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Childhood abuse and eating disorders in gay and bisexual men.

Feldman MB, Meyer IH

Medical and Health Research Association of New York City, Inc., New York, New York.

OBJECTIVE:: This study examines the association between eating disorders and a history of childhood abuse in gay and bisexual men, and how substance abuse and depression might impact this relationship. METHOD:: 193 white, black, Latino gay, and bisexual men were sampled from community venues. DSM-IV diagnoses of anorexia, bulimia, and binge eating disorder were assessed using the World Health Organization's Composite International Diagnostic Interview. RESULTS:: Men with a history of childhood sexual abuse are significantly more likely to have subclinical bulimia or any current full-syndrome or subclinical eating disorder compared with men who do not have a history of childhood sexual abuse. A history of depression and/or substance use disorders did not mediate this relationship. CONCLUSION:: Researchers should study other potential explanations of the relationship between a history of childhood abuse and eating disorders in gay and bisexual men. Clinicians working with gay and bisexual men who have a history of childhood abuse should assess for disordered eating as a potential mechanism to cope with the emotional sequelae associated with abuse. (c) 2007 by Wiley Periodicals, Inc. Int J Eat Disord 2007.

Published 13 June 2007 in Int J Eat Disord, 40(5): 418-23.
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