Delineation of differential temporal relations between specific eating and anxiety disorders
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This study examined the temporal sequencing of eating and anxiety disorders to delineate which anxiety disorders increase eating disorder risk and whether individuals with eating disorders are at greater risk for particular anxiety disorders. The sample was drawn from the Oregon Adolescent Depression Project. Temporal relations between specific eating and anxiety disorders were examined after controlling for relevant variables (e.g., mood disorders, other anxiety disorders) over 14 years. After excluding those with anorexia nervosa (AN) in adolescence (T1), OCD was the only T1 anxiety disorder to predict AN by age 30 (T4). No T1 anxiety disorder was associated with T4 bulimia nervosa (BN). Although T1 AN did not increase risk of any T4 anxiety disorder, T1 BN appeared to increase risk for social anxiety and panic disorders. Evidence that eating disorders may have differential relations to particular anxiety disorders could inform prevention and treatment efforts.
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Anxiety is a transdiagnostic factor involved in the development and maintenance of anorexia nervosa and is predictive for its course and treatment outcomes.
“A transdiagnostic factor that is involved in the development, maintenance of, and is predictive for the course and treatment outcomes of anorexia nervosa is anxiety [10–20].”
From Anxiety matters: a pilot lab study into food, weight, and virtual body exposure in anorexia nervosa (2024) · cites this paper as [11]
The Results and Discussion (page numbers unavailable) report that adolescent OCD uniquely predicted subsequent anorexia nervosa, supporting a role for a specific anxiety disorder in its development. The paper does not establish anxiety broadly as a transdiagnostic factor in anorexia nervosa’s maintenance, course, or treatment outcomes; its treatment discussion concerns possible prevention strategies for patients with OCD. (LLM, conf=0.88)
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- Authors
- Buckner, J. D., Silgado, J., & Lewinsohn, P. M.
- Affiliations
- Louisiana State University (US)
- Oregon Research Institute (US)
- Corresponding author
- Buckner, Julia D.
- ORCID
- Buckner, Julia D.
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 44
- Issue
- 12
- Pages
- 781-787
- ISSN
- 0022-3956 (ISSN-L)
- PMC
- PMC2895008
- OpenAlex
- W1976664693
- Cited by
- 75
- References
- 82
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 11 · 2023: 5 · 2022: 3 · 2021: 6 · 2020: 9 · 2019: 4 · 2018: 8 · 2017: 2 · 2016: 3 · 2015: 7 · 2014: 4 · 2013: 6
- FWCI
- 3.85
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychiatric Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Civil War Book Review (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH040501, R01MH050522)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- eating disorders, anxiety disorders, temporal relations, anorexia nervosa, bulimia nervosa, obsessive-compulsive disorder, social anxiety disorder, panic disorder, comorbidities, adolescent depression, risk prediction
- MeSH terms
- Adolescent, Adult, Age Factors, Anorexia Nervosa, Anxiety Disorders, Female, Humans, Longitudinal Studies, Male, Oregon, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Time Factors, Logistic Models, Bulimia Nervosa, Young Adult
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