Childhood Sexual Abuse Increases Risks for Eating Disorder Symptoms and Eating Disorder-Related Health Problems in Females

Li, Jacinda C.; Noll, Jennie G.; Bensman, Heather E.; Putnam, Frank W.

doi:10.1007/978-3-030-04561-6_2

Cited by 5 publications

(4 citation statements)

References 36 publications

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“…However, the OR for CSA and anorexia was nonsignificant after adjustment for publication bias. In the FGDS prospective cohort study, although subthreshold eating disorder symptoms were predictive of subsequent health problems, female CSA survivors did not exhibit diagnostic levels of either anorexia or bulimia in young adulthood (Li et al 2018).…”

Section: Psychosis Suicidality and Eating Disordersmentioning

confidence: 87%

“…Moreover, Widom and colleagues (2009) explicitly found that CSA is not independently associated with BPD. However, in a more recent systematic review of 40 studies (de Aquino Ferreira et al 2018) of convenience samples and clinical studies, CSA was shown to be an important predictor of BPD: 40-71% of inpatients reported CSA and CSA severity associated with more severe clinical presentations and poorer prognosis of BPD (Lieb et al 2004).…”

Section: Personality Disordersmentioning

confidence: 99%

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Child Sexual Abuse as a Unique Risk Factor for the Development of Psychopathology: The Compounded Convergence of Mechanisms

Noll

2021

Annu. Rev. Clin. Psychol.

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Meta-analytic, population cohort, prospective, and clinical studies provide systematic evidence that child sexual abuse accounts for unique variation in several deleterious outcomes. There is strong evidence for psychiatric disorders, including posttraumatic stress disorder and mood, anxiety, and substance use disorders, and mixed evidence for personality disorders. Evaluation of sex-specific outcomes shows strong evidence for teenage childbearing, sexual revictimization, and sexual dysfunction and mixed evidence for heightened sexual behaviors and sexual offending. This review further demonstrates not only that survivors suffer the noxious impact of traumatic sexualization but that additional transdiagnostic mechanisms, including the biological embedding of stress, emotion dysregulation, avoidance, and insecure attachment, converge to compound risk for deleterious outcomes. A road map to enhance the rigor of future research is outlined, and specific recommendations for evidence-based policy making to boost prevention efforts and increase access to treatment are discussed. Expected final online publication date for the Annual Review of Clinical Psychology, Volume 17 is May 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

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Section: Psychosis Suicidality and Eating Disordersmentioning

confidence: 87%

Section: Personality Disordersmentioning

confidence: 99%

Child Sexual Abuse as a Unique Risk Factor for the Development of Psychopathology: The Compounded Convergence of Mechanisms

Noll

2021

Annu. Rev. Clin. Psychol.

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“…However, individuals who retrospectively reported childhood maltreatment reported significantly more lifetime anorexia nervosa symptoms, suggesting sub-threshold anorexia nervosa. A recent paper on eating disorders in adolescents (Li et al, 2019) called attention to the importance of sub-diagnostic threshold eating disorder symptoms, suggesting that eating disorder symptoms may evolve into severe eating disorders over time (Kotler et al, 2001). However, because eating disorders have their onset in the late teens and our participants were assessed in middle adulthood, one would have expected them to have already developed the disorder.…”

Section: Discussionmentioning

confidence: 99%

“…One prospective study reported a strong association with neglect in childhood (Johnson et al, 2002). A longitudinal study of sexually abused females found a larger number of bulimia nervosa symptoms in adolescents compared to nonabused peers (Li et al, 2019). Li et al (2019) called for "prospective studies with substantiated CSA (childhood sexual abuse) and subsequent ED [eating disorders] .…”

Section: Introductionmentioning

confidence: 99%

Childhood Maltreatment and Eating Disorders: A Prospective Investigation

Talmon

Widom

2021

Child Maltreat

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Objectives: To determine whether childhood maltreatment is a risk factor for two eating disorders (anorexia nervosa and bulimia nervosa) using objective and subjective case definitions. Methods: Using a prospective cohorts design, children with documented cases of physical abuse, sexual abuse, and neglect (ages 0–11) from 1967 to 1971 in a Midwestern metropolitan county area were matched on age, race, sex, and approximate family socioeconomic status with non-maltreated children. Both groups were followed up. Retrospective self-reports about childhood maltreatment were collected at age 29. DSM-IV anorexia nervosa (AN) and bulimia nervosa (BN) disorders were assessed at age 41 ( N = 807). Logistic and linear regression results are reported. Results: Using documented cases, childhood maltreatment was not a significant risk factor for AN or BN diagnoses or symptoms in adulthood. However, adults who retrospectively reported any maltreatment and physical and sexual abuse reported significantly more symptoms of AN than those who did not. Conclusions: The prediction that childhood maltreatment is a risk factor for anorexia nervosa and bulimia nervosa was partially supported in this longitudinal study. While misattribution of cases might have occurred, these results suggest that researchers and clinicians should use caution in drawing inferences about these relationships and designing interventions.

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