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Psychiatric comorbidity and Eating Disorder Inventory (EDI) profiles in eating disorder patients.
Can J Psychiatry. 2004 Mar; 49(3):179-84.CJ

Abstract

OBJECTIVE

This study examines potential overlaps between psychiatric comorbidity (Axis I and II) and scores on the subscales of the Eating Disorder Inventory (EDI) in women with eating disorders (EDs).

METHOD

In a sample of 248 women (72 with anorexia nervosa, 140 with bulimia nervosa, and 36 with eating disorders not otherwise specified), we determined psychiatric comorbidity using the Structured Clinical Interview for DSM-IV. Behavioural and psychological characteristics of EDs were quantified with the EDI.

RESULTS

Psychiatric comorbidity was high in both axes (74% for Axis I and 68% for Axis II). While most EDI subscales pertaining to psychological traits showed significant associations with Axis I and II disorders, the subscales concerning eating and perception of weight and shape were much less associated with psychiatric comorbidity. Affective and anxiety disorders, as well as personality disorders of clusters A and C, showed a similar pattern with links to most psychological subscales. The profile for substance-related disorders was different, showing associations with the Ineffectiveness and Interoceptive Awareness scales. Personality disorders of cluster B were related only to the Bulimia subscale and not to any of the psychological subscales.

CONCLUSIONS

The EDI appears to primarily reflect Axis I and II disorders related to affective and anxiety problems. Clinicians and researchers employing the EDI should be aware that it is not sensitive for all forms of comorbidity prevalent in ED patients.

Authors+Show Affiliations

Psychiatric Department, University Hospital, Zurich, Switzerland. gabriella.milos@psy.usz.chNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15101500

Citation

Milos, Gabriella, et al. "Psychiatric Comorbidity and Eating Disorder Inventory (EDI) Profiles in Eating Disorder Patients." Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, vol. 49, no. 3, 2004, pp. 179-84.
Milos G, Spindler A, Schnyder U. Psychiatric comorbidity and Eating Disorder Inventory (EDI) profiles in eating disorder patients. Can J Psychiatry. 2004;49(3):179-84.
Milos, G., Spindler, A., & Schnyder, U. (2004). Psychiatric comorbidity and Eating Disorder Inventory (EDI) profiles in eating disorder patients. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 49(3), 179-84.
Milos G, Spindler A, Schnyder U. Psychiatric Comorbidity and Eating Disorder Inventory (EDI) Profiles in Eating Disorder Patients. Can J Psychiatry. 2004;49(3):179-84. PubMed PMID: 15101500.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychiatric comorbidity and Eating Disorder Inventory (EDI) profiles in eating disorder patients. AU - Milos,Gabriella, AU - Spindler,Anja, AU - Schnyder,Ulrich, PY - 2004/4/23/pubmed PY - 2004/7/9/medline PY - 2004/4/23/entrez SP - 179 EP - 84 JF - Canadian journal of psychiatry. Revue canadienne de psychiatrie JO - Can J Psychiatry VL - 49 IS - 3 N2 - OBJECTIVE: This study examines potential overlaps between psychiatric comorbidity (Axis I and II) and scores on the subscales of the Eating Disorder Inventory (EDI) in women with eating disorders (EDs). METHOD: In a sample of 248 women (72 with anorexia nervosa, 140 with bulimia nervosa, and 36 with eating disorders not otherwise specified), we determined psychiatric comorbidity using the Structured Clinical Interview for DSM-IV. Behavioural and psychological characteristics of EDs were quantified with the EDI. RESULTS: Psychiatric comorbidity was high in both axes (74% for Axis I and 68% for Axis II). While most EDI subscales pertaining to psychological traits showed significant associations with Axis I and II disorders, the subscales concerning eating and perception of weight and shape were much less associated with psychiatric comorbidity. Affective and anxiety disorders, as well as personality disorders of clusters A and C, showed a similar pattern with links to most psychological subscales. The profile for substance-related disorders was different, showing associations with the Ineffectiveness and Interoceptive Awareness scales. Personality disorders of cluster B were related only to the Bulimia subscale and not to any of the psychological subscales. CONCLUSIONS: The EDI appears to primarily reflect Axis I and II disorders related to affective and anxiety problems. Clinicians and researchers employing the EDI should be aware that it is not sensitive for all forms of comorbidity prevalent in ED patients. SN - 0706-7437 UR - https://www.unboundmedicine.com/medline/citation/15101500/Psychiatric_comorbidity_and_Eating_Disorder_Inventory__EDI__profiles_in_eating_disorder_patients_ L2 - http://journals.sagepub.com/doi/full/10.1177/070674370404900305?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -