Comorbidity of mood and substance use disorders in patients with binge-eating disorder: Associations with personality disorder and eating disorder pathology
Open accessAbstract
Objective Binge-eating disorder (BED) is associated with elevated rates of mood and substance use disorders, but the significance of such comorbidity is ambiguous. We compared personality disorder and eating disorder psychopathology in four subgroups of BED patients: those with mood disorders, those with substance use disorders, those with both, and those with neither.Method Subjects were 347 patients who met DSM-IV research criteria for BED. Semistructured interviews evaluated lifetime DSM-IV axis I disorders, DSM-IV personality disorder features, and eating disorder psychopathology.Results Among these patients, 129 had co-occurring mood disorder, 34 had substance use disorder, 60 had both, and 124 had neither. Groups differed on personality disorder features, with those having mood disorder and both mood and substance use disorders showing the highest frequencies. Although groups did not differ in body mass index or binge eating frequency, they did differ on eating disorder psychopathology-with the groups having mood disorder and both comorbidities demonstrating higher eating, weight, and shape concerns. No differences were observed between groups with respect to ages of onset for specific eating behaviors, but some differences were observed for ages of disorder onset.Conclusion Mood and substance use disorders co-occur frequently among patients with BED. Compared with a previous work, the additional comparison group (those with both mood and substance use disorders) and the control group (those with neither) afforded better discrimination regarding the significance of these comorbidities. Our findings suggest approaches to subtyping BED based on psychiatric comorbidity, and may also have implications for treatment.
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Subtyping binge eating disorder based on psychiatric comorbidity may have important implications for treatment.
“It has been suggested that subtyping BED based on psychiatric comorbidity may have important implications for treatment [59].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [59]
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Gonzalez, M. D. O., Salzano, F. T., de Azevedo, A. P., Lopes, A. C., Baise, M., & Táki, A. C. (2020) · Springer eBooks · doi:10.1007/978-3-030-29081-8_13 · Cited by 2 · see citing works
Ray, T. N., Esquivel, A. P., McMaster, H. S., Jacobson, I. G., Maguen, S., & for the Millennium Cohort Family Study Team (2024) · American Journal of Epidemiology · doi:10.1093/aje/kwae206 · Cited by 1 · see citing works
Rowan, M. R., Koob, G., Varzeas, K. A., Stewart, T. M., & Becker, C. B. (2025) · Springer eBooks · doi:10.1007/978-3-032-03228-7_198 · Cited by 1 · see citing works
Wilkinson, M. L., McCarthy, D. M., Ranzenhofer, L. M., DeMatteo, D. S., Daly, B. P., & Manasse, S. M. (2025) · Journal of American College Health · doi:10.1080/07448481.2025.2558779 · Cited by 1 · see citing works
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Christensen, K. A., Klaver, E., & Short, N. A. (2023) · Springer eBooks · doi:10.1007/978-3-031-16691-4_10 · Cited by 1 · see citing works
Treatment of Eating Disorders in Children and Adolescents
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Eating Disorders in Severe Obesity
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Binge Eating Disorder and Major Depressive Disorder
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Psychopharmacology for Pediatric Eating Disorders
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Addiction to Food and Eating Disorders
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- Authors
- Becker, D. F., & Grilo, C. M.
- Affiliations
- University of California, San Francisco (US)
- Yale University (US)
- Corresponding author
- Becker, Daniel F.
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2015-08
- Volume
- 79
- Issue
- 2
- Pages
- 159-164
- ISSN
- 0022-3999 (ISSN-L)
- PMC
- PMC4492840
- OpenAlex
- W1984581091
- Cited by
- 84
- References
- 35
- Citations by year
- 2026: 3 · 2025: 11 · 2024: 4 · 2023: 6 · 2022: 8 · 2021: 9 · 2020: 12 · 2019: 4 · 2018: 8 · 2017: 10 · 2016: 7 · 2015: 2
- FWCI
- 11.18
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health (3R01 DK49587, K24 DK070052)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- binge eating disorder, mood disorders, substance use disorders, psychiatric comorbidity, eating disorder psychopathology, eating concerns, weight and shape concerns, age of onset
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Body Weight, Eating, Female, Humans, Male, Middle Aged, Personality Disorders, Comorbidity, Body Mass Index, Age of Onset, Diagnosis, Dual (Psychiatry), Mood Disorders, Substance-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders, Young Adult, Binge-Eating Disorder
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