Eating disorders in patients with obsessive–compulsive disorder: Prevalence and clinical correlates
Article first published online: 7 MAY 2009
Copyright © 2009 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 43, Issue 4, pages 315–325, May 2010
How to Cite
Sallet, P. C., de Alvarenga, P. G., Ferrão, Y., de Mathis, M. A., Torres, A. R., Marques, A., Hounie, A. G., Fossaluza, V., do Rosario, M. C., Fontenelle, L. F., Petribu, K. and Fleitlich-Bilyk, B. (2010), Eating disorders in patients with obsessive–compulsive disorder: Prevalence and clinical correlates. Int. J. Eat. Disord., 43: 315–325. doi: 10.1002/eat.20697
- Issue published online: 1 APR 2010
- Article first published online: 7 MAY 2009
- Manuscript Accepted: 8 MAR 2009
- obsessive–compulsive disorder;
- obsessive–compulsive spectrum;
- eating disorders;
- anorexia nervosa;
- bulimia nervosa;
- binge-eating disorder
The objective is to evaluate the prevalence and associated clinical characteristics of eating disorders (ED) in patients with obsessive–compulsive disorder (OCD).
This is a cross-sectional study comparing 815 patients with OCD. Participants were assessed with structured interviews and scales: SCID-I, Y-BOCS, Dimensional Y-BOCS, BABS, Beck Depression and Anxiety Inventories.
Ninety-two patients (11.3%) presented the following EDs: binge-eating disorders [= 59 (7.2%)], bulimia nervosa [= 16 (2.0%)], or anorexia nervosa [= 17 (2.1%)]. Compared to OCD patients without ED (OCD-Non-ED), OCD-ED patients were more likely to be women with previous psychiatric treatment. Mean total scores in Y-BOCS, Dimensional Y-BOCS, and BABS were similar within groups. However, OCD-ED patients showed higher lifetime prevalence of comorbid conditions, higher anxiety and depression scores, and higher frequency of suicide attempts than did the OCD-Non-ED group. Primarily diagnosed OCD patients with comorbid ED may be associated with higher clinical severity.
Future longitudinal studies should investigate dimensional correlations between OCD and ED. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010