Article Abstract:
There is an association between sexual abuse, compensatory behavior, coping behavior, personality disturbance, and distress in patients with eating disorders. Sexual abuse rate is 41% in the various eating disorders groups, with the rate being the highest in compensating patients and the lowest in compulsive overeaters. Abused patients show more personality disturbance, comorbid psychiatric symptoms and self-destruction. Sexual abuse is more closely related to purging than to binging or compulsive eating. The most common coping strategy used by abused patients is self-criticism.
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Article Abstract:
The new subtyping criteria for bulimia nervosa outlined in the fourth edition of the 'Diagnostic and statistical manual of mental disorders' were examined. Purging and nonpurging bulimia nervosa patients were compared with binge eating disorder patients and patients with compensatory eating disorder (CED) to determine whether purging could identify a more 'disturbed' group. Purging and nonpurging bulimic patients and CED patients were found to display more comorbid disturbance than binge eating patients.
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Article Abstract:
Bulimics with affective disorders may need to be pushed to use increased social support. A study of different coping methods in depressed bulimia nervosa patients shows an increase in disengaged coping when levels of depression increase. Patients with mild and moderate levels of depression seek more social support than nondepressed and highly depressed patients. Avoidant forms of coping are symptoms of an affective disorder rather than of bulimia per se.
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