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Psychiatric comorbidity in women and men with eating disorders results from a large clinical database
Abstract
Psychiatric comorbidity is common in patients with eating disorders (ED), but prevalence estimates are heterogeneous, probably due to methodological differences between studies (population, diagnostic method, sampling procedure etc.) and a few studies include men. The aim of this study is to investigate psychiatric DSM-IV Axis I comorbidity in a large sample of adult patients, both males and females, with the whole spectrum of DSM-IV ED diagnoses. Initial presentation assessment data on 11,588 adult men and women presenting to specialist ED clinics in Sweden between 2008 and 2012 were extracted from a large clinical database. Diagnostics were based on semi-structured interviews (SCID-I) and the Structured Eating Disorder Interview (SEDI). Seventy-one percent of the patients with ED had at least one other Axis I disorder. The most common type of diagnosis was anxiety disorders (53%), where generalized anxiety disorder was the most common diagnosis. The highest levels of comorbidity were found for women with Binge Eating Disorder (BED) and men with Bulimia Nervosa (BN). Findings are consistent with previous research showing a high prevalence of psychiatric comorbidity in both men and women with ED. The small gender differences observed seem negligible compared to the general similarity in comorbidity.
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“Patients in intensive settings typically struggle with two or more co-morbid psychiatric disorders (11)”
From The Renfrew Unified Treatment for Eating Disorders and Comorbidity: Long-Term Effects of an Evidence-Based Practice Implementation in Residential Treatment (2021) · cites this paper as [11]
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“Patients in intensive settings typically struggle with two or more co-morbid psychiatric disorders (11), and residential treatment providers suggest that existing manuals for EDs do not adequately address comorbidity (12).”
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Metadata
- Authors
- Ulfvebrand, S., Birgegård, A., Norring, C., Högdahl, L., & von Hausswolff-Juhlin, Y.
- Affiliations
- Karolinska Institutet (SE)
- Corresponding author
- Ulfvebrand, Sara
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2015-12
- Volume
- 230
- Issue
- 2
- Pages
- 294-299
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W1650564827
- Cited by
- 352
- References
- 27
- Citations by year
- 2026: 20 · 2025: 36 · 2024: 41 · 2023: 48 · 2022: 45 · 2021: 36 · 2020: 43 · 2019: 36 · 2018: 23 · 2017: 17 · 2016: 7
- FWCI
- 19.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Stockholm County Council (ALF- medel)
- Karolinska Institute
- 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 › Personality Disorders and Psychopathology
- Keywords
- eating disorders, psychiatric comorbidity, Axis I disorders, anxiety disorders, generalized anxiety disorder, binge eating disorder, bulimia nervosa, gender differences, prevalence, adult patients, medical databases
- MeSH terms
- Adolescent, Adult, Aged, Anorexia Nervosa, Anxiety Disorders, Feeding and Eating Disorders, Mental Disorders, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Sweden, Comorbidity, Prevalence, Mood Disorders, Substance-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders, Bulimia Nervosa, Young Adult, Binge-Eating Disorder
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