Journal
INTERNATIONAL JOURNAL OF EATING DISORDERS
Volume 40, Issue 5, Pages 418-423Publisher
WILEY
DOI: 10.1002/eat.20378
Keywords
gay; bisexual; childhood sexual abuse; childhood physical abuse; eating disorders
Funding
- NIDA NIH HHS [T32 DA007233, 5T32 DA07233] Funding Source: Medline
- NIMH NIH HHS [R01 MH066058-03, R01-MH066058, R01 MH066058] Funding Source: Medline
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Objective: This study examines the association between eating disorders and a history of childhood abuse in gay and bisexual men, and how substance abuse and depression might impact this relationship. Method: 193 white, black, Latino gay, and bisexual men were sampled from community venues. DSM-IV diagnoses of anorexia, bulimia, and binge eating disorder were assessed using the World Health Organization's Composite International Diagnostic Interview. Results: Men with a history of childhood sexual abuse are significantly more likely to have subclinical bulimia or any current full-syndrome or subdinical eating disorder compared with men who do not have a history of childhood sexual abuse. A history of depression and/or substance use disorders did not mediate this relationship. Conclusion: Researchers should study other potential explanations of the relationship between a history of childhood abuse and eating disorders in gay and bisexual men. Clinicians working with gay and bisexual men who have a history of childhood abuse should assess for disordered eating as a potential mechanism to cope with the emotional sequelae associated with abuse. (c) 2007 by Wiley Periodicals, Inc.
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