Dissociation, abuse and the eating disorders: evidence from an Australian population.
OBJECTIVE
A number of European and Northern American studies have investigated a possible association between dissociative phenomena, eating disorders, child sexual abuse and self-mutilation. However, there has been little confirmation from other countries and cultures, and the Australian experience of these interrelationships has not previously been studied.


METHODS
Dissociative symptomatology and self-reported history of abusive experiences, physical and sexual, were retrospectively studied in a sample of Australian eating disordered patients using a self-report measure, the Dissociation Questionnaire (DIS-Q).


RESULTS
As hypothesised, dissociative symptoms were particularly frequent in those who reported child and adult sexual abuse and in those who self-mutilated. A correlation between multiple forms of abuse and higher dissociation scores was only partially upheld.


CONCLUSIONS
Interrelationships between victimisation and dissociation are discussed within the context of current knowledge in the field, and brief suggestions for therapeutic strategies are offered.
Brown
L
L
Royal North Shore Hospital, University of Sydney, Australia.
Russell
J
J
Thornton
C
C
Dunn
S
S
D000293:Adolescent; D000328:Adult; D002648:Child; D002649:Child Abuse / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D002650:Child Abuse, Sexual / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D003431:Cross-Cultural Comparison; D004213:Dissociative Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory; D011613:Psychotherapy; D012652:Self Mutilation / Q000517:prevention & control / Q000523:psychology