This study examines the relationship between reported history of inces
t and the subsequent development of bulimic behavior A total of 38 wom
en receiving treatment for reported incest abuse were compared with 27
control subjects who were also in treatment but who denied histories
of sexual abuse. The results revealed that incest victims were signifi
cantly more likely to binge, vomit, experience a loss of control over
eating, and report body dissatisfaction than control subjects. Incest
victims also more frequently showed comorbidity with other maladaptive
behaviors, such as alcohol abuse, suicidal gestures, self-mutilation,
and cigarette smoking. These results suggest that incest may increase
the risk for the development of bulimic behavior and that these eatin
g problems may be a part of a larger pattern of dysfunctional efforts
to regulate trauma-related emotional distress.