Crossed prevalence results between subtypes of eating disorder and bipolar disorder: A systematic review of the literature

Thiébaut, Sophie; Godart, Nathalie; Radon, L.; Courtet, Philippe; Guillaume, Sébastien

doi:10.1016/j.encep.2018.06.001

Cited by 22 publications

(28 citation statements)

References 101 publications

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“…Participants described significant dietary restriction and compensatory practices, with three having previously met criteria for typical AN. This is consistent with research suggesting a greater overlap between BD and AN than previously believed (Thiebaut et al, 2019; Valentin et al, 2019), and the presence of restrictive ED features in obesity (da Luz et al, 2017). Second, most participants experienced ED features before BD diagnosis and treatment.…”

Section: Discussionsupporting

confidence: 91%

“…However, more investigation is needed. Our research also primarily included women, due to sampling limitations, which is a common challenge in the field (Thiebaut et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…EDs are believed to occur in as many as one in three people who meet criteria for BD (Thiebaut et al, 2019). A number of large-scale but necessarily large-grain projects have identified clinical correlates of this comorbid subgroup, such as earlier illness onset of BD, higher rates of anxiety disorders, depressive polarity, higher body mass index (BMI), higher suicide rates, and higher functional impairment (Balzafiore et al, 2017; Brietzke et al, 2011).…”

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confidence: 99%

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“The Food Matches the Mood”: Experiences of Eating Disorders in Bipolar Disorder

et al. 2020

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Approximately 33% of those with bipolar disorder (BD) have a comorbid eating disorder (ED). However, the trajectory of these conditions has received little research attention. Nine participants who met criteria for BD and an ED participated in qualitative interviews exploring experiences of illness onset, the interaction of these conditions, and service provision. Almost all participants in the sample reported minimal to no screening of ED problems, despite their health professionals’ frequent discussion of obesity. Findings suggested that ED features were diverse and evolved over time. Mania and depression were connected to ED features such as overeating and restricting, but this differed between and within participants. Most participants disclosed historic trauma which they considered central to their mental health concerns. This clinical group appears to be underserviced. Clinicians and researchers should routinely screen for ED features when treating and diagnosing BD to inform their physical and mental health interventions.

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Section: Discussionsupporting

confidence: 91%

“…However, more investigation is needed. Our research also primarily included women, due to sampling limitations, which is a common challenge in the field (Thiebaut et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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“The Food Matches the Mood”: Experiences of Eating Disorders in Bipolar Disorder

et al. 2020

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“…Overall, the models were similar to each other as far as indexes of fit were concerned, with the Massidda et al . (2016) [ 25 ] three-factor model showing marginally the best fit.…”

Section: Resultsmentioning

confidence: 99%

“…The specificity of mania/hypomania of the symptomatic range covered by the MDQ has been questioned, since some of these symptoms may also occur in anxiety, in trauma-related, and in impulse control disorders [ 20 ]. However, some of this criticism may be misguided, since they overlook the high comorbidity of bipolar spectrum disorders with anxiety [ 21 , 22 ], trauma-related [ 23 ], and impulsivity/dyscontrol disorders [ 24 , 25 ]. Nonetheless, whether the MDQ taps into a single factor of mania/hypomania or whether it can be decomposed into different dimensions is still a matter of debate.…”

Section: Introductionmentioning

confidence: 99%

The Factor Structure of the Mood Disorder Questionnaire in Tunisian Patients

Ouali

Jouini

Zgueb

et al. 2020

CPEMH

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Background: The Mood Disorder Questionnaire (MDQ) is a frequently used screening tool for the early detection of Bipolar Disorder (BD), which is often unrecognized or misdiagnosed at its onset. In this study, data from Tunisia has been used to evaluate the psychometric properties of the Arabic MDQ. Methods: The sample included 151 patients with a current major depressive episode. The Arabic adapted version of the Structured Clinical Interview for DSM-IV-TR was used to formulate a diagnosis, yielding 62 patients with BD and 89 with unipolar Major Depressive Disorder (MDD). Principal component analysis with parallel analysis was used to establish the spontaneous distribution of the 13 core items of the MDQ. Confirmatory Factor Analysis (CFA) was used to check the available factor models. Receiver Operating Characteristic (ROC) analysis was used to assess the capacity of the MDQ to distinguish patients with BD from those with MDD. Results: Cronbach’s α in the sample was 0.80 (95%CI: 0.75 to 0.85). Ordinal α was 0.88. Parallel analysis suggested two main components, which explained 59% of variance in the data. CFA found a good fit for the existing unidimensional, the two-factor, and the three-factor models. ROC analysis showed that at a threshold of 7, the MDQ was able to distinguish patients with BD from those with MDD with extraordinary negative predictive value (0.92) and a positive diagnostic likelihood ratio of 3.8. Conclusion: The Arabic version of the MDQ showed good measurement properties in terms of reliability, factorial validity and discriminative properties.

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Associations between major depressive and bipolar disorders and eating disorder, PTSD, and comorbid symptom severity in eating disorder patients

Brewerton,

Gavidia,

Suro

et al. 2023

Euro Eating Disorders Rev

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ObjectiveMajor depressive disorder (MDD) and bipolar disorder (BD) are commonly comorbid with eating disorders (EDs). However, there is limited data about the clinical features of such patients, especially their association with traumatic histories and PTSD, which occur commonly in patients admitted to residential treatment.MethodsAdults (≥18 years, 91% female, n = 2155) admitted to residential ED treatment were evaluated upon admission for DSM‐5 defined MDD and BD. Patients were divided into three groups based on an admission diagnosis of no mood disorder (NMD), MDD, and BD (types I and II) and compared on a number of demographic variables, clinical features and assessments.ResultsMood disorders occurred in 76.4% of participants. There were statistically significant differences across groups in most measures with the BD group showing higher rates and doses of traumatic events; higher current PTSD; higher BMIs; higher severity of ED, depression and state‐trait anxiety symptoms; worse quality of life; and higher rates of substance use disorders. Similarly, the MDD group had higher rates than the NMD group on most measures.ConclusionsThese findings have important implications for prevention, treatment and long‐term follow‐up and highlight the need for early trauma‐focused treatment of ED patients with comorbid mood disorders and PTSD.

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Crossed prevalence results between subtypes of eating disorder and bipolar disorder: A systematic review of the literature

Abstract: EDs and BD are frequently comorbid, suggesting the need for crossed screening of these pathologies, in particular for EDs with purging behaviours and for patients with early BD onset.

Cited by 22 publications

References 101 publications

“The Food Matches the Mood”: Experiences of Eating Disorders in Bipolar Disorder

“The Food Matches the Mood”: Experiences of Eating Disorders in Bipolar Disorder

The Factor Structure of the Mood Disorder Questionnaire in Tunisian Patients

Associations between major depressive and bipolar disorders and eating disorder, PTSD, and comorbid symptom severity in eating disorder patients

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