Purpose Recent studies hypothesized that sexual dysfunctions represent not just complications of eating disorders (EDs), rather they should be attributed to the core psychopathology of these disorders. Therefore, disorders of the embodiment and insecure attachment may play a role in maintaining an abnormal sexual functioning, given their known relations with core ED features. The aim of the study was to investigate the relationship between sexual dysfunctions and both disorders of the embodiment and attachment style in people with anorexia nervosa (AN). Methods 111 adult women with AN and 120 healthy subjects completed the Symptom Checklist-90, Eating Disorder Examination Questionnaire, Identity and Eating Disorders, Attachment Style Questionnaire and the Childhood Trauma Questionnaire-Short Form. Results Patients reported worse scores than controls in all areas assessed. In patients, low sexual desire was found to be associated with general and ED-specific psychopathology, and with disorders of embodiment and attachment style. Sexual dysfunctions had no associations with traumatic experiences. Dietary restriction showed an association with low sexual desire through embodiment disorder and Discomfort with Closeness, as confirmed by the serial mediation model. Conclusion The present study suggests that disorders of embodiment maintained by pathological eating behaviours have a key role in the development of sexual dysfunctions in EDs, through the compromise of intimacy.

Sexuality, embodiment and attachment style in anorexia nervosa / Cassioli, Emanuele; Rossi, Eleonora; Castellini, Giovanni; Sensi, Carolina; Mancini, Milena; Lelli, Lorenzo; Monteleone, Alessio Maria; Ricca, Valdo; Stanghellini, Giovanni. - In: EATING AND WEIGHT DISORDERS. - ISSN 1124-4909. - ELETTRONICO. - 25:(2020), pp. 1671-1680. [10.1007/s40519-019-00805-6]

Sexuality, embodiment and attachment style in anorexia nervosa

Cassioli, Emanuele;Castellini, Giovanni;Sensi, Carolina;Ricca, Valdo;Stanghellini, Giovanni
2020

Abstract

Purpose Recent studies hypothesized that sexual dysfunctions represent not just complications of eating disorders (EDs), rather they should be attributed to the core psychopathology of these disorders. Therefore, disorders of the embodiment and insecure attachment may play a role in maintaining an abnormal sexual functioning, given their known relations with core ED features. The aim of the study was to investigate the relationship between sexual dysfunctions and both disorders of the embodiment and attachment style in people with anorexia nervosa (AN). Methods 111 adult women with AN and 120 healthy subjects completed the Symptom Checklist-90, Eating Disorder Examination Questionnaire, Identity and Eating Disorders, Attachment Style Questionnaire and the Childhood Trauma Questionnaire-Short Form. Results Patients reported worse scores than controls in all areas assessed. In patients, low sexual desire was found to be associated with general and ED-specific psychopathology, and with disorders of embodiment and attachment style. Sexual dysfunctions had no associations with traumatic experiences. Dietary restriction showed an association with low sexual desire through embodiment disorder and Discomfort with Closeness, as confirmed by the serial mediation model. Conclusion The present study suggests that disorders of embodiment maintained by pathological eating behaviours have a key role in the development of sexual dysfunctions in EDs, through the compromise of intimacy.
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1671
1680
Cassioli, Emanuele; Rossi, Eleonora; Castellini, Giovanni; Sensi, Carolina; Mancini, Milena; Lelli, Lorenzo; Monteleone, Alessio Maria; Ricca, Valdo; Stanghellini, Giovanni
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2158/1284786
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