Child physical and sexual abuse and eating disorders: A review of the links and personal comments on the treatment process

Objective: The aim of the present paper is to review the available literature on abusive experiences and the development of eating disorders, with particular reference to the theoretical basis of the possible links between them. Method: The review covers the literature of both interpersonal violence and eating disorders, with special reference to that linking the two fields. Brief case reports and clinical experience from a specialised eating disorders unit are also described. Results: Despite much theoretical speculation of a causal relation between abuse and eating dysfunction there is a lack of empirical research to confirm such theories, and a dearth of treatment suggestions to deal with the comorbid problems of the patient with an eating disorder and a history of abuse. Conclusions: There is a need for more clinical and experimental focus in this area, particularly in the study of aetiology and the management of dually affected individuals.