Sexual Abuse and the Severity of Bulimic Symptoms

1992 ◽  
Vol 161 (1) ◽  
pp. 90-93 ◽  
Author(s):  
Glenn Waller
Keyword(s):  
Sexual Abuse ◽  
Sexual Experience ◽  
Clinical Series ◽  
Bulimic Symptoms ◽  
History Of ◽  
Bulimic Women ◽  
Unwanted Sexual Experience

In a clinical series of 40 bulimic women, a reported history of unwanted sexual experience was associated with more frequent bingeing and (to a lesser extent) vomiting. These symptoms were more marked when the abuse was intrafamilial, involved force, or occurred before the victim was 14 years old. Further research is required to establish the causal links between the phenomena of sexual abuse and bulimic symptoms.

The Significance of a History of Childhood Sexual Abuse in Bulimia Nervosa

1995 ◽  
Vol 167 (5) ◽  
pp. 679-682 ◽  
Author(s):  
Patrick F. Sullivan ◽  
Cynthia M. Bulik ◽  
Frances A. Carter ◽  
Peter R. Joyce
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Bulimia Nervosa ◽  
Suicide Attempts ◽  
Structured Interviews ◽  
Global Functioning ◽  
History Of Childhood ◽  
Bulimic Symptoms ◽  
History Of ◽  
Bulimic Women

BackgroundChildhood sexual abuse (CSA) is found to have occurred to a substantial minority of women with bulimia nervosa. Its clinical significance is unclear.MethodWe studied 87 bulimic women in a clinical trial. Structured interviews determined the presence of CSA, DSM–III–R disorders, global functioning, and depressive and bulimic symptoms.ResultsForty-four per cent reported a history of CSA. Bulimic women with CSA reported earlier onset of bulimia, greater depressive symptoms, worse global functioning and more suicide attempts, and were more likely to meet criteria for bipolar II disorder, alcohol and drug dependence, conduct disorder and avoidant personality disorder.ConclusionsAlthough those with CSA had greater comorbidity, it was not an important modifier of bulimic symptoms.

Sexual Abuse as a Factor in Eating Disorders

1991 ◽  
Vol 159 (5) ◽  
pp. 664-671 ◽  
Author(s):  
Glenn Waller
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Research Evidence ◽  
Sexual Experience ◽  
Clinical Interview ◽  
History Of ◽  
Per Se ◽  
Unwanted Sexual Experience

Clinicians have reported a link between sexual abuse and eating disorders, but research evidence to date has been equivocal in supporting that link. This study presents data on reported sexual abuse from 67 anorexic and bulimic patients. Bulimics were substantially more likely to report a history of unwanted sexual experience than anorexics. The method used (clinical interview v. questionnaire) did not affect reported rates of abuse. It is suggested that sexual abuse per se may not cause eating disorders, but may determine the nature of those disorders when they have been prompted by other factors.

Descriptive Analysis of the Characteristics of Proven Cases of Sexual Abuse in Victims With Intellectual Disabilities and Children With Typical Development in Spain

2019 ◽  
pp. 088626051988820
Author(s):  
Alba Vara ◽  
José M. Quintana ◽  
Sergio Escorial ◽  
Antonio L. Manzanero
Keyword(s):  
Sexual Abuse ◽  
Sexual Experience ◽  
Descriptive Analysis ◽  
Typical Development ◽  
Sexual Crime ◽  
Sexual Offenses ◽  
History Of ◽  
Civil Guard ◽  
Do So ◽  
Special Protection

Children and people with intellectual disability (ID) are considered to be highly vulnerable and in need of special protection against sexual abuse (SA). The objective of this work was to analyze the characteristics of cases of SA in children with typical development and in people with ID in Spain. To do so, 25 cases of each type that had been investigated by specialized groups of the Judicial Police of the Spanish Civil Guard and that had been classified as proven and confirmed by police and forensic-medical evidence were analyzed. The results allowed the establishment of the typical minor victim profile as Spanish female (76%), with an average age of 8.64 years. Typical victim with ID was characterized as being of Spanish, aged 20.28 years on average, without prior sexual experience, and similar percentages of males (40%) and females (60%). In both cases, the aggressor usually acted alone, was known to the victim, had an average age of 42 years, and without a history of sexual offenses. The most common child sexual crime was SA with penetration, practiced repeatedly, using strategies such as the use of force, authority, rewards, or secrecy. Victims with ID suffered sexual abuse with penetration, using force, authority, threats or blackmail. Finally, 36% of minors not disclose the events by only 8% of victims with ID. Spontaneity was found in the 40% first disclosure in both victims, with greater police evidence and greater recognition of guilt on behalf of the aggressors against victims without disabilities. Minors took an average of 26.26 days to report the facts, and victims with ID of 64.94. It is necessary to know more about these types of offenses to design appropriate prevention and detection programs.

History of Sexual Abuse Negatively Impacts Resilience to Suicide

2008 ◽  
Author(s):  
William J. Meyer ◽  
Meghan Marty ◽  
Andrea June ◽  
Daniel L. Segal
Keyword(s):  
Sexual Abuse ◽  
History Of

scholarly journals Maternal History of Child Sexual Abuse and Maladaptive Outcomes in Sexually Abused Children: The Role of Maternal Mental Health

2021 ◽  
pp. 088626052110139
Author(s):  
Rachel Langevin ◽  
Martine Hébert ◽  
Audrey Kern
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Psychological Distress ◽  
Sexually Abused ◽  
Maternal Mental Health ◽  
Ptsd Symptoms ◽  
Abused Children ◽  
Maternal History ◽  
History Of ◽  
Sexually Abused Children

The effects of child sexual abuse (CSA) have been found to surpass generations as maternal history of CSA is associated with increased difficulties in sexually abused children. However, little is known about the mechanisms underlying this association. The present study aimed to test maternal mental health symptoms including psychological distress, post-traumatic stress disorder (PTSD) symptoms, and dissociation as mediators of the relationship between maternal CSA and children’s internalizing, externalizing, and dissociation symptoms in a large sample of sexually abused children. A total of 997 sexually abused children aged 3-14 years old and their mothers were recruited at five specialized intervention centers offering services to sexually abused children and their families. The children were divided into two groups depending on their mothers’ self-reported history of CSA. Mothers completed a series of questionnaires assessing their mental health and children’s functioning. Maternal history of CSA was associated with increased maternal psychological distress, PTSD symptoms, and dissociation following children’s disclosure of CSA. In turn, maternal psychological distress and maternal dissociation were associated with increased child internalizing, externalizing, and dissociation symptoms. Maternal PTSD symptoms were associated with child internalizing symptoms. Maternal mental health difficulties mediated the association between maternal CSA and sexually abused children’s maladaptive outcomes. Clinicians should assess for possible history of CSA in mothers of sexually abused children and determine how best to support them to cope with the aftermaths of their child’s disclosure and with their own traumatic past.

Analysis of count data in the setting of cervical cancer detection

2020 ◽  
Vol 68 (6) ◽  
pp. 1196-1198
Author(s):  
Christina G Bracamontes ◽  
Thelma Carrillo ◽  
Jane Montealegre ◽  
Leonid Fradkin ◽  
Michele Follen ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Count Data ◽  
Pap Smear ◽  
Negative Binomial ◽  
El Paso ◽  
Language Preference ◽  
A Value ◽  
History Of ◽  
Zip Model ◽  
Endocervical Canal

Women with an abnormal Pap smear are often referred to colposcopy, a procedure during which endocervical curettage (ECC) may be performed. ECC is a scraping of the endocervical canal lining. Our goal was to compare the performance of a naïve Poisson (NP) regression model with that of a zero-inflated Poisson (ZIP) model when identifying predictors of the number of distress/pain vocalizations made by women undergoing ECC. Data on women seen in the colposcopy clinic at a medical school in El Paso, Texas, were analyzed. The outcome was the number of pain vocalizations made by the patient during ECC. Six dichotomous predictors were evaluated. Initially, NP regression was used to model the data. A high proportion of patients did not make any vocalizations, and hence a ZIP model was also fit and relative rates (RRs) and 95% CIs were calculated. AIC was used to identify the best model (NP or ZIP). Of the 210 women, 154 (73.3%) had a value of 0 for the number of ECC vocalizations. NP identified three statistically significant predictors (language preference of the subject, sexual abuse history and length of the colposcopy), while ZIP identified one: history of sexual abuse (yes vs no; adjusted RR=2.70, 95% CI 1.47 to 4.97). ZIP was preferred over NP. ZIP performed better than NP regression. Clinicians and epidemiologists should consider using the ZIP model (or the zero-inflated negative binomial model) for zero-inflated count data.

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