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Cited by 101Eating Disorders and BehaviorsChild Abuse and TraumaNutrition, Health and Food Behavior

Child sexual abuse and later disordered eating: A New Zealand epidemiological study

Romans, Sarah E., Gendall, Kelly A., Martin, Judy L., Mullen, Paul E.·2001·International Journal of Eating Disorders
DOI 10.1002/eat.1034
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Abstract

OBJECTIVE: This community-based study examined how some women who have experienced childhood sexual abuse (CSA) develop an eating disorder (ED), whereas others develop depression and anxiety, and others show no adverse psychological sequelae. METHODS: A two-stage random community sampling strategy was used to select two groups of women: (1) women with CSA prior to age 16 years and (2) a comparison group of women reporting no abuse. Both groups completed the Parental Bonding Instrument (PBI), the Present State Examination, and additional ICD-10 eating disorders questions. Information on the nature and frequency of the CSA was obtained at interview. CSA women with ED (CSA+ED) were compared with CSA women without ED (CSA-noED) and with CSA women with anxiety and/or depression (psychiatric comparison group). RESULTS: Higher rates of EDs in women who have experienced CSA were confirmed in this study. Belonging to a younger age cohort, experiencing menarche at an early age, and high paternal overcontrol on the PBI independently increased the risk of developing an ED in women who had experienced CSA. Low maternal care was specifically associated with the development of anorexia nervosa, whereas early age of menarche differentiated women with bulimia nervosa. Younger age and early age of menarche also differentiated the CSA+ED women from the psychiatric comparison group. DISCUSSION: Early maturation and paternal overcontrol emerged as risk factors for ED development in women with CSA. Although these variables are also risk factors in the general population, women with CSA may be vulnerable to ED development because these risk factors are particular domains of concern that emanate from experiences of CSA.

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  • A recent review article suggests that the prevalence of comorbid PTSD and eating disorders ranges from 9% to 24%, although estimates are consistently higher when looking specifically at binge-type eating disorders.

    “A recent review article suggests that the prevalence of comorbid PTSD and EDs ranges from 9% to 24% [136], although estimates are consistently higher when looking specifically at binge-type EDs [137,138,139,140,141].”

    From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [139]

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Authors
Romans, S. E., Gendall, K. A., Martin, J. L., & Mullen, P. E.
Affiliations
University of Otago (NZ)
Corresponding author
Gendall, Kelly A.
ORCID
Romans, Sarah E.
Venue
International Journal of Eating Disorders
Publisher
Wiley
Published
2001-03-28
Volume
29
Issue
4
Pages
380-392
ISSN
  • 0276-3478 (ISSN-L)
  • 1098-108X
DOI
10.1002/eat.1034
OpenAlex
W2037293704
Cited by
101
References
64
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 7 · 2020: 3 · 2019: 5 · 2018: 2 · 2017: 4 · 2015: 2 · 2014: 5 · 2013: 5 · 2012: 8
FWCI
4.87
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • International Journal of Eating Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
child sexual abuse, disordered eating, eating disorders, anorexia nervosa, bulimia nervosa, maternal care, age at menarche, early maturation, depression, anxiety, women, risk factors
MeSH terms
Adolescent, Adult, Age Factors, Feeding and Eating Disorders, Mental Disorders, Child, Child Abuse, Sexual, Family, Female, Humans, New Zealand, Parents, Personality, Stress Disorders, Post-Traumatic, Comorbidity, Prevalence

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