Miller D A, McCluskey-Fawcett K, Irving L M
Department of Psychology, University of Kansas, Lawrence 66045.
Child Abuse Negl. 1993 Mar-Apr;17(2):305-14. doi: 10.1016/0145-2134(93)90050-f.
Seventy-two young adult women identified by the Bulimic Investigatory Test, Edinburgh (BITE) as having a high probability of suffering from bulimia nervosa were compared with 72 matched controls who did not display bulimic symptoms. Both groups were given measures of sexual abuse history, dissociation, and early family mealtime experiences. Rates of self-reported sexual abuse after the age of 12 with an adult relative as the perpetrator were significantly greater in the women diagnosed as bulimic. Nonsignificant but high rates of sexual abuse prior to age 12 were also found for this group. Dissociative experiences were also significantly more common in the bulimic group overall, and higher still for bulimic women who reported sexual abuse as children. Bulimic women had more negative and unusual mealtime experiences than nonbulimic women. Results suggest that sexual abuse may be related to the subsequent onset of bulimia nervosa for some women.
通过爱丁堡贪食症调查测试（BITE）确定有患神经性贪食症高概率的72名年轻成年女性，与72名未表现出贪食症状的匹配对照组进行了比较。两组都接受了性虐待史、分离性障碍和早期家庭用餐经历的测量。在被诊断为贪食症的女性中，12岁以后由成年亲属实施的自我报告性虐待发生率显著更高。该组在12岁之前的性虐待发生率虽不显著但也很高。分离性体验在整个贪食症组中也明显更常见，对于报告儿童期性虐待的贪食症女性来说更高。贪食症女性比非贪食症女性有更多负面和异常的用餐经历。结果表明，性虐待可能与一些女性随后患神经性贪食症有关。
