Lifetime and recent DSM and ICD psychiatric comorbidity of inpatients engaging in different eating disorder behaviours

Lojewski, Astrid von; Boyd, Catherine; Abraham, Suzanne; Russell, James M.

doi:10.1007/bf03325346

Cited by 7 publications

(3 citation statements)

References 45 publications

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“…Our study expands on existing literature linking PTSD to eating disorder diagnoses (14; 16; 17; 49–51), by highlighting common and less severe eating behaviors that may nonetheless be of concern for long-term health. In particular, revealing the associations between PTSD symptoms and sub-clinical behaviors may help better pinpoint targets for earlier intervention.…”

Section: Methodssupporting

confidence: 51%

Posttraumatic Stress Disorder Symptoms and Problematic Overeating Behaviors in Young Men and Women

et al. 2017

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Background PTSD is a risk factor for obesity, but the range of behaviors that contribute to this association are not known. Purpose To examine associations between self-reported PTSD symptoms in 2007, with and without comorbid depression symptoms, and three problematic overeating behaviors in 2010; to estimate the associations of PTSD-related overeating behaviors with obesity. Methods Cross-sectional and longitudinal analyses included 7438 male (n=2478) and female (n=4960) participants from the Growing Up Today Study (mean age 22–29 years in 2010). Three eating behavior outcomes were assessed: Binge eating (eating a large amount of food in a short period of time with loss of control), top quartile of coping-motivated eating (from the Motivations to Eat scale), and top quartile of disinhibited eating (from the Three-Factor Eating Questionnaire). Results PTSD symptoms were associated with 2- to 3-fold increases in binge eating and top-quartile coping-motivated eating; having ≥ 4 PTSD symptoms, relative to no PTSD symptoms, was associated with covariate-adjusted RRs of 2.7 (95% CI: 2.1, 3.4) for binge eating, 2.1 (95% CI: 1.9, 2.4) for the top quartile of coping-motivated eating, and 1.5 (95% CI: 1.3, 1.7) for the top quartile of disinhibited eating. There was a trend toward PTSD symptoms in 2007 predicting new onset binge eating in 2010. Having depression symptoms comorbid with PTSD symptoms further increased risk of binge eating and coping-motivated eating. All eating behaviors were associated with obesity. Conclusion Clinicians treating patients with PTSD should know of potential comorbid problematic eating behaviors that may contribute to obesity.

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Section: Methodssupporting

confidence: 51%

Posttraumatic Stress Disorder Symptoms and Problematic Overeating Behaviors in Young Men and Women

et al. 2017

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“…The association between binge-purging and suicide attempts has been hypothesized to be mainly mediated by impulsive traits and emotional dysregulation (Favaro and Santonastaso, 1996; Milos et al ., 2004; Fedorowicz et al ., 2007; Foulon et al ., 2007; Forcano et al ., 2011; Bodell et al ., 2013; Pisetsky et al ., 2013). Other associated features can be substance use/abuse (Favaro and Santonastaso, 1997; Fedorowicz et al ., 2007), persistent and impairing symptoms in binge-purging disorders (Favaro and Santonastaso, 1997; Wade et al ., 2015), and an overall higher rate of other comorbid psychiatric disorders (von Lojewski et al ., 2012). However, according to some evidence, increased comorbid disorders in binge-purging ED subtypes would not fully explain the increase of suicidal risk (Fedorowicz et al ., 2007: 128; Bodell et al ., 2013: 68).…”

Section: Discussionmentioning

confidence: 99%

Suicide attempts in eating disorder subtypes: a meta-analysis of the literature employing DSM-IV, DSM-5, or ICD-10 diagnostic criteria

et al. 2018

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BackgroundQuantification of suicidal risk in specific populations is important for the adoption of targeted prevention and harm reduction measures. Though there remains little systematic evidence, risk of suicide attempts for bulimia nervosa (BN) and binge-purging anorexia nervosa (AN-bp) appears higher than restrictive AN (AN-r); risk in binge eating disorder (BED) is still unclear. The aim of this meta-analysis was to compare proportions of suicide attempts in eating disorder (ED) subgroups.MethodsA literature search using combinations of key-words for ED and suicide attempts was performed. Studies reporting proportions of suicide attempters in at least two ED groups, diagnosed according to DSM-IV or -5 and ICD-10 diagnostic criteria were considered. ED subgroups were analyzed in pairs using a binary random effect model for proportions. Publication bias, meta-regression, and sensitivity analyses were performed.ResultsIn BN, attempted suicide was more frequent (21%) than in AN (12.5%), but the difference was statistically significant only when BN was compared with AN-r (9–10%). In BED, the proportion of suicide attempts was as high as in AN (10–12%).ConclusionsThough limited by heterogeneity across the studies in terms of methodology and aims, inability to control for relevant confounding variables, exclusion of ED not otherwise specified, this study supports suicide attempts as a major issue in EDs, especially in binge-purging subtypes, i.e. BN and AN-bp. Similar suicidal proportions were observed in AN and BED. The reasons for a greater proportion of attempted suicide in binge/purging subtypes need to be explored in future studies.

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“…Eating disorders (EDs) are serious psychiatric disorders that are associated with significant medical morbidity, 2,3 psychiatric comorbidity, [4][5][6][7][8] and mortality. [9][10][11][12][13] Although the prevalence of EDs is lower among individuals from non-Western cultures, 14 ED-related psychopathology is becoming more prevalent in the People's Republic of China.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of the Chinese‐language version of the eating pathology symptoms inventory

Tang

Forbush

Lui

2015

Intl J Eating Disorders

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Lifetime and recent DSM and ICD psychiatric comorbidity of inpatients engaging in different eating disorder behaviours

Cited by 7 publications

References 45 publications

Posttraumatic Stress Disorder Symptoms and Problematic Overeating Behaviors in Young Men and Women

Posttraumatic Stress Disorder Symptoms and Problematic Overeating Behaviors in Young Men and Women

Suicide attempts in eating disorder subtypes: a meta-analysis of the literature employing DSM-IV, DSM-5, or ICD-10 diagnostic criteria

Development and validation of the Chinese‐language version of the eating pathology symptoms inventory

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