Childhood sexual abuse is associated with both eating disorders and sexual dysfunction in adulthood. The aim of the present study was to investigate the role of childhood sexual abuse as a moderator of outcome in patients with Anorexia Nwervosa and Bulimia Nervosa, in terms of psychiatric symptoms, and sexual dysfunctions. One hundred and fourty four female patients reporting a diagnosis of Anorexia and Bulimia Nervosa were evaluated before a cognitive behavioral intervention, at the end of this intervention, and at three years follow up. Patients underwent a clinical interview, and the female sexual function index. Regardless the diagnosis patients reporting childhood abuse showed a lower rate of recovery from mood disorder comorbidity at three years follow up, as well as a persistent sexual dysfunction. Childhood abuse is a relevant moderator of psychopathological and sexual outcome in patients with eating disorders. None ...