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Childhood sexual abuse moderates the relationship between sexual functioning and eating disorder psychopathology in anorexia nervosa and bulimia nervosa: a 1-year follow-up study.
J Sex Med. 2013 Sep; 10(9):2190-200.JS

Abstract

INTRODUCTION

Sexual dysfunctions that affect all aspects of sexuality are common in patients with eating disorders. However, only few studies have provided longitudinal information on sexual functioning in patients with eating disorders.

AIM

To evaluate the longitudinal course of sexual functioning, and how changes in psychopathology and history of childhood abuse interact with sexual functioning in patients with anorexia nervosa (AN) and bulimia nervosa (BN).

METHODS

A total of 27 patients with AN and 31 with BN were assessed at baseline and at 1-year follow-up after a standard individual cognitive behavioral therapy (CBT).

MAIN OUTCOME MEASURES

Subjects were studied by means of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders IV, Female Sexual Function Index (FSFI), Eating Disorder Examination Questionnaire, Beck Depression Inventory, Spielberg's State-Trait Anxiety Inventory, Symptom Checklist-90, and Childhood Experience of Care and Abuse Questionnaire.

RESULTS

After treatment, both patients with AN and BN showed a significant improvement in the FSFI total score (P < 0.01 for both AN and BN) and all FSFI subscales, without significant between groups differences. Patients reporting childhood sexual abuse did not show a significant improvement in sexual functioning (β = 0.05; P = 0.58). Reduction in eating disorder severity was directly associated with FSFI improvement, but only in those subjects with no history of sexual abuse (β = 0.28; P = 0.01).

CONCLUSIONS

Eating disorder-specific psychopathology could be considered as a specific maintaining factor for sexual dysfunction in eating disorders subjects. Subjects reporting a history of childhood sexual abuse represent a subpopulation of patients with a profound uneasiness, involving body perception, as well as sexual functioning, which appeared not to be adequately challenged during standard CBT intervention. The results, though original, should be considered as preliminary, given the relatively small sample size.

Authors+Show Affiliations

Psychiatric Unit, Department of Neuropsychiatric Sciences, Florence University School of Medicine, Firenze, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23809602

Citation

Castellini, Giovanni, et al. "Childhood Sexual Abuse Moderates the Relationship Between Sexual Functioning and Eating Disorder Psychopathology in Anorexia Nervosa and Bulimia Nervosa: a 1-year Follow-up Study." The Journal of Sexual Medicine, vol. 10, no. 9, 2013, pp. 2190-200.
Castellini G, Lo Sauro C, Lelli L, et al. Childhood sexual abuse moderates the relationship between sexual functioning and eating disorder psychopathology in anorexia nervosa and bulimia nervosa: a 1-year follow-up study. J Sex Med. 2013;10(9):2190-200.
Castellini, G., Lo Sauro, C., Lelli, L., Godini, L., Vignozzi, L., Rellini, A. H., Faravelli, C., Maggi, M., & Ricca, V. (2013). Childhood sexual abuse moderates the relationship between sexual functioning and eating disorder psychopathology in anorexia nervosa and bulimia nervosa: a 1-year follow-up study. The Journal of Sexual Medicine, 10(9), 2190-200. https://doi.org/10.1111/jsm.12232
Castellini G, et al. Childhood Sexual Abuse Moderates the Relationship Between Sexual Functioning and Eating Disorder Psychopathology in Anorexia Nervosa and Bulimia Nervosa: a 1-year Follow-up Study. J Sex Med. 2013;10(9):2190-200. PubMed PMID: 23809602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Childhood sexual abuse moderates the relationship between sexual functioning and eating disorder psychopathology in anorexia nervosa and bulimia nervosa: a 1-year follow-up study. AU - Castellini,Giovanni, AU - Lo Sauro,Carolina, AU - Lelli,Lorenzo, AU - Godini,Lucia, AU - Vignozzi,Linda, AU - Rellini,Alessandra H, AU - Faravelli,Carlo, AU - Maggi,Mario, AU - Ricca,Valdo, Y1 - 2013/06/27/ PY - 2013/7/2/entrez PY - 2013/7/3/pubmed PY - 2014/7/9/medline KW - Body Image KW - Childhood Sexual Abuse KW - Cognitive Behavioral Therapy KW - Eating Disorders KW - Psychopathology KW - Sexual Dysfunction SP - 2190 EP - 200 JF - The journal of sexual medicine JO - J Sex Med VL - 10 IS - 9 N2 - INTRODUCTION: Sexual dysfunctions that affect all aspects of sexuality are common in patients with eating disorders. However, only few studies have provided longitudinal information on sexual functioning in patients with eating disorders. AIM: To evaluate the longitudinal course of sexual functioning, and how changes in psychopathology and history of childhood abuse interact with sexual functioning in patients with anorexia nervosa (AN) and bulimia nervosa (BN). METHODS: A total of 27 patients with AN and 31 with BN were assessed at baseline and at 1-year follow-up after a standard individual cognitive behavioral therapy (CBT). MAIN OUTCOME MEASURES: Subjects were studied by means of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders IV, Female Sexual Function Index (FSFI), Eating Disorder Examination Questionnaire, Beck Depression Inventory, Spielberg's State-Trait Anxiety Inventory, Symptom Checklist-90, and Childhood Experience of Care and Abuse Questionnaire. RESULTS: After treatment, both patients with AN and BN showed a significant improvement in the FSFI total score (P < 0.01 for both AN and BN) and all FSFI subscales, without significant between groups differences. Patients reporting childhood sexual abuse did not show a significant improvement in sexual functioning (β = 0.05; P = 0.58). Reduction in eating disorder severity was directly associated with FSFI improvement, but only in those subjects with no history of sexual abuse (β = 0.28; P = 0.01). CONCLUSIONS: Eating disorder-specific psychopathology could be considered as a specific maintaining factor for sexual dysfunction in eating disorders subjects. Subjects reporting a history of childhood sexual abuse represent a subpopulation of patients with a profound uneasiness, involving body perception, as well as sexual functioning, which appeared not to be adequately challenged during standard CBT intervention. The results, though original, should be considered as preliminary, given the relatively small sample size. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/23809602/Childhood_sexual_abuse_moderates_the_relationship_between_sexual_functioning_and_eating_disorder_psychopathology_in_anorexia_nervosa_and_bulimia_nervosa:_a_1_year_follow_up_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)30480-X DB - PRIME DP - Unbound Medicine ER -