Young women with bulimia nervosa share both emotional secrecy and profound
guilt with many victims of sexual abuse. For some bulimia patients, this
emotional style may begin with sex abuse.
As psychiatrists know only too well, childhood sexual abuse can devastate
young people psychologically and thus render them vulnerable to a spate of
mental illnesses-alcohol abuse, depression, drug abuse, panic disorder,
posttraumatic stress disorder, and suicide attempts (Psychiatric News,
August 3, 2007; August 17, 2007).
Bulimia nervosa can be added to the list of unfavorable outcomes as well,
some studies have suggested. Now a new one does too. It was headed by Lena
Sanci, Ph.D., a senior lecturer in general practice at the University of
Melbourne in Australia. Results were published in the March Archives of
Pediatrics and Adolescent Medicine.
Sanci and her coworkers randomly selected some 1,000 female students,
average age 15, from 44 public, Catholic, or private schools to participate
in their study. They followed their subjects until they were young adults to
see whether they developed bulimia nervosa or anorexia nervosa. Thirty-five
were found to have acquired bulimia and 32 anorexia during that age span.
At age 24, the subjects were asked certain questions to determine whether
they had experienced sexual abuse before age 16.
"We measured childhood sexual abuse in adulthood because our state has a
statutory requirement to report all abuse in children younger than 17 years
to government services," Sanci and her coworkers explained in their study
report. "To have informed parents and participants of this at the time
carried a risk of selective refusal for those with abuse histories.
Furthermore, participation... required parental and school consent.
Inclusion of childhood sexual abuse questions may have reduced our response
rates. By the age of 24 years, we believed participants would be
sufficiently comfortable to encounter these questions, yet not as removed
from the experience as to limit recall."
Ninety-six of the subjects reported one episode of sexual abuse, and 70
reported two or more episodes. The researchers then looked to see whether
there were any links between subjects' retrospective reports of having been
abused sexually as a child and their later developing bulimia or anorexia.
During this analysis, subjects' background differences-say, their parents'
educational levels and whether their parents were divorced-were considered.
Sanci and her colleagues found no link between reports of having been
sexually abused in childhood and developing anorexia, but they did find a
link with bulimia. Compared with subjects who had experienced no childhood
sexual abuse, the incidence of bulimia was three times higher among those
who reported one episode and five times higher among those who reported two
or more episodes. Furthermore, even when some possibly confounding factors
such as subjects' anxiety, depression, or dieting behavior before developing
an eating disorder were considered, it reduced the association between
childhood sexual abuse and bulimia only a little.
Thus, "Childhood sexual abuse seems to be a risk factor for the development
of bulimic syndromes, not necessarily mediated by psychiatric morbidity or
severe dieting," Sanci and her group concluded in their report.
Their findings largely jive with those obtained by other investigators, they
pointed out. In four different studies, investigators were able to link
childhood sexual abuse with both bulimia and anorexia, but the links they
found were much stronger for bulimia.
Sanci told Psychiatric News, "I was surprised that we found such a clear
association between childhood sexual abuse and bulimia symptoms, as there
has been so much controversy in the past [about whether such a connection
"This paper takes us a step further in confirming suspicions that clinicians
have long had that childhood sexual abuse is common in young women with
bulimia," George Patton, M.D., a professor of psychiatry at the University
of Melbourne and senior investigator of the study, added. "The paper [also]
takes us a step further by suggesting that sexual abuse may initiate a
pattern of dealing with emotional distress that brings a high likelihood of
bulimia. Young bulimics share both emotional secrecy and profound guilt with
many victims of sexual abuse. It is possible that for some patients, this
emotional style begins with the abusive experience. This psychological style
may be an important focus for psychotherapy."
The study was funded by the Australian National Health and Medical Research
Council, the Australian Center for Excellence in Eating Disorders, and a
research grant from the Australian National Depression Initiative.
IN THE WORKPLACE
New Research on Depression in the Workplace.
For more information please click here
To subscribe to SADAG's newsletter, click here
Mental Health Matters Journal for Psychiatrists & GP's
Click here for more info on articles & how to subscribe
Literacy is a luxury that many of us take for granted. We depend on written communication for information, guidance, and access to heath care information That is why SADAG created SPEAKING BOOKS and revolutionized the way information is delivered to low literacy communities. It's exactly what it sounds like.a book that talks to the reader in his or her local language, delivering critical information in an interactive, and educational way.
The customizable 16-page book, accompanied by local celebrity audio recordings, ensures that vital health and social messages can be seen, heard, read and understood..
We started with books on Teen Suicide prevention , HIV, AIDS and Depression, Understanding Mental Health and have developed over 30 titles, such as TB, Malaria, Polio, Vaccines for over 30 countries.
- Click here to see speaking books in action
- Click here for sample book on clinical trials
- Click here for latest press release 1.
- Click here for latest press release 2.
- Click here to connect to international site www.booksofhope.com
- Speaking books for Health Care YouTube
Sexual Abuse and Bulimia
Dr Reddy's Help Line
0800 21 22 23
Pharmadynamics Police &Trauma Line
0800 20 50 26
Adcock Ingram Depression and Anxiety Helpline
0800 70 80 90
Destiny Helpline for Youth & Students
0800 41 42 43
0800 55 44 33
Department of Social Development Substance Abuse Line 24hr helpline
0800 12 13 14
Suicide Crisis Line
0800 567 567
SADAG Mental Health Line
011 234 4837
Akeso Psychiatric Response Unit 24 Hour
0861 435 787
CALENDAR OF EVENTS 2017
Teen Suicide Prevention Week
18 - 25 February
Bipolar Awareness Day
Substance Abuse Awareness Day
Mental Health Awareness Month
1 – 31 July
Panic Awareness Day
World Suicide Prevention Day
World Mental Health Day
Want to become a volunteer counsellor? Contact Tiffany 0800 21 22 23
Download Application Form Here
If you are a journalist writing a story contact Cassey on
011 234 4837 /firstname.lastname@example.org
If you are interested in starting a Support Group, please contact Tiffany/Lara on 0800 21 22 23.
To find a Support Group in your area, please phone SADAG on 0800 21 22 23.