Physical victimization and bulimic‐like symptoms: Is there a relationship?∗

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Abstract
An increasingly popular clinical impression is that physical victimization plays an important role in the etiology of bulimia. There are few data based studies, however, which have tested this belief. Therefore, data were collected to determine if those who have been victimized are more apt to be bulimic than those who have not been victimized. The four forms of victimization explored were rape, sexual molestation, child abuse and partner abuse. Only child abuse was statistically significantly related to bulimia in the bivariate analyses, although all relationships were in the predicted direction. In the multivariate analysis, severity of bulimic‐like symptoms was regressed on the four forms of victimization and on nine demographic characteristics. Child abuse was the only form of victimization related to the severity of symptoms, when controlling for the effects of the other variables. Contrary to clinical impressions, the effect of sexual molestation on severity of bulimic symptoms was negative, but not statistically significant. Among the demographic characteristics, only the number of sisters had a significant effect. The combined effect of being both bulimic as well as a victim did not increase the likelihood of seeking therapy for an eating disorder. The need for empirical evidence to verify clinical impressions is stressed.

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