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The impact of childhood sexual abuse in anorexia nervosa
- Authors:
- CARTER Jacqueline C., et al
- Journal article citation:
- Child Abuse and Neglect, 30(3), March 2006, pp.257-269.
- Publisher:
- Elsevier
The aim of this study was to examine the impact of childhood sexual abuse (CSA) on clinical characteristics and premature termination of treatment in anorexia nervosa (AN). The participants were 77 consecutive patients with AN admitted to an inpatient eating disorders unit. The patients were assessed in terms of eating disorder symptoms, general psychopathology, and CSA history at admission to hospital. Thirty-seven patients (48%) reported a history of CSA before the onset of the eating disorder. Individuals with a history of CSA reported significantly greater psychiatric comorbidity, including higher levels of depression and anxiety, lower self-esteem, more interpersonal problems, and more severe obsessive-compulsive symptoms. Patients with the binge-purge subtype of AN (AN-BP) were significantly more likely to report a history of CSA prior to the onset of the eating disorder as compared with patients with the restricting subtype (AN-R) of the illness (65% of the AN-BP patients vs. 37% of the AN-R patients; p < .02). Contrary to our predictions, abused patients were not significantly more likely to dropout of treatment overall. However, patients of the binge-purge subtype (AN-BP) with a history of CSA were significantly more likely to terminate treatment prematurely as compared with the other patients. Consistent with previous findings, the present results indicate that the prevalence of CSA is high among individuals seeking inpatient treatment for AN. A history of CSA was associated with greater psychiatric disturbance overall and a higher rate of dropout for patients of the binge-purge subtype.
The broken mirror: understanding and treating Body Dysmorphic Disorder
- Author:
- PHILLIPS Katherine A
- Publisher:
- Oxford University Press
- Publication year:
- 1996
- Pagination:
- 367p.
- Place of publication:
- Oxford
Comprehensive text looking at body dysmorphic disorder or BDD. Looks at what the disorder is, using real life case studies. Outlines the symptoms, examines how BDD can affect people's lives at all levels, and looks at possible causes. Relates the disorder to other syndromes such as anorexia, obsessive compulsive disorder, Koro and other disorders. Finally, examines treatments, including medication and cognitive behavioural therapy.
Clinical evidence: mental health; the international source of the best available evidence for effective mental health care
- Editor:
- GODLEE Fiona
- Publisher:
- BMJ Publishing,|Gaskell
- Publication year:
- 2004
- Pagination:
- 264p.bibliog.
- Place of publication:
- London
This book is designed to make the best available evidence easily accessible to mental health practitioners, general practitioners and students. The content is maintains standards of rigorous quality control and ease of access to relevant evidence. For each of the following conditions the literature has been thoroughly searched, appraised and condensed into concise but comprehensive summaries: Alzheimer's disease, Anorexia nervosa, Attention deficit hyperactivity disorder in children, Bulimia nervosa, Chronic fatigue syndrome, Depression in children and adolescents, Depressive disorders, Generalised anxiety disorder, Obsessive compulsive disorder, Panic disorder, Post-traumatic stress disorder, and Schizophrenia.