Comorbid Psychiatric Disorders in Female Adolescents with First‐Onset Anorexia Nervosa

Bühren, Katharina; Schwarte, Reinhild; Fluck, F; Timmesfeld, Nina; Krei, Melanie; Egberts, Karin; Pfeiffer, E. F.; Fleischhaker, Christian; Wewetzer, Christoph; Herpertz‐Dahlmann, Beate

doi:10.1002/erv.2254

Cited by 140 publications

(119 citation statements)

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Section: Mood Disordersmentioning

confidence: 96%

“…Micali et al, 2011) and that a general anxiety disorder as well as trait anxiety predicts the onset of anorexia nervosa (Jacobi et al, 2004;Yackobvich-Gavan et al, 2009). A lover (8%) lifetime prevalence among younger teenage eating disorder patients (Bühren et al, 2014) may indicate an age effect in need of further investigation, but overall, overall, this evidence suggests that anxiety disorders may be included in the construction of an epidemiological case definition.…”

Section: Personality Disorders (Pds)mentioning

confidence: 98%

“…Also, a 58% proportion has been reported for moderate to severe depression (Fennig & Hadas, 2010). Moreover, the recent study by Bühren et al (2014) which indicates a lower overall proportion of comorbidity still reports a higher level of comorbid mood disorder (35%) than anxiety disorders (11%), notably accounted for by the proportion of major depressive disorder (32%).The probability of mood disorders to appear seems lower in anorexia nervosa, i.e., OR 0.7; CI95 0.3-2.0 (Swanson et al, 2011) and only slightly increased in subclinical disorders (i.e., OR 1.7; CI95 0.5-5.8, and 1.8; CI95 0.4-9.0 for a major depressive disorder and dysthymia, respectively). In community studies (e.g., Swanson et al, 2011) the comorbidity is likely for any mood disorder in bulimia (OR 5.7; CI95 3.2-9.9) and BED (OR 4.76 CI95 2.7-7.7).…”

mentioning

confidence: 98%

“…Lower level of comorbidity (i.e. 11% for any anxiety disorders and 7% for social phobia) has been related to younger age (Bühren et al 2014), but not to a shorter duration of neither anorexia (i.e., 55%) nor BED (i.e., 50%) (Jordan et al, 2008). A community study (Gadalla & Piran, 2008) comprising over 20 000 individuals with eating problems and aged 15-24 years reported an elevated current risk (OR 3.44; CI95 2.52-5.91) and lifetime risk (OR 3.95; CI95 2.87-5.41) for any anxiety disorder.…”

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confidence: 99%

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Epidemiology of eating disorders part III: social epidemiology and case definitions revisited

Rosenvinge

Pettersen

2015

Advances in Eating Disorders

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The previous papers in this series (Rosenvinge & Pettersen, 2014a,b) outlined a historical panorama and presented knowledge about the distribution of eating disorders in various populations as well as about putative risk factors. This final paper focuses on social epidemiology, notably the current status of treatment dissemination and prevention research. We also discuss some comorbidity findings and transdiagnostic issues as an alternative to the DSM based definition of an epidemiological case, and how such an alternative definition may introduce new perspectives of prevention. Key words: eating disorders, epidemiology, reviewThe authors declare no conflict of interest in preparing this work 3 The present article is the final one of three about the epidemiology of eating disorders. The first one (Rosenvinge & Pettersen, 2014a) outlined basic epidemiological concepts, approaches and issues. In addition, it outlined a historical panorama of the epidemiology of eating disorders up to the early 1990s depicting, the evolvement of eating disorders from being one, curious and rare disorder (i.e., anorexia nervosa) to a set of disorders distributed in the population to an extent which has caught public concern and scientific effort for the past 30 or 40 years. This evolvement has resulted in case definitions through the DSM and ICD manuals, and being worldwide disseminated they haves had a major impact on case definition-and identification methods in epidemiological eating disorder research.The second paper in this series (Rosenvinge & Pettersen, 2014b) outlined recent knowledge about descriptive epidemiology; how many who actually have a DSM eating disorder or significant eating problems at a given point of time (i.e., the point prevalence), or in the past (i.e., the lifetime prevalence), as well as about the number of new cases appearing per year (i.e., the incidence). In addition, we focused on issues within analytic epidemiology, notably what is known about risk factors for developing eating disorders or for staying ill for a longer period of time.Case identification methods require a case definition which is useful for analytic and social epidemiological purposes, and not just for describing the prevalence or incidence.Traditionally, the DSM taxonomy has provided a gold standard. This may be questioned in view of mental disorders most likely to come along with eating disorders, most likely to affect their course, and where the comorbidity may point to transdiagnostic factors possibly relevant to epidemiological research. The first aim of this paper is to discuss the relevance and implications of such perspectives in constructing an epidemiological case definition.Social epidemiology becomes relevant when we have some answers from descriptive epidemiology to the "how many-questions", and from analytical epidemiology to the "who, and "why"-questions. One part of social epidemiology concerns prevention, and which may take the approach of health promotion at a universal (general population) level, i.e., by...

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Section: Mood Disordersmentioning

confidence: 96%

Section: Personality Disorders (Pds)mentioning

confidence: 98%

mentioning

confidence: 98%

mentioning

confidence: 99%

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Epidemiology of eating disorders part III: social epidemiology and case definitions revisited

Rosenvinge

Pettersen

2015

Advances in Eating Disorders

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“…Although suicidality is much lower in adolescent AN than in adult AN, a strong asso ciation between depression, the binge/ purge subtype of AN, and the duration of illness has been reported. 100,101 Physical complications Table 1 covers some common physical complications of anorexia.…”

Section: Multiple Family Therapy (Mft)mentioning

confidence: 99%