and enduring eating disorders (SE-ED)

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Ana Piñar-Gutiérrez ◽  
Elena Dios-Fuentes ◽  
Pablo Remón-Ruiz ◽  
Diego Del Can-Sánchez ◽  
Antonio Vázquez-Morejón ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Conventional Treatment ◽  
Hypogonadotropic Hypogonadism ◽  
High Rate ◽  
The People ◽  
Mental Comorbidity ◽  
Current Sample

Abstract Objective To describe the characteristics of the patients, as well as the treatment outcomes for the people treated in an Endocrinology and Nutrition unit with a diagnosis of SE-ED (> 7 years evolution despite evidence-based conventional treatment). Methods A descriptive observational study was conducted. Patients with a diagnosis of SE-ED (anorexia nervosa and bulimia nervosa) treated in the Endocrinology and Nutrition service of the Virgen del Rocío University Hospital between 2014 and 2019 were included. Results 67 patients were contacted and accepted to participate in the study. 95.5% were women. 67.2% were diagnosed with AN (anorexia nervosa) and 32.8% with BN (bulimia nervosa). Their median ages (years) at the onset of symptoms, beginning of follow-up and at present were 17, 32 and 42.5 respectively. Their median time of follow-up was 9 years. 73.1% had mental comorbitidy and AN patients had more osteoporosis (48.9% vs 22.7%, p = 0.04) and hypogonadotropic hypogonadism (31.1% vs. 4.5%, p = 0.014). Discussion The SE-ED patients in our sample began treatment years after the onset of symptoms, which may have led to their chronification. This emphasizes the importance of an early diagnosis in eating disorders. They presented with a high rate of physical complications and mental comorbidity. In the current sample, it was determined that patients with AN presented with higher rates of osteoporosis and hypogonadotropic hypogonadism than patients with BN. Level of evidence Level III: Evidence obtained from well-designed cohort or case–control analytic studies. Plain English summary At present, the criteria for severe and enduring eating disorders (SE-ED) are not sufficiently clearly defined. It has been calculated that approximately 20% of patients with anorexia nervosa (AN) and 10% of patients with bulimia nervosa (BN) suffer a chronification. We evaluated the characteristics of the patients, as well as the treatment outcomes for the people treated in an Endocrinology and Nutrition unit with a diagnosis of SE-ED (which was made based on an evolution greater than 7 years despite conventional treatment). The SE-ED patients in our sample began treatment years after the onset of symptoms, which may have led to their chronification. They presented with a high rate of physical complications and mental comorbidity. In the current sample, it was determined that patients with AN presented with higher rates of osteoporosis (health condition that weakens bones, making them fragile and more likely to break) and hypogonadotropic hypogonadism (illness in which testes or ovaries produce little or no sex hormones due to a problem in the pituitary gland) than patients with BN.

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