Sullivan P F, Bulik C M, Carter F A, Joyce P R
University Department of Psychological Medicine, Christchurch School of Medicine, New Zealand.
Br J Psychiatry. 1995 Nov;167(5):679-82. doi: 10.1192/bjp.167.5.679.
Childhood sexual abuse (CSA) is found to have occurred to a substantial minority of women with bulimia nervosa. Its clinical significance is unclear.
We studied 87 bulimic women in a clinical trial. Structured interviews determined the presence of CSA, DSM-III-R disorders, global functioning, and depressive and bulimic symptoms.
Forty-four per cent reported a history of CSA. Bulimic women with CSA reported earlier onset of bulimia, greater depressive symptoms, worse global functioning and more suicide attempts, and were more likely to meet criteria for bipolar II disorder, alcohol and drug dependence, conduct disorder and avoidant personality disorder.
Although those with CSA had greater comorbidity, it was not an important modifier of bulimic symptoms.
研究发现，相当一部分神经性贪食症女性曾遭受过童年性虐待（CSA）。其临床意义尚不清楚。
我们在一项临床试验中对87名贪食症女性进行了研究。通过结构化访谈确定是否存在CSA、DSM-III-R障碍、整体功能、抑郁和贪食症状。
44%的女性报告有CSA病史。有CSA的贪食症女性报告称贪食症发病较早、抑郁症状更严重、整体功能更差且自杀未遂次数更多，并且更有可能符合双相II型障碍、酒精和药物依赖、品行障碍及回避型人格障碍的标准。
虽然有CSA的女性共病情况更严重，但它并非贪食症状的重要调节因素。
