Abstract
This study explored the role of depression as a mediator between self-reported sexual abuse and bulimic symptoms. Secondly, the study examined whether there was an association between sexual abuse, bulimic symptoms, or depression and satisfaction in relationships and avoidance of sexual interactions. Women (n=297) who reported experiencing bulimic symptoms and/or depression and women who were not symptomatic completed measures on sexual abuse, bulimic symptoms, depression, satisfaction in partner relationships and avoidance of sexual interactions. A path model analysis indicated that there were direct relationships between sexual abuse and depression, depression and low satisfaction in relationships and avoidance of sexual interactions. Sexual abuse was not directly related to bulimic symptoms when depression was included in the model. Nor was sexual abuse directly related to relationship difficulties. The findings of this study support a model of non-specific pathways between sexual abuse and bulimic symptoms.
References
Oppenheimer R., Howells K., Palmer R.L., Chaloner DA.: Adverse sexual experiences in childhood and clinical eating disorders: A preliminary description. J. Psychiatr. Res., 19, 357–361, 1985.
Molinari E.: Eating disorders and sexual abuse. Eat. Weight Disord., 6, 68–80, 2001.
Smolak L., Murnen S.K.: A meta-analytic examination of the relationship between child sexual abuse and eating disorders. Int. J. Eat. Disord., 31, 136–150, 2002.
Connors M.E., Morse W.: Sexual abuse and eating disorders: A review. Int. J. Eat. Disord., 13, 1–11, 1993.
Pope H.G., Hudson J.I.: Is childhood sexual abuse a risk factor for bulimia nervosa? Am. J. Psychiatry, 149, 455–463, 1992.
Welch S.L., Fairburn C.G.: Sexual abuse and bulimia nervosa: Three integrated case control comparisons. Am. J. Psychiatry, 151, 402–407, 1994.
Petrie T.A., Tripp M.M.: Sexual abuse and eating disorders: A test of a conceptual model. Sex Roles: A Journal of Research 44, 17–32, 2001.
Murray C., Waller G.: Reported sexual abuse and bulimic psychopathology among nonclinical women: The mediating role of shame. Int. J. Eat. Disord., 32, 186–191, 2002.
Follette W.C., Naugle A.E., Follette V.M.: MMPI-2 profiles of adult women with child sexual abuse histories: Cluster-analytic findings. J. Consult. Clin. Psychol., 65, 858–866, 1997.
Gladstone G.L., Parker G.B., Mitchell P.B., Malhi G.S., Wilhelm K., Austin M.-P.: Implications of childhood trauma for depressed women: An analysis of pathways from sexual abuse to deliberate self-harm and revic-timization. Am. J. Psychiatry, 161, 1417–1425, 2004.
Gleaves D.H., Lowe M.R., Snow A.C., Green B.A., Murphy-Eberenz K.P.: Continuity and discontinuity models of bulimia nervosa: A taxometric investigation. J. Abnorm. Psychol., 109, 56–68, 2000.
Brock K.J., Mintz L.B., Good G.E.: Differences among sexually abused and nonabused women from functional and dysfunctional families. J. Couns. Psychol., 44, 425–432, 1997.
Follette W.C., Naugle A.E., Follette V.M.: MMPI-2 profiles of adult women with child sexual abuse histories: Cluster-analytic findings. J. Consult. Clin. Psychol., 65, 858–866, 1997.
Ward A., Ramsay R., Turnbull S., Benedettini M., Treasure J.: Attachment patterns in eating disorders: Past in the present. Int. J. Eat. Disord., 28, 370–376, 2000.
Thelen M.H., Farmer J., McLaughlin-Mann L., Pruitt J.A.: Bulimia and interpersonal relationships: A longitudinal study. J. Couns. Psychol., 37, 85–90, 1990.
Evans L., Wertheim E.H.: Intimacy patterns and relationship satisfaction of women with eating problems and the mediating effects of depression, trait anxiety and social anxiety. J. Psychosom. Res., 44, 355–365, 1998.
Wiederman M.W.: Women, sex, and food: A review of research on eating disorders and sexuality. J. Sex Res., 33, 301–311, 1996.
Coyne J.C., Thompson R., Palmer S.C.: Marital quality, coping with conflict, marital complaints, and affection in couples with a depressed wife. J. Fam. Psychol., 16, 26–37, 2002.
Finkelhor D., Hotaling G., Lewis I.A., Smith C: Sexual abuse in national survey of adult men and women: Prevalence, characteristics, and risk factors. Child Abuse Neglect., 14, 19–28, 1990.
Wilson A., Calhoun K.S., Bernat J.A.: Risk recognition and trauma-related symptoms among sexually revictimized women. J. Consult. Clin. Psychol., 67, 705–710, 1999.
Leonard S., Steiger H., Kao A.: Childhood and adulthood abuse in bulimic and nonbulimic women: Prevalences and psychological correlates. Int. J. Eat. Disord., 33, 397–405, 2003.
Connors M.E., Morse W.: Sexual abuse and eating disorders: A review. Int. J. Eat. Disord., 13, 1–11, 1993
Widom C.S., Morris S.: Accuracy of adult recollections of childhood victimization: Part 2. Childhood sexual abuse. Psychol. Assess., 9, 34–46, 1997.
Bulik CM., Sullivan P.F., Rorty M.: Childhood sexual abuse in women with bulimia. J. Clin. Psychiatry, 50, 460–464, 1989.
van Gerko K., Hughes M.L., Hamill M., Waller G.: Reported childhood sexual abuse and eating-disordered cognitions and behaviors. Child Abuse Neglect., 29, 375–382, 2005
Thelen M.H., Farmer J., Wonderlich S., Smith M.: A revision of the bulimia test: The BULIT-R. J. Consult. Clin. Psychol., 1, 119–124, 1991.
Welch G., Thompson I., Hall A.: The BULIT-R: Its reliability and clinical validity as a screening tool for DSM-III-R bulimia nervosa in a female tertiary population. Int. J. Eat. Disord., 14, 95–105, 1993.
Brelsford T.N., Hummel R.M., Barrios B.A.: The bulimia test-revised. A psychometric investigation. Psychol. Assess., 4, 399–401, 1992.
Thelen M.H., Mintz L.B., Vander Wal J.S.: The bulimia test-revised: Validation with DSM-IV criteria for bulimia nervosa. Psychol. Assess., 8, 219–221, 1996.
Beck A.T., Ward C.H., Mendelson M., Mock J., Erbaugh J.: An inventory measuring depression. Arch. Gen. Psychiatry, 4, 53–63, 1961.
Descutner C.J., Thelen M.H.: Development and validation of a fear of intimacy scale. J. Consult. Clin. Psychol., 3, 218–225, 1991.
Doi S.C., Thelen M.H.: The fear of intimacy scale: Replication and extension. Psychol. Assess., 5, 377–383, 1993.
Pallant J.: SPSS survival manual: A step by step guide to data anlysis using SPSS for windows (Version 10). St. Leonards, NSW, Allen and Unwin, 2001.
Pedhazur E.J.: Measurement, design, and analysis: An integrated approach. Hillsdale, N.J., Lawrence Erlbaum Associates, 1991.
Nishith P., Mechanic M.B., Resick PA.: Prior interpersonal trauma: The contribution to current PTSD symptoms in female rape victims. J. Abnorm. Psychol., 109, 20–25, 2000.
Coyne J.C.: Depression and the response of others. J. Abnorm. Psychol., 85, 186–193, 1976.
Swann W.B.: The trouble with change: Self-verification and allegiance to the self. Psychol. Sci., 8, 177–180, 1997.
Boskind-Lodahl M.: Cinderella’s step-sisters: A feminist perspective on anorexia nervosa and bulimia. Signs. J. Women in Culture and Society, 2, 342–356, 1976.
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Evans, L., Wertheim, E.H. Sexual abuse, bulimic symptoms, depression and satisfaction in adult relationships. Eat Weight Disord 11, e61–e67 (2006). https://doi.org/10.1007/BF03327762
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DOI: https://doi.org/10.1007/BF03327762