Schmidt U, Evans K, Tiller J, Treasure J
St Mary's Hospital, Early Intervention Service, London.
Psychol Med. 1995 Mar;25(2):413-7. doi: 10.1017/s0033291700036308.
In order to assess the relationship pubertal development, sexual milestones and childhood sexual abuse in women with eating disorders, 44 patients with restricting anorexia nervosa (RAN), 26 with bulimic anorexia nervosa (BAN), 29 with bulimia nervosa and also with a history of anorexia nervosa (BN/HistAN), and 69 with bulimia nervosa but without a history of anorexia nervosa (BN) completed questionnaires on pubertal and sexual development and unpleasant sexual experiences. Forty-four female college students complete the sexual development questionnaire only. Different eating disorder groups were found to be similar in terms of their pubertal development. All eating disorder groups showed delays in aspects of their psychosexual development (age at first kiss, masturbation, genital fondling and first sexual intercourse) compared with the control group, although to a different degree. The RAN group was delayed on almost all sexual milestones whereas the other groups were delayed on only some. On some variables, most noticeably on first sexual intercourse, restricters also were more delayed than the other eating disorder groups. Similarly, the median number of sexual partners differed significantly between groups (RAN = 1, BAN = 2, BN/HistAN = 4, BN = 4, controls = 5, P < 0.0001). Eating disorder patients, in particular RAN patients, were less positive about sexual relationships than controls, but did not differ from controls in attitudes to masturbation, marriage, children or pregnancy. Of the eating disorder patients 22-31% had been sexually abused during childhood. A history of abuse affected attitudes to masturbation, but did not appear to affect sexual development.
为了评估饮食失调女性的青春期发育、性成熟标志与童年期性虐待之间的关系，44例限制型神经性厌食症（RAN）患者、26例贪食型神经性厌食症（BAN）患者、29例神经性贪食症且有神经性厌食症病史（BN/HistAN）的患者以及69例神经性贪食症但无神经性厌食症病史（BN）的患者完成了关于青春期和性发育以及不愉快性经历的问卷调查。44名女大学生仅完成了性发育问卷。结果发现，不同的饮食失调组在青春期发育方面相似。与对照组相比，所有饮食失调组在心理性发育的某些方面（初吻年龄、自慰、抚摸生殖器和首次性交）均有延迟，尽管程度不同。RAN组在几乎所有性成熟标志方面都有延迟，而其他组仅在某些方面有延迟。在一些变量上，尤其是首次性交方面，限制型患者也比其他饮食失调组延迟更明显。同样，各组之间性伴侣的中位数差异显著（RAN = 1，BAN = 2，BN/HistAN = 4，BN = 4，对照组 = 5，P < 0.0001）。饮食失调患者，尤其是RAN患者，对性关系的态度不如对照组积极，但在自慰、婚姻、生育或怀孕的态度上与对照组没有差异。在饮食失调患者中，22% - 31%在童年期遭受过性虐待。虐待史影响了对自慰的态度，但似乎并未影响性发育。
