Does the frequency of anxiety and depressive disorders differ between diagnostic subtypes of anorexia nervosa and bulimia?

Nathalie Godart, Sylvie Berthoz, Zoé Rein, Fabienne Perdereau, François Lang, Jean-Luc Venisse, Olivier Halfon, Pierre Bizouard, Gwénolé Loas, Maurice Corcos, Philippe Jeammet, Martine Flament, Florence Curt
Int. J. Eat. Disord.. 2006-01-01; 39(8): 772-778
DOI: 10.1002/eat.20274

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1. Int J Eat Disord. 2006 Dec;39(8):772-8. doi: 10.1002/eat.20274.

Does the frequency of anxiety and depressive disorders differ between diagnostic
subtypes of anorexia nervosa and bulimia?

Godart N(1), Berthoz S, Rein Z, Perdereau F, Lang F, Venisse JL, Halfon O,
Bizouard P, Loas G, Corcos M, Jeammet P, Flament M, Curt F.

Author information:
(1)Department of Psychiatry, Université Paris-Descartes, Faculté de médecine,
Site Institut Mutualiste Montsouris (IMM), Paris, France.

OBJECTIVE: The objective of the present work is to determine whether the
prevalence of depressive and anxiety disorders varies in subgroups of eating
disorders (ED) according to age, ED duration, mode of care provision, and body
mass index (BMI).
METHOD: Using the Mini International Neuropsychiatric Interview (MINI), the
frequency of anxiety and depressive disorders was evaluated in 271 ED
participants. Their prevalence was compared in subgroups of anorexics (AN-R and
AN-BN) and bulimics (BN), both before and after controlling for potential
confounding variables.
RESULTS: Current or lifetime comorbidity of anxiety and depressive disorders did
not differ between AN-R and AN-BN groups. Social phobia, panic disorders, and
obsessive-compulsive disorder (OCD) were significantly more frequent in AN-BN
and AN-R groups. Panic disorder was more frequent in the BN group.
CONCLUSION: Several confounding factors, in particular those identified in the
present study, may explain previous conflicting results on the frequency of
anxiety and depressive disorders in ED. Nevertheless, the study confirmed that
OCD is more frequent in AN, even after controlling for confounding factors.

Copyright 2006 by Wiley Periodicals, Inc.

DOI: 10.1002/eat.20274
PMID: 16721840 [Indexed for MEDLINE]

Auteurs Bordeaux Neurocampus