Citation

Sallet PC, de Alvarenga PG, Ferrão Y, de Mathis MA, Torres AR, Marques A, Hounie AG, Fossaluza V, do Rosário MC, Fontenelle LF, Petribú K, Fleitlich-Bilyk B. Int. J. Eat. Disord. 2010; 43(4): 315-325.

Copyright

(Copyright © 2010, John Wiley and Sons)

DOI

10.1002/eat.20697

PMID

19424977

Abstract

OBJECTIVE: The objective is to evaluate the prevalence and associated clinical characteristics of eating disorders (ED) in patients with obsessive-compulsive disorder (OCD).
METHOD: 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.
RESULTS: 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.
DISCUSSION: Future longitudinal studies should investigate dimensional correlations between OCD and ED.

Language: en

Keywords

Adult; Anorexia Nervosa; Binge-Eating Disorder; Body Mass Index; Brazil; Bulimia Nervosa; Comorbidity; Cross-Sectional Studies; Female; Humans; Male; Obsessive-Compulsive Disorder; Personality Inventory; Psychometrics