{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T09:36:09Z","timestamp":1790501769091,"version":"4.1.0"},"reference-count":13,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":8098,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1995,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Childhood sexual abuse (CSA) is found to have occurred to a substantial minority of women with bulimia nervosa. Its clinical significance is unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We studied 87 bulimic women in a clinical trial. Structured interviews determined the presence of CSA, DSM\u2013III\u2013R disorders, global functioning, and depressive and bulimic symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty-four per cent reported a history of CSA. Bulimic women with CSA reported earlier onset of bulimia, greater depressive symptoms, worse global functioning and more suicide attempts, and were more likely to meet criteria for bipolar II disorder, alcohol and drug dependence, conduct disorder and avoidant personality disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although those with CSA had greater comorbidity, it was not an important modifier of bulimic symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.167.5.679","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T05:31:20Z","timestamp":1224048680000},"page":"679-682","source":"Crossref","is-referenced-by-count":34,"title":["The Significance of a History of Childhood Sexual Abuse in Bulimia Nervosa"],"prefix":"10.1192","volume":"167","author":[{"given":"Patrick F.","family":"Sullivan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia M.","family":"Bulik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances A.","family":"Carter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter R.","family":"Joyce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000075723_ref6","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.163.6.721"},{"key":"S0007125000075723_ref4","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1192\/S0007125000292015","article-title":"Sexual abuse, disordered personality and eating disorders","volume":"158","author":"McClelland","year":"1991","journal-title":"British Journal of Psychiatry"},{"key":"S0007125000075723_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1992.tb01458.x"},{"key":"S0007125000075723_ref1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1987"},{"key":"S0007125000075723_ref12","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.162.6.771"},{"key":"S0007125000075723_ref7","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1176\/ajp.149.4.455","article-title":"Is childhood sexual abuse a risk factor for bulimia nervosa?","volume":"149","author":"Pope","year":"1992","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000075723_ref13","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1176\/ajp.151.3.402","article-title":"Sexual abuse and bulimia nervosa: Three integrated case control comparisons","volume":"151","author":"Welch","year":"1994","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000075723_ref9","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1992.01820080032005"},{"key":"S0007125000075723_ref8","volume-title":"Structured Clinical Interview for DSM\u2013III\u2013R. Personality Disorders (SCID-II, 3\/1\/87).","author":"Spitzer","year":"1987"},{"key":"S0007125000075723_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/0010-440X(94)90195-3"},{"key":"S0007125000075723_ref3","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.23.1.56"},{"key":"S0007125000075723_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/088626090005001006"},{"key":"S0007125000075723_ref11","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.161.1.90"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000075723","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T06:32:08Z","timestamp":1675665128000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000075723\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,11]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1995,11]]}},"alternative-id":["S0007125000075723"],"URL":"https:\/\/doi.org\/10.1192\/bjp.167.5.679","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,11]]}}}