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Obsessive-compulsive symptomatology in female adolescent inpatients with restrictive compared with binge-purge eating disorders.
Eur Eat Disord Rev. 2019 05; 27(3):224-235.EE

Abstract

OBJECTIVE

Strong relationships exist between obsessive-compulsive (OC) disorder and eating disorders (EDs). The aim of the study was to investigate whether OC symptoms would be expressed differently in different ED types.

METHOD

Ninety-four female adolescent inpatients with restricting anorexia nervosa (AN-R), 67 with binge/purge AN (AN-B/P), and 48 with bulimia nervosa (BN) were assessed on admission and discharge using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Yale-Brown-Cornell Eating Disorders Scale (YBC-EDS), Eating Attitude Test-26 (EAT-26), Beck Depression Inventory (BDI), and State-Trait Anxiety Inventory (STAI).

RESULTS

On admission, patients with AN-B/P exhibited higher scores on the Y-BOCS, YBC-EDS, EAT-26, and BDI in comparison with patients with AN-R or BN. A significant improvement on all psychometric variables from admission to discharge was found for all participants taken together. Nonetheless, patients with AN-B/P and/or BN showed a greater improvement on Y-BOCS, BDI, and STAI than patients with AN-R, whereas no between-group difference was found for YBC-EDS and EAT-26.

CONCLUSIONS

Obsessionality is more severe in acutely ill AN-B/P patients than in patients with AN-R and BN, whereas a greater improvement in obsessionality from the acutely ill to the stabilized ED condition is found in patients with binge/purge in comparison with restrictive pathology.

Authors+Show Affiliations

Hanotrim Eating Disorders Unit, Shalvata Mental Health Center, Hod Hasharon, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.Pediatric Psychosomatic Department, Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Pediatric Psychosomatic Department, Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Pediatric Psychosomatic Department, Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. The Child Psychiatry Division, Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel. Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Felsenstein Medical Research Center and Geha Mental Health Center, Petah Tikva, Israel.Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Pediatric Psychosomatic Department, Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30198142

Citation

Lewis, Yael Doreen, et al. "Obsessive-compulsive Symptomatology in Female Adolescent Inpatients With Restrictive Compared With Binge-purge Eating Disorders." European Eating Disorders Review : the Journal of the Eating Disorders Association, vol. 27, no. 3, 2019, pp. 224-235.
Lewis YD, Gilon Mann T, Enoch-Levy A, et al. Obsessive-compulsive symptomatology in female adolescent inpatients with restrictive compared with binge-purge eating disorders. Eur Eat Disord Rev. 2019;27(3):224-235.
Lewis, Y. D., Gilon Mann, T., Enoch-Levy, A., Dubnov-Raz, G., Gothelf, D., Weizman, A., & Stein, D. (2019). Obsessive-compulsive symptomatology in female adolescent inpatients with restrictive compared with binge-purge eating disorders. European Eating Disorders Review : the Journal of the Eating Disorders Association, 27(3), 224-235. https://doi.org/10.1002/erv.2638
Lewis YD, et al. Obsessive-compulsive Symptomatology in Female Adolescent Inpatients With Restrictive Compared With Binge-purge Eating Disorders. Eur Eat Disord Rev. 2019;27(3):224-235. PubMed PMID: 30198142.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Obsessive-compulsive symptomatology in female adolescent inpatients with restrictive compared with binge-purge eating disorders. AU - Lewis,Yael Doreen, AU - Gilon Mann,Tal, AU - Enoch-Levy,Adi, AU - Dubnov-Raz,Gal, AU - Gothelf,Doron, AU - Weizman,Abraham, AU - Stein,Daniel, Y1 - 2018/09/09/ PY - 2018/02/27/received PY - 2018/07/05/revised PY - 2018/08/08/accepted PY - 2018/9/11/pubmed PY - 2019/6/1/medline PY - 2018/9/11/entrez KW - anorexia nervosa KW - bulimia nervosa KW - obsessive-compulsive disorder SP - 224 EP - 235 JF - European eating disorders review : the journal of the Eating Disorders Association JO - Eur Eat Disord Rev VL - 27 IS - 3 N2 - OBJECTIVE: Strong relationships exist between obsessive-compulsive (OC) disorder and eating disorders (EDs). The aim of the study was to investigate whether OC symptoms would be expressed differently in different ED types. METHOD: Ninety-four female adolescent inpatients with restricting anorexia nervosa (AN-R), 67 with binge/purge AN (AN-B/P), and 48 with bulimia nervosa (BN) were assessed on admission and discharge using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Yale-Brown-Cornell Eating Disorders Scale (YBC-EDS), Eating Attitude Test-26 (EAT-26), Beck Depression Inventory (BDI), and State-Trait Anxiety Inventory (STAI). RESULTS: On admission, patients with AN-B/P exhibited higher scores on the Y-BOCS, YBC-EDS, EAT-26, and BDI in comparison with patients with AN-R or BN. A significant improvement on all psychometric variables from admission to discharge was found for all participants taken together. Nonetheless, patients with AN-B/P and/or BN showed a greater improvement on Y-BOCS, BDI, and STAI than patients with AN-R, whereas no between-group difference was found for YBC-EDS and EAT-26. CONCLUSIONS: Obsessionality is more severe in acutely ill AN-B/P patients than in patients with AN-R and BN, whereas a greater improvement in obsessionality from the acutely ill to the stabilized ED condition is found in patients with binge/purge in comparison with restrictive pathology. SN - 1099-0968 UR - https://www.unboundmedicine.com/medline/citation/30198142/Obsessive_compulsive_symptomatology_in_female_adolescent_inpatients_with_restrictive_compared_with_binge_purge_eating_disorders_ L2 - https://doi.org/10.1002/erv.2638 DB - PRIME DP - Unbound Medicine ER -