{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:33:51Z","timestamp":1784543631357,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2002,10,17]],"date-time":"2002-10-17T00:00:00Z","timestamp":1034812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2002,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study evaluated rates of self\u2010harm and substance use in women with either bulimia nervosa (BN) or binge eating disorder (BED) and assessed whether differences in self\u2010harm and substance use are related to sexual or physical abuse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Alcohol abuse, self\u2010harm, and use or abuse of various illicit drugs were evaluated in a sample of 53 women with BN and 162 women with BED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Self\u2010harm and substance use generally did not differentiate BED and BN cases, but rates of self\u2010harm and substance use were elevated among women with a history of sexual or physical abuse relative to women without such a history.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Elevated rates of self\u2010harm and substance use may not be related uniquely to BN diagnostic status, but may be related to a characteristic shared by women with BN and BED, such as a history of sexual or physical abuse. \u00a9 2002 by Wiley Periodicals, Inc. 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