Lacey J H
Academic Department of Psychiatry, St George's Hospital Medical School, London.
Br J Psychiatry. 1990 Sep;157:399-403. doi: 10.1192/bjp.157.3.399.
This systematic study of 112 consecutive referrals of normal-weight bulimic women from a circumscribed urban catchment area found that eight patients (7%) reported sexual abuse involving physical contact. Four (3.6%) of these described incest, but only in two cases (1.8%) did the incest occur in childhood. Just over 5% of the sample reported unlawful sexual intercourse in childhood or gross indecency. Eighteen additional patients reported incestuous fantasies and two of these were partly acted out. The study indicates that incest and sexual abuse reported by bulimics is usually in those multi-impulsive patients who also abuse alcohol or drugs as well as food. The reported prevalences of incest and indecency in normal-weight bulimic women are only slightly higher than figures derived from general population surveys.
这项针对来自特定城市集水区的112名体重正常的贪食症女性连续转诊病例的系统研究发现，8名患者（7%）报告曾遭受涉及身体接触的性虐待。其中4名（3.6%）描述了乱伦情况，但只有2例（1.8%）的乱伦发生在童年时期。略超过5%的样本报告在童年时期有过非法性交或严重猥亵行为。另外有18名患者报告有乱伦幻想，其中2名部分付诸行动。该研究表明，贪食症患者报告的乱伦和性虐待情况通常发生在那些同时还存在酒精或药物滥用以及食物滥用问题的多冲动型患者身上。体重正常的贪食症女性中报告的乱伦和猥亵发生率仅略高于从一般人群调查得出的数据。
