ArticlesPsychopathological Characteristics of Recovered Bulimics Who Have a History of Physical or Sexual AbuseMATSUNAGA, HISATO M.D.1; KAYE, WALTER H. M.D.2; McCONAHA, CLAIRE R.N., B.S.N.2; PLOTNICOV, KATHERINE Ph.D.2; POLLICE, CHRISTINE B.A.2; RAO, RADHIKA M.S.2; STEIN, DANIEL M.D.3Author Information 1 Department of Neuropsychiatry, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka, 545-8585, Japan. Send reprint requests to Dr. H. Matsunaga. 2 Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. 3 Abarbanel Mental Health Center, Macabim, Israel. The Journal of Nervous & Mental Disease: August 1999 - Volume 187 - Issue 8 - p 472-477 Buy Abstract We sought to clarify the influence of a history of sexual or physical abuse on a variety of psychopathologies in subjects with bulimia nervosa (BN). To avoid confounding effects, the presence of a history of sexual or physical abuse, lifetime axis I disorders, and personality disorders were assessed through direct structured interviews in 44 subjects recovered from BN for at least 1 year. Twenty abused subjects (45%) were significantly more likely than 24 subjects without abuse to have severe general psychopathology and eating disturbance. Compared with nonabused subjects, abused subjects showed a trend toward more frequent lifetime diagnoses of posttraumatic stress disorder and substance dependence. These results suggest that abusive experiences may be associated with some psychopathology of BN, particularly related to anxiety, substance abuse, and more severe core eating disorder pathology. Copyright © 1999 Wolters Kluwer Health, Inc. All rights reserved.