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Comorbidity of axis I psychiatric disorders in bulimia nervosa.
J Clin Psychiatry. 1995 Feb; 56(2):77-80.JC

Abstract

BACKGROUND

The coexistence of other psychiatric disorders in patients with bulimia nervosa is of major clinical and theoretical interest. We therefore studied a group of consecutively evaluated bulimic patients.

METHOD

The Structured Clinical Interview for DSM-III-R (SCID) was administered to a sample of 59 female patients with DSM-III-R-defined bulimia nervosa.

RESULTS

The following frequencies of lifetime Axis I comorbid diagnoses were found (in decreasing frequency): any affective disorder (75%), major depressive disorder (63%), any anxiety disorder (36%), any substance abuse disorder (20%), social phobia (17%), generalized anxiety disorder (12%), and panic disorder (10%). In the 44 cases with an affective disorder, 27 (61%) had the onset of affective disorder, 27 (61%) had the onset of their affective disorder prior to the onset of their bulimia, 15 (34%) afterward, and 2 (5%) concurrently. In the 21 cases with any anxiety disorder, 15 (71%) had the onset of their anxiety disorder prior to the onset of their bulimia, 4 (19%) afterward, and 2 (10%) concurrently.

CONCLUSION

These data confirm previous reports of a strong association between bulimia nervosa and affective illness, which in most cases precedes the eating disorder. In addition, a high frequency of anxiety disorders, particularly social phobia, is seen in bulimic patients.

Authors+Show Affiliations

Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston 29425.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

7852257

Citation

Brewerton, T D., et al. "Comorbidity of Axis I Psychiatric Disorders in Bulimia Nervosa." The Journal of Clinical Psychiatry, vol. 56, no. 2, 1995, pp. 77-80.
Brewerton TD, Lydiard RB, Herzog DB, et al. Comorbidity of axis I psychiatric disorders in bulimia nervosa. J Clin Psychiatry. 1995;56(2):77-80.
Brewerton, T. D., Lydiard, R. B., Herzog, D. B., Brotman, A. W., O'Neil, P. M., & Ballenger, J. C. (1995). Comorbidity of axis I psychiatric disorders in bulimia nervosa. The Journal of Clinical Psychiatry, 56(2), 77-80.
Brewerton TD, et al. Comorbidity of Axis I Psychiatric Disorders in Bulimia Nervosa. J Clin Psychiatry. 1995;56(2):77-80. PubMed PMID: 7852257.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comorbidity of axis I psychiatric disorders in bulimia nervosa. AU - Brewerton,T D, AU - Lydiard,R B, AU - Herzog,D B, AU - Brotman,A W, AU - O'Neil,P M, AU - Ballenger,J C, PY - 1995/2/1/pubmed PY - 1995/2/1/medline PY - 1995/2/1/entrez SP - 77 EP - 80 JF - The Journal of clinical psychiatry JO - J Clin Psychiatry VL - 56 IS - 2 N2 - BACKGROUND: The coexistence of other psychiatric disorders in patients with bulimia nervosa is of major clinical and theoretical interest. We therefore studied a group of consecutively evaluated bulimic patients. METHOD: The Structured Clinical Interview for DSM-III-R (SCID) was administered to a sample of 59 female patients with DSM-III-R-defined bulimia nervosa. RESULTS: The following frequencies of lifetime Axis I comorbid diagnoses were found (in decreasing frequency): any affective disorder (75%), major depressive disorder (63%), any anxiety disorder (36%), any substance abuse disorder (20%), social phobia (17%), generalized anxiety disorder (12%), and panic disorder (10%). In the 44 cases with an affective disorder, 27 (61%) had the onset of affective disorder, 27 (61%) had the onset of their affective disorder prior to the onset of their bulimia, 15 (34%) afterward, and 2 (5%) concurrently. In the 21 cases with any anxiety disorder, 15 (71%) had the onset of their anxiety disorder prior to the onset of their bulimia, 4 (19%) afterward, and 2 (10%) concurrently. CONCLUSION: These data confirm previous reports of a strong association between bulimia nervosa and affective illness, which in most cases precedes the eating disorder. In addition, a high frequency of anxiety disorders, particularly social phobia, is seen in bulimic patients. SN - 0160-6689 UR - https://www.unboundmedicine.com/medline/citation/7852257/Comorbidity_of_axis_I_psychiatric_disorders_in_bulimia_nervosa_ L2 - https://medlineplus.gov/childmentalhealth.html DB - PRIME DP - Unbound Medicine ER -