Vaz Leal F J, Guisado Macías J A, García-Herraiz M A, López Vinuesa B, Monge Bautista M, Bolívar Perálvarez M
Facultad de Medicina de Badajoz, Complejo Hospitalario Universitario, Badajoz, Spain.
Actas Esp Psiquiatr. 2005 May-Jun;33(3):135-40.
Studies analyzing the relationship between sexual abuse and bulimia nervosa (BN) have reported discrepant results. This study aimed to assess the role of a history of sexual abuse in the clinical status of a group of patients diagnosed of BN using DSM-IV diagnostic criteria.
Seventy patients with BN were assessed using specific clinical tools: Eating Attitudes Test-40 items (EAT-40), Bulimia Investigation Test Edinburgh (BITE), Symptom Checklist (SCL-90), Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II), Sixteen Personality Factors Test (16-PF) and a clinical interview for the assessment of past and current substance abuse. The data from the 15 patients with a history of sexual abuse (21.4 % of the sample) were compared with those from the 55 patients without such a history.
Both groups were very similar regarding symptom severity. Only the tendency to somatization and higher scores in the factor E of the 16-PF (dominance) were associated with antecedents of sexual abuse in the sample.
The results support the idea that sexual abuse may be related to higher non-specific vulnerability to psychopathology, but do not increase symptom severity in BN patients.
分析性虐待与神经性贪食症（BN）之间关系的研究报告了不一致的结果。本研究旨在评估性虐待史在一组使用《精神疾病诊断与统计手册》第四版（DSM-IV）诊断标准诊断为BN的患者临床状况中的作用。
使用特定的临床工具对70例BN患者进行评估：40项饮食态度测试（EAT-40）、爱丁堡神经性贪食症调查测试（BITE）、症状清单（SCL-90）、DSM-IV轴II人格障碍结构化临床访谈（SCID-II）、十六种人格因素测试（16-PF）以及用于评估过去和当前药物滥用情况的临床访谈。将15例有性虐待史患者（占样本的21.4%）的数据与55例无此病史患者的数据进行比较。
两组在症状严重程度方面非常相似。在样本中，只有躯体化倾向以及16-PF中E因子（支配性）得分较高与性虐待史相关。
结果支持这样一种观点，即性虐待可能与更高的非特异性精神病理学易感性有关，但不会增加BN患者的症状严重程度。
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