Abstract
The scientific community appears to be less interested in sexuality of eating disorders (EDs) as compared to other psychiatric or medical comorbidities. However, a clear association between sexual problems and ED psychopathology was reported from different perspectives. The overarching goal of this systematic review was to evaluate the general approach of the scientific literature toward the topic of sexuality and EDs. In particular, four different categories of research have been individuated, encompassing the role of puberty, and sexual abuse in the pathogenesis of the disorders, sexual dysfunctions, and the association between sexual orientation and EDs psychopathology. Timing of puberty with its hormonal consequences and the changes in the way persons perceive their own body represent a crucial period of life for the onset of the disorder. Sexual abuse, and especially childhood sexual abuse are well-recognized risk factors for the development of ED, determining a worse long-term outcome. Recent research overcome the approach that considers sexual activity of EDs patients, in terms of hypersexuality and dangerous sexual behaviors, considering the sexuality of EDs persons in terms of sexual desire, satisfaction, orgasm and pain. Results from this line of research are promising, and describe a clear relationship between sexual dysfunction and the core psychopathological features of EDs, such as body image disturbances. Finally, the analysis of the literature showed an association between sexual orientation and gender dysphoria with EDs psychopathology and pathological eating behaviors, confirming the validity of research developing new models of maintaining factors of EDs related to the topic of self-identity.
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©2016 by De Gruyter
Artikel in diesem Heft
- Frontmatter
- Topic B: Neuroendocrine Mechanisms and Hormonal Impact on Eating Disorders, Sexuality and Reproductive System
- Review Articles
- Sexuality in eating disorders patients: etiological factors, sexual dysfunction and identity issues. A systematic review
- The physiology of functional hypothalamic amenorrhea associated with energy deficiency in exercising women and in women with anorexia nervosa
- Ghrelin action on GnRH neurons and pituitary gonadotropes might be mediated by GnIH-GPR147 system
- Hormones and endometrial carcinogenesis
- Original Article
- Neonatal exposure to estradiol-17β modulates tumour necrosis factor alpha and cyclooxygenase-2 expression in brain and also in ovaries of adult female rats
Artikel in diesem Heft
- Frontmatter
- Topic B: Neuroendocrine Mechanisms and Hormonal Impact on Eating Disorders, Sexuality and Reproductive System
- Review Articles
- Sexuality in eating disorders patients: etiological factors, sexual dysfunction and identity issues. A systematic review
- The physiology of functional hypothalamic amenorrhea associated with energy deficiency in exercising women and in women with anorexia nervosa
- Ghrelin action on GnRH neurons and pituitary gonadotropes might be mediated by GnIH-GPR147 system
- Hormones and endometrial carcinogenesis
- Original Article
- Neonatal exposure to estradiol-17β modulates tumour necrosis factor alpha and cyclooxygenase-2 expression in brain and also in ovaries of adult female rats