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Comorbidity of mood and substance use disorders in patients with binge-eating disorder: Associations with personality disorder and eating disorder pathology.
J Psychosom Res. 2015 Aug; 79(2):159-64.JP

Abstract

OBJECTIVE

Binge-eating disorder (BED) is associated with elevated rates of mood and substance use disorders, but the significance of such comorbidity is ambiguous. We compared personality disorder and eating disorder psychopathology in four subgroups of BED patients: those with mood disorders, those with substance use disorders, those with both, and those with neither.

METHOD

Subjects were 347 patients who met DSM-IV research criteria for BED. Semistructured interviews evaluated lifetime DSM-IV axis I disorders, DSM-IV personality disorder features, and eating disorder psychopathology.

RESULTS

Among these patients, 129 had co-occurring mood disorder, 34 had substance use disorder, 60 had both, and 124 had neither. Groups differed on personality disorder features, with those having mood disorder and both mood and substance use disorders showing the highest frequencies. Although groups did not differ in body mass index or binge eating frequency, they did differ on eating disorder psychopathology-with the groups having mood disorder and both comorbidities demonstrating higher eating, weight, and shape concerns. No differences were observed between groups with respect to ages of onset for specific eating behaviors, but some differences were observed for ages of disorder onset.

CONCLUSION

Mood and substance use disorders co-occur frequently among patients with BED. Compared with a previous work, the additional comparison group (those with both mood and substance use disorders) and the control group (those with neither) afforded better discrimination regarding the significance of these comorbidities. Our findings suggest approaches to subtyping BED based on psychiatric comorbidity, and may also have implications for treatment.

Authors+Show Affiliations

Department of Psychiatry, University of California, San Francisco, USA. Electronic address: beckerdf@sutterhealth.org.Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

25700727

Citation

Becker, Daniel F., and Carlos M. Grilo. "Comorbidity of Mood and Substance Use Disorders in Patients With Binge-eating Disorder: Associations With Personality Disorder and Eating Disorder Pathology." Journal of Psychosomatic Research, vol. 79, no. 2, 2015, pp. 159-64.
Becker DF, Grilo CM. Comorbidity of mood and substance use disorders in patients with binge-eating disorder: Associations with personality disorder and eating disorder pathology. J Psychosom Res. 2015;79(2):159-64.
Becker, D. F., & Grilo, C. M. (2015). Comorbidity of mood and substance use disorders in patients with binge-eating disorder: Associations with personality disorder and eating disorder pathology. Journal of Psychosomatic Research, 79(2), 159-64. https://doi.org/10.1016/j.jpsychores.2015.01.016
Becker DF, Grilo CM. Comorbidity of Mood and Substance Use Disorders in Patients With Binge-eating Disorder: Associations With Personality Disorder and Eating Disorder Pathology. J Psychosom Res. 2015;79(2):159-64. PubMed PMID: 25700727.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comorbidity of mood and substance use disorders in patients with binge-eating disorder: Associations with personality disorder and eating disorder pathology. AU - Becker,Daniel F, AU - Grilo,Carlos M, Y1 - 2015/02/07/ PY - 2014/08/12/received PY - 2015/01/24/revised PY - 2015/01/31/accepted PY - 2015/2/22/entrez PY - 2015/2/24/pubmed PY - 2016/2/2/medline KW - Binge-eating disorder KW - Comorbidity KW - Depression KW - Diagnostic subtyping KW - Obesity KW - Substance use disorders SP - 159 EP - 64 JF - Journal of psychosomatic research JO - J Psychosom Res VL - 79 IS - 2 N2 - OBJECTIVE: Binge-eating disorder (BED) is associated with elevated rates of mood and substance use disorders, but the significance of such comorbidity is ambiguous. We compared personality disorder and eating disorder psychopathology in four subgroups of BED patients: those with mood disorders, those with substance use disorders, those with both, and those with neither. METHOD: Subjects were 347 patients who met DSM-IV research criteria for BED. Semistructured interviews evaluated lifetime DSM-IV axis I disorders, DSM-IV personality disorder features, and eating disorder psychopathology. RESULTS: Among these patients, 129 had co-occurring mood disorder, 34 had substance use disorder, 60 had both, and 124 had neither. Groups differed on personality disorder features, with those having mood disorder and both mood and substance use disorders showing the highest frequencies. Although groups did not differ in body mass index or binge eating frequency, they did differ on eating disorder psychopathology-with the groups having mood disorder and both comorbidities demonstrating higher eating, weight, and shape concerns. No differences were observed between groups with respect to ages of onset for specific eating behaviors, but some differences were observed for ages of disorder onset. CONCLUSION: Mood and substance use disorders co-occur frequently among patients with BED. Compared with a previous work, the additional comparison group (those with both mood and substance use disorders) and the control group (those with neither) afforded better discrimination regarding the significance of these comorbidities. Our findings suggest approaches to subtyping BED based on psychiatric comorbidity, and may also have implications for treatment. SN - 1879-1360 UR - https://www.unboundmedicine.com/medline/citation/25700727/Comorbidity_of_mood_and_substance_use_disorders_in_patients_with_binge_eating_disorder:_Associations_with_personality_disorder_and_eating_disorder_pathology_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3999(15)00031-8 DB - PRIME DP - Unbound Medicine ER -