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Fertility and history of sexual abuse at 10-year follow-up of adolescent-onset anorexia nervosa.

Journal article
Authors Elisabet Wentz
I Carina Gillberg
Christopher Gillberg
Maria Råstam
Published in The International Journal of Eating Disorders
Volume 37
Issue 4
Pages 294-298
ISSN 0276-3478
Publication year 2005
Published at Institute for the Health of Women and Children, Dept of Child and Adolescent Psychiatry
Pages 294-298
Language en
Keywords Adolescent, Adult, Age of Onset, Anorexia Nervosa, Epidemiology, Physiopathology, Psychology, Birth Rate, Case-Control Studies, Child, Child Abuse, Sexual, Statistics & numerical data, Child, Preschool, Female, Follow-Up Studies, Humans, Male, Sweden, Epidemiology
Subject categories Child and adolescent psychiatry


OBJECTIVE: We studied fertility and history of child sexual abuse (CSA) in a representative group of anorexia nervosa (AN) cases. METHOD: Fifty-one adolescent-onset AN cases recruited after community screening and 51 matched comparison cases were interviewed 10 years after reported AN onset, at mean age 24 years, regarding children, miscarriages, and fertility problems. They completed anonymously the Finkelhor self-report questionnaire regarding history of CSA. RESULTS: There were few fertility problems in our AN population. There was a tendency towards more subjects in the AN group to give birth to a child (10 AN and 4 comparison mothers). The prevalence of CSA was equal between groups. For example, 6% in each group had experienced CSA before the age of 10 years, and 14% of the AN and 12% of the comparison cases reported CSA. DISCUSSION: Infertility and history of CSA may not be overrepresented in a population-based AN sample at long-term follow-up.

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