The relationship between eating disorder psychopathology and sexuality: etiological factors and implications for treatment

被引:14
作者
Castellini, Giovanni [1 ]
Rossi, Eleonora [1 ]
Ricca, Valdo [1 ]
机构
[1] Univ Florence, Dept Hlth Sci, Psychiat Unit, Florence, Italy
关键词
body image; eating disorders; embodiment; sexual trauma; sexuality; ANOREXIA-NERVOSA; EMOTION DYSREGULATION; POSTTRAUMATIC-STRESS; CHILDHOOD; EXPERIENCES; ATTACHMENT; RECOVERY; TRAUMA; HEALTH; WOMEN;
D O I
10.1097/YCO.0000000000000646
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of review There is a remarkable overlap between eating disorders and sexual problems, both in terms of sexual dysfunctions and risky sexual behaviors. This systematic review of the recent literature aimed at clarifying the nature of this relationship in terms of psychopathological meaning. Recent findings Body image disturbance, and particularly body dissatisfaction and embodiment disorder, emerged as shared psychopathological dimensions between eating disorder symptoms and sexual dysfunctions. Interpersonal difficulties, a disturbed intimacy and insecure attachment style, but not a history of sexual abuse per se, resulted to play a pivotal role in the interconnection between eating disorder psychopathology and sexual dysfunctions. On the other hand, several studies confirmed the association between eating disorder symptoms and risky sexual behaviors, which has been explained in terms of several common psychopathological dimensions, including impulsivity and addiction. Sexuality is deeply interconnected with eating disorder psychopathology, and it should be considered a fundamental aspect in managing these disorders. An accurate assessment of sexual function might allow to characterize etiological information (e.g., sexual abuse) and maintaining factors (embodiment disorder and emotion dysregulation). Accordingly, the recovery of a good sexuality should be considered a crucial signal of recovery.
引用
收藏
页码:554 / 561
页数:8
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