Shared transmission of eating disorders and anxiety disorders
Abstract
OBJECTIVE: Eating disorders have high comorbidity with mood, anxiety, and substance use disorders. Using twins from the population-based Minnesota Twin Family Study (MTFS), we examined comorbidity and shared transmission between eating pathology and these disorders. METHOD: Female twins (N = 672), ages 16-18 years, completed structured clinical interviews assessing anorexia nervosa and bulimia nervosa (as described in the 4th ed. of the Diagnostic and Statistical Manual of Mental Disorders [DSM-IV; American Psychiatric Association, 1994]), as well as mood, anxiety, and substance use disorders (as described in the 3rd Rev. ed. of the Diagnostic and Statistical Manual of Mental Disorders [DSM-III-R]). Shared transmission was examined using a discordant monozygotic (MZ) twin design. RESULTS: Significant comorbidity was found between eating disorders and major depression, anxiety disorders, and nicotine dependence. Within MZ twin pairs discordant for eating disorders (n = 14), non-eating-disordered cotwins demonstrated increased risk for anxiety disorders compared with controls. Similarly, within MZ twin pairs discordant for anxiety disorders (n = 52), non-anxiety-disordered cotwins demonstrated increased risk for eating disorders compared with controls. DISCUSSION: Findings support shared transmission between eating disorders and anxiety disorders. However, the nature of this shared diathesis remains unknown.
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Anxiety disorders are common in families of individuals with anorexia nervosa.
“Because anxiety disorders are common in families of individuals with AN (Keel et al., 2005)”
From Factors associated with recovery from anorexia nervosa (2013) · cites this paper as Keel et al., 2005
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- Authors
- Keel, P. K., Klump, K. L., Miller, K. B., McGue, M., & Iacono, W. G.
- Affiliations
- University of Iowa (US)
- Michigan State University (US)
- University of Minnesota (US)
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2005
- Volume
- 38
- Issue
- 2
- Pages
- 99-105
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W1964876234
- Cited by
- 147
- References
- 35
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 7 · 2019: 8 · 2018: 5 · 2017: 4 · 2016: 4 · 2015: 12 · 2014: 5 · 2013: 13 · 2012: 10
- FWCI
- 12.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA-09367)
- National Institute of Mental Health (R01MH061836, MH61836)
- National Institute on Drug Abuse (DA-05147)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- eating disorders, anxiety disorders, comorbidities, anorexia nervosa, bulimia nervosa, major depressive disorder, nicotine dependence, substance use disorders, monozygotic twins, discordant twins, Minnesota Twin Family Study, adolescent girls
- MeSH terms
- Adolescent, Anxiety Disorders, Feeding and Eating Disorders, Mental Disorders, Diseases in Twins, Female, Humans, Twins, Monozygotic, United States, Comorbidity, Prevalence, Case-Control Studies, Genetic Predisposition to Disease
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