Cited by 352Eating Disorders and BehaviorsNutrition, Health and Food BehaviorPersonality Disorders and Psychopathology

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Psychiatric comorbidity in women and men with eating disorders results from a large clinical database

Ulfvebrand, Sara, Birgegård, Andreas, Norring, Claes, Högdahl, Louise, von Hausswolff-Juhlin, Yvonne·2015·Psychiatry Research

DOI 10.1016/j.psychres.2015.09.008

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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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“…common in patients with eating disorders (ED), and previous studies have reported a prevalence of 20–95% (Blinder et al., 2006; Buhren et al., 2014; Grilo et al., 2013; Herzog et al., 1992; Hudson et al., 2007; Kaye et al., 2004; Milos et al., 2004; Spindler and Milos, 2004; Zaider et al., 2000).”
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Authors: Ulfvebrand, S., Birgegård, A., Norring, C., Högdahl, L., & von Hausswolff-Juhlin, Y.
Affiliations: Karolinska Institutet (SE)
Corresponding author: Ulfvebrand, Sara
ORCID: Birgegård, Andreas
Norring, Claes
Venue: Psychiatry Research
Publisher: Elsevier BV
Published: 2015-12
Volume: 230
Issue: 2
Pages: 294-299
ISSN: 0165-1781 (ISSN-L)
DOI: 10.1016/j.psychres.2015.09.008
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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Psychiatric comorbidity in women and men with eating disorders results from a large clinical database

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