Abstract
Purpose
This study aims at clarifying the links between sexual violence and disordered eating (DE).
Methods
In a sample of 12,638 victims of self-reported sexual violence, we analyzed the situation of 546 victims that declared having developed DE. We assessed the characteristics of the assault (age, type of aggression) and the medical consequences (PTSD, depression, suicide attempts, anxiety disorders, etc.).
Results
DE prevalence was 4.3% in the victim sample. The age of the first assault in DE victims was significantly lower than that of the whole population (12 years vs 16 years for median; p < 0.001). A much higher prevalence of sexual assault consequences was present in victims developing DE with odd ratios (OR) for: self-mutilation (OR = 11.5 [8.29–15.95], p < 0.001); depression (OR = 5.7 [4.81–6.86], p < 0.001); self-medication (OR = 5.3 [3.86–7.19], p < 0.001); suicide attempts (OR = 4.5 [3.59–5.67], p < 0.001); post-traumatic stress disorder (OR = 3.8 [2.99–4.78], p < 0.001); anxiety troubles (OR = 5.2 [4.11–6.47], p < 0.001); alcoholism (OR = 4.0 [2.81–5.58], p < 0.001).
Conclusion
This study confirms the link between DE and sexual violence, especially in childhood, leading to severe psychological consequences. In this context, DE should be envisaged as a coping strategy accompanying emotional dysregulation due to traumatic events, and be treated as such.
Level of evidence
Level IV: Evidence obtained from multiple time series analysis such as case studies.
Similar content being viewed by others
Data availability
The datasets generated for this study are available on request to the corresponding author.
Code availability
N/A.
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Acknowledgements
We wish to thank Gabriela Bravo and the whole team of Collectif Féministe Contre le Viol for providing the data for this study and Sylvie Ricord for linguistic assistance.
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Study initiation: DB-W; provision of data: EP (president of the non-profit organization “Collectif Féministe Contre le Viol”); study design: AM-K, DB-W, and EB; analysis: AM-K; writing the manuscript and critical comments to the drafts: AM-K and EB. All authors read and approved the final manuscript.
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The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. As the calls to hotline are fully anonymous and the name of the victims is neither asked nor written, no approval by a specific ethical committee was required (in accordance with the EU regulation 2016/679, article 9 2.j of the General Data Protection Regulation).
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Malet-Karas, A., Bernard, D., Piet, E. et al. Disordered eating as a repercussion of sexual assault: a consequence to consider. Eat Weight Disord 27, 2095–2106 (2022). https://doi.org/10.1007/s40519-021-01356-5
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DOI: https://doi.org/10.1007/s40519-021-01356-5