The Relationship Between Childhood Sexual Abuse and Eating Disorder Symptoms
Mallory Holt
PSYC 401
Introduction
Some studies have shown a correlation between physical, sexual and/or emotional abuse and eating disorders, but there appears to be no casual link. (Tripp, 2001). Between 30 to 50% of adult women report an unwanted sexual experience in either childhood or adulthood. This paper explores the connection between sexual abuse, specificity during childhood, and eating disorders. Eating disorders include anorexia nervosa, bulimia nervosa, binge eating and over exercising. Because of the complex nature, factors such as family interactions, self-esteem, core beliefs, body mass, depression, body image and laxative
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(Jenkins, 2013). The desire for an idealized body shape may develop as a coping mechanism to compensate for an underlying fear of being taken advantage. This fear may have be established due to growing up where abuse occurs. There is some support for the hypothesis that bulimic behaviors act as blocking mechanisms to painful thoughts and experiences.
Emotional abuse predicted drive for thinness, whereas sexual abuse predicted symptoms of bulimia nervosa (BN). Mistrust and abuse beliefs were found to fully mediate relationships between childhood abuse and drive for thinness and bulimia scales. Abandonment beliefs were also shown to be partial mediators of the relationship between sexual abuse and symptoms of BN. In a sample of nonclinical women, beliefs pertaining to abandonment and mistrust or abuse appeared to be important in the explanation of the relationship between recollections of childhood abuse and adult eating disorder symptoms.
Laxative Abuse and Body Image
Research has examined the relationship of physical and sexual abuse and distortion of body image. (Treuer, 2005). 63 patients with eating disorders were interviewed about their experiences of physical and sexual abuse. The Body Attitude Test was also used to examine laxative use and body image. Sexual abuse occurred in 29%, physical abuse occurred in 57% and laxative abuse occurred in 46%. Sexual abuse
Focus on appearance is at an all-time high in American culture increasing the potential for negative body image. Poor body image increases the risk for extreme weight/body control behaviors. Researchers have found that increased preoccupation with appearance and body dissatisfaction put people at greater risk for engaging in dangerous practices to control weight and size. Extreme dieting, exercise compulsion, laxative abuse, vomiting, smoking and use of anabolic steroids have all been associated with negative body image. ("Body Image," 2012).
Samantha Callahan, Department of Psychology, Lindenwood University; Danielle Patrick, Department of Psychology, Lindenwood University; Sara Roderick, Department of Psychology, Lindenwood University; Kahla Stygar, Department of Psychology, Lindenwood University.
Many people are unaware of the background of eating disorders. Women are more likely than men to develop an eating disorder and they usually develop in childhood before the age of 20 (Ross-Flanigan 1). Women as well as men can develop an eating disorder; it is just more likely for a woman to develop one. Eating disorders are usually developed in adolescent or childhood years when a person is influenced the most. Also “Eating disorders are psychological conditions that involve overeating, voluntary starvation, or both. Anorexia nervosa, anorexic bulimia, and binge eating are the most well-known types of eating disorders” (Ross-Flanigan 1). Many people assume that an eating disorder is when a person staves themselves; they do not realize that it can involve overeating as well. Some eating disorders also involve purging, but not all. People with an eating disorder fear gaining weight even when they are severely underweight. They do not lack an appetite (Ross-Flanigan 1). These people are
Thesis Statement: It is important to understand eating disorders and the types of eating disorders to overcome them and seek the proper treatment.
Adolescence is a developmental stage, which is not defined merely by age. Some may even argue that many young adults with eating disorders are still in the midst of addressing the challenges of adolescence and indeed adolescent developmental difficulties have been thought to underlie the etiology of anorexia nervosa in particular. The essential features of anorexia nervosa and bulimia nervosa are consistent across the age spectrum – in terms of characteristic behaviors (dieting, bingeing, purging), specific psycho- pathology (over-evaluation of the self in terms of weight and shape) and non-specific features (low self-esteem, perfectionism, poor interpersonal confidence) (American Psychological Association, 2000). Much of the literature reports combined adolescent and adult case series without separate analysis. This makes it difficult to pinpoint exactly what differences are between children and adults as well as have an understanding of the developmental
Eating disorders have traditionally been a “woman’s problem.” It has not been until recently that we have recognized the fact that males are suffering from these deadly disorders as well. It has been generally agreed upon that anywhere from five to 15 percent of all reported cases of eating disorders are attributed to men. This paper will examine its incidence in males and the physical and psychological aspects associated with having an eating disorder.
To compare rates of sexual traumata among eating disordered women to those among women with other psychiatric disturbances (eating disorders excluded), a group of 21 women in hospital inpatient or outpatient treatments was formed, all within the age range of the eating disordered subjects who were not actively psychotic or heavily medicated. A normal control group contained 24 women consisting of hospital staff, parents, friends, and students comparable in age to the eating disordered subjects.
Eating disorders are in no way, to be considered “no big deal”. It affects the lives of many poor unsuspecting human beings and in some cases, fatally takes lives. This topic presents many things that most people don’t know. Such as the fact that bulimia nervosa has similar symptoms to using the drug heroin! Rotten teeth, pale and dry skin, and even failing organs are usually signs that someone may have bulimia. There are always key signs and factors to recognizing an eating disorder. Eating disorders are serious. We all should be aware of the affect it has on an individual, and if anyone knows or sees a person struggling with an eating disorder, outreaching and a simple hand in the right direction can save a life. Eating disorders get in the mind of an individual, then ruin the body, then finally ruin the mind.
Bulimia has cost the lives of many around the world, but it still does not seem to stop spreading its influence. This type of eating disorder shares similar emotional triggers found in those suffering from anorexia and excess fasting. “This illness is associated with premorbid perfectionism, introversion, poor peer relations, and low self-esteem.” (Garfinkel) Of course, these characteristics are a direct result of the person’s environment. As stated by Pigott once she got back home from her trip to Africa, “ I reverted to my natural state: one of yearning to be slimmer and more fit than I was. My freedom had been temporary. I was home, where fat is feared and despised.” (Pigott, C., pg.93) Bulimia, unlike anorexia, is characterized by a person binge-eating, or consuming a large amount of food in a short time lapse, but then “purging” themselves by either “self-inducing vomiting, taking enemas, or abusing laxatives or other medications.” (“The Eating Disorder Foundation”) This eating disorder is known to cause depression, kidney damage, dental damage, and anxiety disorders if left untreated. (“The Eating Disorder Foundation”) Despite its devastating effects, bulimia cases worldwide are increasing rapidly, showing the public’s ignorance in choosing to conform with the norm rather than taking care of themselves.
There is a focus on helping patients to observe and label their emotional reactions to trauma, validation and acquiring a balance between acceptance and change. This is a fairly new type of approach which is being modified for the treatment of eating disorders. (Santucci, 2010) This form of therapy, according to the data is appropriate for any individual afflicted with this condition as well as many others, but currently does not have a depth of research behind it to prove it individually effective specifically for AN.
The cognitive view of the maintenance of bulimia nervosa stresses that there is more to an individual's eating problem then just binge eating (and purging). Low self-esteem, extreme concerns about shape and weight, and strict dieting are all implicated in perpetuating the vicious cycle of bulimia (Fairburn et al., 1993). Within the first stage of treatment (weekly sessions 1-8), the following steps characterize the cognitive-behavioral approach: 1) orient
This paper reviews the relationships among eating disorders, trauma, and comorbid psychiatric disorders, with a particular focus on posttraumatic stress disorder (PTSD). There have been a number of significant conclusions in the literature, applicable to clinical practice, which are essential to the understanding of the relationships between generic eating disorders and some types of trauma. These are summarized as follows: a) children's sexual assault is a non-specific risk factor for most eating disorders; b) the level of trauma linked to those eating disorders has been extended from the child's sexual assault to include a multitude of different forms of assault/abuse and; c) trauma is much more common in bulimic eating disorders compared to a non-bulimic disorder; d) As such, those findings linking eating disorders with traumatic ones have been extended to both male and female children and adults with eating disorders; e) findings linking eating disorders with trauma have been extended to both male children and adult males with eating disorders; f) several episodes or types of trauma are associated with eating disorders; g) All trauma is not always associated with severe eating disorders; h) trauma is associated with greater comorbidity (including
However, social interaction anxiety, body surveillance, internalization of media ideals and attachment anxiety heightened the primary body dissatisfaction-eating disorder symptomatology relationship (Dakanalis, 2013). Similarly, Moser found that there was no difference in total FAST scores or in specific domains between two groups but that the purgative group showed more severe functional impairment than the restrictive group in the financial domain (Moser, 2013). In the domains of comorbidity with mood disorders, depressive symptoms, or general psychiatric symptoms, between the two ED subtypes, there were no differences seen between the two groups. This study concluded between purgative and restrictive types of eating disorders there were similarities in overall functioning and in autonomy, cognition, work, interpersonal relationships, and leisure (Moser, 2013). Both studies concluded that various psychosocial variables including several risk and protective factors interact with body dissatisfaction and negatively impact a women with eating disorders. These article only examined eating disorders in females, but did give a singular insight into how psychosocial impairments are seen in females with eating disorders.Although both research studies has a much smaller sample sizes, the results were still the
Most people have tried various diets to lose weight or wished for our body shape to change. For most people, diets will only work for the short term and as we age we tend to put on more weight. For individuals who are fixated on losing weight or changing their body shape; can lead to an eating disorder. Eating disorders (ED) have been defined as “syndromes characterised by significant disturbances in eating behaviour and by distress or excessive concern about body shape or weight.” Eating disorders that are most common are anorexia nervosa (AN) and bulimia nervosa (BN).
In addition, patients with eating disorders also exhibit other traits associated with low self-esteem, such as problems with their overall self-image, excessive concern over weight and shape, and globally negative attitudes about their self-control and discipline (Button 1997). The methodology for the research leading to these conclusions about low self-esteem and eating disorders typically involves elements such as questionnaires examining eating behavior, self-esteem and general psychological well-being (such as the Offer self-image questionnaire), depression and self-esteem scales (such as the Rosenberg self-esteem scale and the Hospital anxiety and depression scale), personal interviews with doctors, psychologists and researchers, and finally tests designed specifically for eating disorders (such as the Bulimia test and the EAT-40).