Eating Disorders in Patients with Obsessive-Compulsive Disorder: Prevalence and Clinical Correlates
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Data
2010-05-01
Autores
Sallet, Paulo C.
Alvarenga, Pedro Gomes de
Ferrao, Ygor
Mathis, Maria Alice de
Torres, Albina R.
Marques, Andrea
Hounie, Ana G.
Fossaluza, Victor
Rosario, Maria Conceicao do [UNIFESP]
Fontenelle, Leonardo F.
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Objective: the objective is to evaluate the prevalence and associated clinical characteristics of eating disorders (ED) in patients with obsessive compulsive disorder (OCD).Method: This is a cross-sectional study comparing 815 patients with OCD. Participants were assessed with structured interviews and scales: SCID-I, Y-BOCS, Dimensional Y-BOCS, BABS, Beck Depression and Anxiety Inventories.Results: Ninety-two patients (11.3%) presented the following EDs: binge-eating disorders [= 59 (7.2%)], bulimia nervosa [= 16 (2.0%)], or anorexia nervosa [= 17 (2.1%)]. Compared to OCD patients without ED (OCD-Non-ED), OCD-ED patients were more likely to be women with previous psychiatric treatment. Mean total scores in Y-BOCS, Dimensional Y-BOCS, and BABS were similar within groups. However, OCD-ED patients showed higher lifetime prevalence of comorbid conditions, higher anxiety and depression scores, and higher frequency of suicide attempts than did the OCD-Non-ED group. Primarily diagnosed OCD patients with comorbid ED may be associated with higher clinical severity.Discussion: Future longitudinal studies should investigate dimensional correlations between OCD and ED. (C) 2009 by Wiley Periodicals, Inc.
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International Journal of Eating Disorders. Hoboken: John Wiley & Sons Inc, v. 43, n. 4, p. 315-325, 2010.