Eating disorders in patients with obsessive–compulsive disorder: Prevalence and clinical correlates
Corresponding Author
Paulo C. Sallet MD, PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Institute of Psychiatry, University of São Paulo Medical School, R. Dr. Ovídio Pires de Campos, 785, 05403-010 São Paulo, São Paulo, BrazilSearch for more papers by this authorPedro Gomes de Alvarenga MD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorYgor Ferrão MD, PhD
Porto Alegre Institute, South Methodist University, Porto Alegre, Brazil
Search for more papers by this authorMaria Alice de Mathis PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorAlbina R. Torres MD, PhD
Department of Neurology, Psychology and Psychiatry, Botucatu Medical School, Botucatu, Brazil
Search for more papers by this authorAndrea Marques MD, PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorAna G. Hounie MD, PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorVictor Fossaluza MD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorMaria Conceição do Rosario MD, PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Department of Psychiatry, Federal University of São Paulo, São Paulo, Brazil
Search for more papers by this authorLeonardo F. Fontenelle MD, PhD
Anxiety and Depression Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro, Brazil
Search for more papers by this authorKatia Petribu MD, PhD
Department of Psychiatry, University of Pernambuco, Recife, Brazil
Search for more papers by this authorBacy Fleitlich-Bilyk MD, PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorCorresponding Author
Paulo C. Sallet MD, PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Institute of Psychiatry, University of São Paulo Medical School, R. Dr. Ovídio Pires de Campos, 785, 05403-010 São Paulo, São Paulo, BrazilSearch for more papers by this authorPedro Gomes de Alvarenga MD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorYgor Ferrão MD, PhD
Porto Alegre Institute, South Methodist University, Porto Alegre, Brazil
Search for more papers by this authorMaria Alice de Mathis PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorAlbina R. Torres MD, PhD
Department of Neurology, Psychology and Psychiatry, Botucatu Medical School, Botucatu, Brazil
Search for more papers by this authorAndrea Marques MD, PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorAna G. Hounie MD, PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorVictor Fossaluza MD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorMaria Conceição do Rosario MD, PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Department of Psychiatry, Federal University of São Paulo, São Paulo, Brazil
Search for more papers by this authorLeonardo F. Fontenelle MD, PhD
Anxiety and Depression Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro, Brazil
Search for more papers by this authorKatia Petribu MD, PhD
Department of Psychiatry, University of Pernambuco, Recife, Brazil
Search for more papers by this authorBacy Fleitlich-Bilyk MD, PhD
Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
Search for more papers by this authorAbstract
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. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010
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