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Title: Impulse control disorders in women with eating disorders
Authors: Fernandez-Aranda, Fernando
Poyastro Pinheiro, Andrea [UNIFESP]
Thornton, Laura M.
Berrettini, Wade H.
Crow, Scott
Fichter, Manfred M.
Halmi, Katherine A.
Kaplan, Allan S.
Keel, Pamela
Mitchell, James
Rotondo, Alessandro
Strober, Michael
Woodside, D. Blake
Kaye, Walter H.
Bulik, Cynthia M.
Univ N Carolina
Univ Hosp Bellvitge
Inst Salud Carlos III
Universidade Federal de São Paulo (UNIFESP)
Univ Pittsburgh
Univ Penn
Univ Minnesota
Univ Munich
Cornell Univ
Toronto Hosp
Univ Iowa
Neuropsychiat Res Inst
Univ Pisa
Univ Calif Los Angeles
Keywords: anorexia nervosa
bulimia nervosa
Issue Date: 15-Jan-2008
Publisher: Elsevier B.V.
Citation: Psychiatry Research. Clare: Elsevier B.V., v. 157, n. 1-3, p. 147-157, 2008.
Abstract: We compared symptom patterns, severity of illness, and comorbidity in individuals with eating disorders with and without impulse control disorders (ICD), and documented the temporal pattern of illness onset. Lifetime ICD were present in 16.6% of 709 women with a history of eating disorders. the most common syndromes were compulsive buying disorder and kleptomania. ICD occurred more in individuals with binge eating subtypes, and were associated with significantly greater use of laxatives, diuretics, appetite suppressants and fasting, and with greater body image disturbance, higher harm avoidance, neuroticism, cognitive impulsivity, and lower self-directedness. in addition, individuals with ICD were more likely to have obsessive-compulsive disorder, any anxiety disorder, specific phobia, depression, cluster B personality disorder, avoidant personality disorder, and to use psychoactive substances. Among those with ICD, 62% reported the ICD predated the eating disorder and 45% reported the onset of both disorders within the same 3-year window. the presence of a lifetime ICD appears to be limited to eating disorders marked by binge eating and to be associated with worse eating-related psychopathology, more pathological personality traits, and more frequent comorbid Axis I and 11 conditions. Untreated ICD may complicate recovery from eating disorders. (c) 2007 Elsevier Ireland Ltd. All rights reserved.
ISSN: 0165-1781
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