Health, 2015, 7, 1327-1336
Published Online October 2015 in SciRes. http://www.scirp.org/journal/health
http://dx.doi.org/10.4236/health.2015.710147
How to cite this paper: Sillanpää, V., Mattila, K. and Sumanen, M. (2015) Childhood Adversities Associated with Eating Dis-
orders Reported by Adults. Health, 7, 1327-1336. http://dx.doi.org/10.4236/health.2015.710147
Childhood Adversities Associated with
Eating Disorders Reported by Adults
Veera Sillanpää
1
, Kari Mattila
1,2
, Markku Sumanen
1
1
Department of General Practice, Medical school, University of Tampere, Tampere, Finland
2
Centre for General Practice, Pirkanmaa Hospital District, Tampere, Finland
Email: markku.sumanen@uta.fi
Received 21 September 2015; accepted 18 October 2015; published 21 October 2015
Copyright © 2015 by authors and Scientific Research Publishing Inc.
This work is licensed under the Creative Commons Attribution International License (CC BY).
http://creativecommons.org/licenses/by/4.0/
Abstract
Background: It has been suggested that childhood events increase the risk of suffering from an
eating disorder (ED) in adolescence or young adulthood. Our study here aimed at investigating
whether there was an association between stressful childhood events and eating disorders later in
life. Methods: Our population-based study was a part of the HeSSup (The Health and Social Support)
postal survey in 2003, a follow-up survey with a random sample of working-aged subjects drawn
from the Finnish Population Register in 1998. Participants in this study reported having been suf-
fering from ED (N = 374), while controls (N = 18,639) reported no history of eating disorder in the
questionnaire both in 1998 and 2003. The questionnaire included six questions related to child-
hood adversities. Results: Each childhood stressor increased the risk of developing ED cumula-
tively (one adversity OR 1.7 versus all six OR 8.3). Intrafamiliar conflicts (OR 2.0), being afraid of a
family member (OR 1.5) or long-term illnesses in the family (OR 1.4) increased the ED-risk statis-
tical significantly. Conclusion: Children exposed to stress are more likely to suffer from eating
disorders as adults than those not exposed.
Keywords
Childhood Adversities, Stressful Life Events, Eating Disorders, Anorexia Nervosa, Bulimia Nervosa
1. Introduction
Anorexia nervosa (AN) with estimated prevalence of 0.2% - 0.9% and bulimia nervosa (BN) with 0.5% - 4.5%
of sufferers are the most well-known forms of eating disorders (ED) [1]. Others include, for example, binge eat-
ing disorder (BED), with a prevalence of approximately 2% - 3% [2]. The highest risk for developing anorexia
is between ages 14 and 19 years, and for bulimia, it is between ages 17 and 21 years [3].