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Current Sexual Health Reports

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01-03-2020 | Eating Disorder | Clinical Therapeutics (B McCarthy, R Segraves and R Balon, Section Editors)

Eating Disorders and Sexual Function Reviewed: A Trans-diagnostic, Dimensional Perspective

Authors: Cara R. Dunkley, Yana Svatko, Lori A. Brotto

Published in: Current Sexual Health Reports | Issue 1/2020

Abstract

Purpose of Review

Clinical observation and a growing body of empirical research point to an association between disordered eating and sexual function difficulties. The present review identifies and connects the current knowledge on sexual dysfunction in the eating disorders, and provides a theoretical framework for conceptualizing the association between these important health conditions.

Recent Findings

Research on sexuality and eating pathology has focused on clinical samples of women with anorexia nervosa (AN) and bulimia nervosa (BN). All aspects of sexual response can be impacted in women with an eating disorder, with sexual function in women with AN appearing to be more compromised than in women with BN. Research of this nature is extremely limited with respect to BED, non-clinical samples, men, and individuals with non-binary gender identities.

Summary

Sexuality should be examined and addressed within the context of eating disorder treatment. Sexual dysfunction and eating disorders, along with commonly comorbid disorders of anxiety and mood, can be seen as separate but frequently overlapping manifestations of internalizing psychopathology. Psychological, developmental, sociocultural, etiological, and biophysical factors likely represent risk and maintenance factors for internalizing disorders. A dimensional, trans-diagnostic approach to disordered eating and sexuality has promising implications for future research and clinical interventions.

Loss of menses for three or more consecutive months in post-menarche females

Castellini G, Lelli L, Sauro CL, Fioravanti G, Vignozzi L, Maggi M, et al. Anorectic and bulimic patients suffer from relevant sexual dysfunctions. J Sex Med. 2012;9:2590–9. https://doi.org/10.1111/j.1743-6109.2012.02888.x.CrossRefPubMed

Mazzei C, Castellini G, Benni L, Godini L, Lazzeretti L, Pracucci C, et al. Sexuality and eating disorders. Riv Psichiatr. 2011;46:122–8. https://doi.org/10.1708/626.7312.CrossRefPubMed

Pinheiro AP, Raney TJ, Thornton LM, Fichter MM, Berrettini WH, Goldman D, et al. Sexual functioning in women with eating disorders. Int J Eat Disord. 2010;43:123–9. https://doi.org/10.1002/eat.20671.CrossRefPubMedPubMedCentral

• Tolosa-Sola I, Gunnard K, Giménez Muniesa C, Casals L, Grau A, Farré JM. Body dissatisfaction and eating disorder symptomatology: which factors interfere with sexuality in women with eating disorders? J Health Psychol. 2017;1359105317695425. https://doi.org/10.1177/1359105317695425This study focuses on how mood, sociocultural factors, and body dissatisfaction interact in order to impact the relationship between disordered eating and sexual function. CrossRefPubMed

Mangweth-Matzek B, Rupp CI, Hausmann A, Kemmler G, Biebl W. Menarche, puberty, and first sexual activities in eating-disordered patients as compared with a psychiatric and a nonpsychiatric control group. Int J Eat Disord. 2007;40:705–10. https://doi.org/10.1002/eat.20431.CrossRefPubMed

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: American Psychiatric Pub; 2013.CrossRef

World Health Organization. International statistical classification of diseases and related health problems. Geneva: World Health Organization; 2004.

Fairburn CGG, Harrison PJ. Eating disorders. Lancet. 2003;361:407–16.CrossRefPubMed

Anderson LK, Claudat K, Cusack A, Brown TA, Trim J, Rockwell R, et al. Differences in emotion regulation difficulties among adults and adolescents across eating disorder diagnoses. J Clin Psychol. 2018;74:1867–73. https://doi.org/10.1002/jclp.22638.CrossRefPubMed

10.

Abraham S. Sexuality and reproduction in bulimia nervosa patients over 10 years. J Psychosom Res. 1998;44:491–502. https://doi.org/10.1016/S0022-3999(97)00272-9.CrossRefPubMed

11.

Beumont PJ, Abraham SF, Simson KG. The psychosexual histories of adolescent girls and young women with anorexia nervosa. Psychol Med. 1981;11:131–40. https://doi.org/10.1017/s0033291700053344.CrossRefPubMed

12.

Castellini G, Mannucci E, Mazzei C, Sauro CL, Faravelli C, Rotella CM, et al. Sexual function in obese women with and without binge eating disorder. J Sex Med. 2010;7:3969–78. https://doi.org/10.1111/j.1743-6109.2010.01990.x.CrossRefPubMed

13.

Castellini G, Lelli L, Sauro CL, Vignozzi L, Maggi M, Faravelli C, et al. Childhood abuse, sexual function and cortisol levels in eating disorders. Psychother Psychosom. 2012;81:380–2. https://doi.org/10.1159/000337176.CrossRefPubMed

14.

Castellini G, Lo Sauro C, Lelli L, Godini L, Vignozzi L, Rellini AH, 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;10:2190–200. https://doi.org/10.1111/jsm.12232.CrossRefPubMed

15.

•• Castellini G, Lelli L, Ricca V, Maggi M. Sexuality in eating disorders patients: etiological factors, sexual dysfunction and identity issues. A systematic review. Horm Mol Biol Clin Ivestig. 2016;25:71–90. https://doi.org/10.1515/hmbci-2015-0055This article is both a review and a guide for directing future research on sexuality and disordered eating. It summarizes additional literature related to eating disorders and sexuality, such as sexual orientation, which was outside the scope of our paper. CrossRef

16.

Castellini G, Lelli L, Corsi E, Campone B, Ciampi E, Fisher AD, et al. Role of sexuality in the outcome of anorexia nervosa and bulimia nervosa: a 3-year follow-up study. Psychother Psychosom. 2017;86:376–8. https://doi.org/10.1159/000477176.CrossRefPubMed

17.

•• Castellini G, Lelli L, Cassioli E, Ricca V. Relationships between eating disorder psychopathology, sexual hormones and sexual behaviours. Mol Cell Endorinol. 2019. https://doi.org/10.1016/j.mce.2019.04.009This comprehensive paper reviews metabolic alterations, reproductive concerns, and psychopathology in relation to eating disorders and sexual difficulties. CrossRefPubMed

18.

Copeland PM, Herzog DB. Hypoglycemia and death in anorexia nervosa. Psychother Psychosom. 1987;48:146–50. https://doi.org/10.1159/000288045.CrossRefPubMed

19.

Culbert KM, Klump KL. Impulsivity as an underlying factor in the relationship between disordered eating and sexual behavior. Int J Eat Disord. 2005;38:361–6. https://doi.org/10.1002/eat.20188.CrossRefPubMed

20.

Dunkley CR, Gorzalka BB, Brotto LA. Disordered eating and sexual insecurities in young women. Can J Hum Sex. 2016;25:138–47. https://doi.org/10.3138/cjhs.252-A6.CrossRef

21.

Dunkley C, Gorzalka B, Brotto L. Associations between sexual function and disordered eating among undergraduate women: an emphasis on sexual pain and distress. J Sex Marital Ther. 2019;30(just-accepted):1–44. https://doi.org/10.1080/0092623X.2019.1626307.CrossRef

22.

Eddy KT, Novotny CM, Westen D. Sexuality, personality, and eating disorders. Eat Disord. 2004;12:191–208. https://doi.org/10.1080/10640260490481410.CrossRefPubMed

23.

Fichter MM, Quadflieg N, Hedlund S. Twelve-year course and outcome predictors of anorexia nervosa. Int J Eat Disord. 2006;39:87–100. https://doi.org/10.1002/eat.20215.CrossRefPubMed

24.

• Gonidakis F, Kravvariti V, Varsou E. Sexual function of women suffering from anorexia nervosa and bulimia nervosa. J Sex Marital Ther. 2015;41:368–78. https://doi.org/10.1080/0092623X.2014.915904This is one of the few studies that examine sexual function and eating disorders in relation to depression. CrossRefPubMed

25.

Hicks CW, DeMarsh S, Singh H, Gillespie LA, Worley S, Rome ES. Knowledge about various contraceptive methods in young women with and without eating disorders. Int J Eat Disord. 2013;46:171–6. https://doi.org/10.1002/eat.22048.CrossRefPubMed

26.

Irving LM, McCluskey-Fawcett K, Thissen D. Sexual attitudes and behavior of bulimic women: a preliminary investigation. J Youth Adolesc. 1990;19:395–411. https://doi.org/10.1007/BF01537079.CrossRefPubMed

27.

Jagstaidt V, Golay A, Pasini W. Sexuality and bulimia. New Trends Exp Clin Psychiatry. 1996;12:9–16.

28.

Jagstaidt V, Golay A, Pasini W. Relationship between sexuality and eating disorders in obese women. New Trends Exp Clin Psychiatry. 2001;17:69–77.

29.

Kaltiala-Heino R, Rimpel M, Rissanen A, Rantanen P. Early puberty and early sexual activity are associated with bulimic-type eating pathology in middle adolescence. J Adolesc Health. 2001;28:346–52. https://doi.org/10.1001/archpsyc.56.7.600.CrossRefPubMed

30.

Kaltiala-Heino R, Kosunen E, Rimpelä M. Pubertal timing, sexual behaviour and self-reported depression in middle adolescence. J Adolesc. 2003;26:531–45. https://doi.org/10.1016/S0140-1971(03)00053-8.CrossRefPubMed

31.

Morgan CD, Wederman MW, Pryor TL. Sexual functioning and attitudes of eating-disordered women: a follow-up study. J Sex Marital Ther. 1995;21:67–77. https://doi.org/10.1080/00926239508404386.CrossRefPubMed

32.

Morgan JF, Lacey JH, Reid F. Anorexia nervosa: changes in sexuality during weight restoration. Psychosom Med. 1999;61:541–5.CrossRefPubMed

33.

Raboch J, Faltus F. Sexuality of women with anorexia nervosa. Acta Psychiatr Scand. 1991;84:9–11. https://doi.org/10.1111/j.1743-6109.2009.01604.x.CrossRefPubMed

34.

Rodríguez S, Mata JL, Lameiras M, Fernández MC, Vila J. Dyscontrol evoked by erotic and food images in women with bulimia nervosa. Eur Eat Disord Rev: Prof J Eat Disord Assoc. 2007;15:231–9. https://doi.org/10.1002/erv.724.CrossRef

35.

Rothschild BS, Fagan PJ, Woodall C, Andersen AE. Sexual functioning of female eating-disordered patients. Int J Eat Disord. 1991;10:389–94. https://doi.org/10.1002/1098-108X(199107)10:4<389::AID-EAT2260100403>3.0.CO;2-C.CrossRef

36.

Ruuska J, Kaltiala-Heino R, Koivisto AM, Rantanen P. Puberty, sexual development and eating disorders in adolescent outpatients. Eur Child Adolesc Psychiatry. 2003;12:214–20. https://doi.org/10.1007/s00787-003-0340-4.CrossRefPubMed

37.

Tiggemann M, Williams E. The role of self-objectification in disordered eating, depressed mood, and sexual functioning among women: a comprehensive test of objectification theory. Psychol Women Q. 2012;36:66–75. https://doi.org/10.1177/0361684311420250.CrossRef

38.

Tuiten A, Panhuysen G, Everaerd W, Koppeschaar H, Krabbe P, Zelissen P. The paradoxical nature of sexuality in anorexia nervosa. J Sex Marital Ther. 1993;19:259–75. https://doi.org/10.1080/00926239308404370.CrossRefPubMed

39.

Van der Ham T, Van Strien DC, Van Engeland H. Personality characteristics predict outcome of eating disorders in adolescents: a 4-year prospective study. Eur Child Adolesc Psychiatry. 1998;7:79–84. https://doi.org/10.1007/s007870050051.CrossRefPubMed

40.

Wiederman MW. Women, sex, and food: a review of research on eating disorders and sexuality. J Sex Res. 1996;33:301–11. https://doi.org/10.1080/00224499609551847.CrossRef

41.

Wiederman MW, Pryor T. Body dissatisfaction and sexuality among women with bulimia nervosa. Int J Eat Disord. 1997;21:361–5. https://doi.org/10.1002/(SICI)1098-108X(1997)21:4<361::AID-EAT9.CrossRefPubMed

42.

Wiederman MW, Pryor T, Morgan CD. The sexual experience of women diagnosed with anorexia nervosa or bulimia nervosa. Int J Eat Disord. 1996;19:109–18. https://doi.org/10.1002/(SICI)1098-108X(199603)19:2<109::AID-EAT1>3.0.CO;2-R.CrossRefPubMed

43.

Hsu LK, Crisp AH, Harding B. Outcome of anorexia nervosa. Lancet. 1979;1:61–5. https://doi.org/10.1016/S0140-6736(79)90060-6.CrossRefPubMed

44.

Meguerditchian C, Samuelian-Massat C, Valéro R, Begu-Le Corroller A, Fromont I, Mancini J, et al. The impact of weight normalization on quality of recovery in anorexia nervosa. J Am Coll Nutr. 2009;28:397–404. https://doi.org/10.1080/07315724.2009.10718102.CrossRefPubMed

45.

Lacey JH. Self-damaging and addictive behaviour in bulimia nervosa: a catchment area study. Brit J Psychiatry. 1993;163:190–4. https://doi.org/10.1192/bjp.163.2.190.CrossRef

46.

Aral SO. Sexual risk behaviour and infection: epidemiological considerations. Sex Transm Infect. 2004;80:ii8–12. https://doi.org/10.1136/sti.2004.011866.CrossRefPubMedPubMedCentral

47.

Fenton KA, Johnson AM, McManus S, Erens B. Measuring sexual behaviour: methodological challenges in survey research. Sex Transm Infect. 2001;77:84–92. https://doi.org/10.1136/sti.77.2.84.CrossRefPubMedPubMedCentral

48.

Vivancos R, Abubakar I, Phillips-Howard P, Hunter PR. School-based sex education is associated with reduced risky sexual behaviour and sexually transmitted infections in young adults. Public Health. 2013;127:53–7. https://doi.org/10.1016/j.puhe.2012.09.016.CrossRefPubMed

49.

Schulster ML, Liang SE, Najari BB. Metabolic syndrome and sexual dysfunction. Curr Opin Urol. 2017;27:435–40. https://doi.org/10.1097/MOU.0000000000000426.CrossRefPubMed

50.

Escobar-Morreale HF, Santacruz E, Luque-Ramirez M, Botella Carretero JI. Prevalence of ‘obesity-associated gonadal dysfunction in severely obese men and women and its resolution after bariatric surgery: a systematic review and meta-analysis. Hum Reprod Update. 2017;23:390–408. https://doi.org/10.1093/humupd/dmx012.CrossRefPubMed

51.

Maseroli E, Scavello I, Vignozzi L. Cardiometabolic risk and female sexuality—part I. risk factors and potential pathophysiological underpinnings for female vasculogenic sexual dysfunction syndromes. Sex Med Rev. 2018;6:508–24. https://doi.org/10.1016/j.sxmr.2018.02.009.CrossRefPubMed

52.

Brown TA, Keel PK. The impact of relationships, friendships, and work on the association between sexual orientation and disordered eating in men. Eat Disord. 2013;21:342–59. https://doi.org/10.1080/10640266.2013.797825.CrossRefPubMed

53.

French SA, Story M, Remafedi G, Resnick MD, Blum RW. Sexual orientation and prevalence of body dissatisfaction and eating disordered behaviors: a population-based study of adolescents. Int J Eat Disord. 1996;19:119–26. https://doi.org/10.1002/(SICI)1098-108X(199603)19:2<119::AID-EAT2>3.0.CO;2-Q.CrossRefPubMed

54.

Russell CJ, Keel PK. Homosexuality as a specific risk factor for eating disorders in men. Int J Eat Disord. 2002;31:300–6. https://doi.org/10.1002/eat.10036.CrossRefPubMed

55.

Siever MD. Sexual orientation and gender as factors in socioculturally acquired vulnerability to body dissatisfaction and eating disorders. J Consult Clin Psychol. 1994;62:252–60. https://doi.org/10.1037/0022-006X.62.2.252.CrossRefPubMed

56.

Boisvert JA, Harrell WA. Homosexuality as a risk factor for eating disorder symptomatology in men. J Mens Stud. 2009;17:210–25. https://doi.org/10.3149/jms.1703.210.CrossRef

57.

Beren SE, Hayden HA, Wilfley DE, Grilo CM. The influence of sexual orientation on body dissatisfaction in adult men and women. Int J Eat Disord. 1996;20:135–41. https://doi.org/10.1002/(SICI)1098-108X(199609)20:2<135::AID-EAT3>3.0.CO;2-H.CrossRefPubMed

58.

Cella S, Iannaccone M, Cotrufo P. Influence of gender role orientation (masculinity versus femininity) on body satisfaction and eating attitudes in homosexuals, heterosexuals and transsexuals. Eat Weight Disord. 2013;18:115–24. https://doi.org/10.1007/s40519-013-0017-z.CrossRefPubMed

59.

Hepp U, Milos G. Gender identity disorder and eating disorders. Int J Eat Disord. 2002;32:473–8. https://doi.org/10.1002/eat.10090.CrossRefPubMed

60.

Woertman L, Van den Brink F. Body image and female sexual functioning and behavior: a review. J Sex Res. 2012;49:184–211. https://doi.org/10.1080/00224499.2012.658586.CrossRefPubMed

61.

Kotov R, Krueger RF, Watson D, Achenbach TM, Althoff RR, Bagby RM, et al. The hierarchical taxonomy of psychopathology (HiTOP): a dimensional alternative to traditional nosologies. J Abnorm Psychol. 2017;126:454–77. https://doi.org/10.1037/abn0000258.CrossRefPubMed

62.

Forbes MK, Baillie AJ, Schniering CA. A structural equation modeling analysis of the relationships between depression, anxiety, and sexual problems over time. J Sex Res. 2016;53:942–54. https://doi.org/10.1080/00224499.2015.1063576.CrossRefPubMed

63.

Forbes MK, Baillie AJ, Schniering CA. Where do sexual dysfunctions fit into the meta-structure of psychopathology? A factor mixture analysis. Arch Sex Behav. 2016;45:1883–96. https://doi.org/10.1007/s10508-015-0613-2.CrossRefPubMed

64.

Forbush KT, South SC, Krueger RF, Iacono WG, Clark LA, Keel PK, et al. Locating eating pathology within an empirical diagnostic taxonomy: evidence from a community-based sample. J Abnorm Psychol. 2010;119:282–92. https://doi.org/10.1037/a0019189.CrossRefPubMedPubMedCentral

65.

Forbush KT, Watson D. The structure of common and uncommon mental disorders. Psychol Med. 2013;43:97–108. https://doi.org/10.1017/S0033291712001092.CrossRefPubMed

66.

Beesdo-baum K, Höfler M, Gloster AT, Klotsche J, Lieb R, Beauducel A, et al. The structure of common mental disorders: a replication study in a community sample of adolescents and young adults. Int J Methods Psychiatr Res. 2009;18:204–20. https://doi.org/10.1002/mpr.293.CrossRefPubMedPubMedCentral

67.

Eaton NR, Krueger RF, Markon KE, Keyes KM, Skodol AE, Wall M, et al. The structure and predictive validity of the internalizing disorders. J Abnorm Psychol. 2013;122:86–92. https://doi.org/10.1037/a0029598.CrossRefPubMed

68.

Keyes KM, Eaton NR, Krueger RF, Skodol AE, Wall MM, Grant B, et al. Thought disorder in the metastructure of psychopathology. Psychol Med. 2013;43:1673–83. https://doi.org/10.1017/S0033291712002292.CrossRefPubMed

69.

Krueger RF, Markon KE. Understanding psychopathology: melding behavior genetics, personality, and quantitative psychology to develop an empirically based model. Curr Dir Psychol Sci. 2006;15:113–7. https://doi.org/10.1111/j.0963-7214.2006.00418.x.CrossRefPubMedPubMedCentral

70.

Lahey BB, Rathouz PJ, Van Hulle C, Urbano RC, Krueger RF, Applegate B, et al. Testing structural models of DSM–IV symptoms of common forms of child and adolescent psychopathology. J Abnorm Child Psychol. 2008;36:187–206. https://doi.org/10.1007/s10802-007-9169-5.CrossRefPubMed

71.

Miller MW, Fogler JM, Wolf EJ, Kaloupek DG, Keane TM. The internalizing and externalizing structure of psychiatric comorbidity in combat veterans. J Trauma Stress. 2008;21:58–65. https://doi.org/10.1002/jts.20303.CrossRefPubMedPubMedCentral

72.

Miller MW, Wolf EJ, Reardon A, Greene A, Ofrat S, McInerney S. Personality and the latent structure of PTSD comorbidity. J Anxiety Disord. 2012;26:599–607. https://doi.org/10.1016/j.janxdis.2012.02.016.CrossRefPubMedPubMedCentral

73.

Laurent SM, Simons AD. Sexual dysfunction in depression and anxiety: conceptualizing sexual dysfunction as part of an internalizing dimension. Clin Psychol Rev. 2009;29:573–85. https://doi.org/10.1016/j.cpr.2009.06.007.CrossRefPubMed

74.

Fornari V, Dancyger IF. Psychosexual development and eating disorders. Adol Med Clin. 2003;14:61.

75.

Pujols Y, Meston CM, Seal BN. The association between sexual satisfaction and body image in women. J Sex Med. 2010;7:905–16.CrossRefPubMed

76.

Weeden J, Sabini J. Subjective and objective measures of attractiveness and their relation to sexual behavior and sexual attitudes in university students. Arch Sex Behav. 2007;36:79–88. https://doi.org/10.1007/s10508-006-9075-x.CrossRefPubMed

77.

Calogero RM, Thompson JK. Potential implications of the objectification of women’s bodies for women's sexual satisfaction. Body Image. 2009;6:145–8. https://doi.org/10.1016/j.bodyim.2009.01.001.CrossRefPubMed

78.

Weaver AD, Byers ES. The relationships among body image, body mass index, exercise, and sexual functioning in heterosexual women. Psychol Women Q. 2006;30:333–9. https://doi.org/10.1111/j.1471-6402.2006.00308.x.CrossRef

79.

Seal BN, Bradford A, Meston CM. The association between body esteem and sexual desire among college women. Arch Sex Behav. 2009;38:866–72. https://doi.org/10.1007/s10508-008-9467-1.CrossRefPubMed

80.

Sanchez DT, Kiefer AK. Body concerns in and out of the bedroom: implications for sexual pleasure and problems. Arch Sex Behav. 2007;36:808–20. https://doi.org/10.1007/s10508-007-9205-0.CrossRefPubMed

81.

Ambwani S, Strauss J. Love thyself before loving others? A qualitative and quantitative analysis of gender differences in body image and romantic love. Sex Roles. 2007;56:13–21. https://doi.org/10.1007/s11199-006-9143-7.CrossRef

82.

Meltzer AL, McNulty JK. Body image and marital satisfaction: evidence for the mediating role of sexual frequency and sexual satisfaction. J Fam Psychol. 2010;24:156–64.CrossRefPubMedPubMedCentral

83.

van den Brink F, Vollmann M, Smeets MA, Hessen DJ, Woertman L. Relationships between body image, sexual satisfaction, and relationship quality in romantic couples. J Fam Psychol. 2018;32:466–74.CrossRefPubMed

84.

Cash TF, Theriault J, Annis NM. Body image in an interpersonal context: adult attachment, fear of intimacy and social anxiety. J Soc Clin Psychol. 2004;23:89–103. https://doi.org/10.1521/jscp.23.1.89.26987.CrossRef

85.

Wallwiener S, Strohmaier J, Wallwiener LM, Schönfisch B, Zipfel S, Brucker SY, et al. Sexual function is correlated with body image and partnership quality in female university students. J Sex Med. 2016;13:1530–8.CrossRefPubMed

86.

Littleton H, Breitkopf CR, Berenson A. Body image and risky sexual behaviors: an investigation in a tri-ethnic sample. Body Image. 2005;2:193–8. https://doi.org/10.1016/j.bodyim.2005.02.003.CrossRefPubMed

87.

Stice E. A prospective test of the dual-pathway model of bulimic pathology: mediating effects of dieting and negative affect. J Abnorm Psychol. 2001;110:124–35. https://doi.org/10.1037/0021-843X.110.1.124.CrossRefPubMed

88.

Atallah S, Johnson-Agbakwu C, Rosenbaum T, Abdo C, Byers ES, Graham C, et al. Ethical and sociocultural aspects of sexual function and dysfunction in both sexes. J Sex Med. 2016;13:591–606. https://doi.org/10.1016/j.jsxm.2016.01.021.CrossRefPubMed

89.

Atlantis E, Sullivan T. Bidirectional association between depression and sexual dysfunction: a systematic review and meta-analysis. J Sex Med. 2012;9:1497–507. https://doi.org/10.1111/j.1743-6109.2012.02709.x.CrossRefPubMed

90.

Widiger TA, Bach B, Chmielewski M, Clark LA, DeYoung C, Hopwood CJ, et al. Criterion A of the AMPD in HiTOP. J Pers Assess. 2019;101:345–55. https://doi.org/10.1080/00223891.2018.1465431.CrossRefPubMed

91.

Westen D, Harnden-Fischer J. Personality profiles in eating disorders: rethinking the distinction between axis I and axis II. Am J Psychiatry. 2001;158:547–62. https://doi.org/10.1176/appi.ajp.158.4.547.CrossRefPubMed

92.

van Gerko K, Hughes ML, Hamill M, Waller G. Reported childhood sexual abuse and eating-disordered cognitions and behaviors. Child Abuse Negl. 2005. https://doi.org/10.1016/j.chiabu.2004.11.002.CrossRef

93.

Sarwer DB, Durlak JA. Childhood sexual abuse as a predictor of adult female sexual dysfunction: a study of couples seeking sex therapy. Child Abuse Negl. 1996;20:963–72. https://doi.org/10.1016/0145-2134(96)00085-3.CrossRefPubMed

94.

Staples J, Rellini AH, Roberts SP. Avoiding experiences: sexual dysfunction in women with a history of sexual abuse in childhood and adolescence. Arch Sex Behav. 2012;41:341–50. https://doi.org/10.1007/s10508-011-9773-x.CrossRefPubMed

95.

Dworkin E, Javdani S, Verona E, Campbell R. Child sexual abuse and disordered eating: the mediating role of impulsive and compulsive tendencies. Psychol Violence. 2014;4:21–36. https://doi.org/10.1037/a0031779.CrossRef

96.

Treuer T, Koperdák M, Rózsa S, Füredi J. The impact of physical and sexual abuse on body image in eating disorders. Eur Eat Disord Rev. 2005;13:106–11. https://doi.org/10.1002/erv.616.CrossRef

97.

Jacobi C, Hayward C, De Zwaan M, Kraemer HC, Agras WS. Coming to terms with risk factors for eating disorders: application of risk terminology and suggestions for a general taxonomy. Psychol Bull. 2004;130:19–65. https://doi.org/10.1037/0033-2909.130.1.19.CrossRefPubMed

98.

Johnson JG, Cohen P, Brown J, Smailes EM, Bernstein DP. Childhood maltreatment increases risk for personality disorders during early adulthood. Arch Gen Psychiatry. 1999;56:600–6.CrossRefPubMed

99.

Carr CP, Martins CM, Stingel AM, Lemgruber VB, Juruena MF. The role of early life stress in adult psychiatric disorders: a systematic review according to childhood trauma subtypes. J Nerv Ment Dis. 2013;201:1007–20. https://doi.org/10.1097/NMD.0000000000000049.CrossRefPubMed

100.

Sanci L, Coffey C, Olsson C, Reid S, Carlin JB, Patton G. Childhood sexual abuse and eating disorders in females: findings from the Victorian adolescent health cohort study. Arch Pediatr Adolesc Med. 2008;162:261–7. https://doi.org/10.1001/archpediatrics.2007.58.CrossRefPubMed

101.

Brotto LA, Bergeron S, Zdaniuk B, Driscoll M, Grabovac A, Sadownik LA, et al. A comparison of mindfulness-based cognitive therapy vs cognitive behavioral therapy for the treatment of provoked vestibulodynia in a hospital clinic setting. J Sex Med. 2019;16:909–23. https://doi.org/10.1016/j.jsxm.2019.04.002.CrossRefPubMed

Title: Eating Disorders and Sexual Function Reviewed: A Trans-diagnostic, Dimensional Perspective
Authors: Cara R. Dunkley
Yana Svatko
Lori A. Brotto
Publication date: 01-03-2020
Publisher: Springer US
Keywords: Eating Disorder
Anorexia Nervosa
Bulimia
Eating Disorder
Published in: Current Sexual Health Reports / Issue 1/2020
Print ISSN: 1548-3584
Electronic ISSN: 1548-3592
DOI: https://doi.org/10.1007/s11930-020-00236-w

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Eating Disorders and Sexual Function Reviewed: A Trans-diagnostic, Dimensional Perspective

Abstract

Purpose of Review

Recent Findings

Summary

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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