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Anxiety disorders in subjects seeking treatment for eating disorders: a DSM-IV controlled study
Abstract
Women who were referred with an eating disorder (ED) were compared with a matched normal control group to answer the following questions: What are the frequencies of anxiety disorders in cases of anorexia and bulimia nervosa diagnosed according to DSM-IV criteria? Are anxiety disorders significantly more frequent among women with an eating disorder than among women from the community? We assessed the frequencies of six specific anxiety disorders among 271 women with a current diagnosis of anorexia or bulimia nervosa and 271 controls, using the Mini-International Neuropsychiatric Interview, French DSM-IV version. A lifetime comorbidity with at least one anxiety disorder was found in 71% of both the anorexic and the bulimic subjects, significantly higher than the percentage of controls with an anxiety disorder. The prevalence was significantly higher in the eating disorder groups than in controls for most types of anxiety disorder, and between 41.8 and 53.3% of comorbid cases had an anxiety disorder preceding the onset of the eating disorder. Anxiety disorders are significantly more frequent in subjects with eating disorders than in volunteers from the community, a finding that has important etiological and therapeutic implications.
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“Research [53,54,55,56,57] has shown that anxiety could be a predecessor of image distortion.”
From The Effect of Anxiety and Nutritional Habits on the Body Distortion of Athletes. (2025) · cites this paper as [56]
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Examining weekly relationships between obsessive-compulsive and eating disorder symptoms
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“Con relación al segundo objetivo, se encontró que la variable ansiedad resulta, como en estudios previos (Fischer et al., 2008; Godart et al., 2003; Solano y Cano, 2012), tener un efecto significativo en la explicación tanto del riesgo de AN como en el de BN. Si bien los tamaños del efecto de la…”
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“studies have not directly examined the role of the G allele in disordered eating behaviors, the psychiatric phenotypes examined in these studies are closely related to eating disorders (Hudson et al. 1983; Godart et al. 2003; O’Brien and Vincent 2003).”
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“disorder in 71% of individuals with BN, with anxiety frequently but not exclusively preceding eating disorder onset (Godart, Flament, Lecrubier, & Jeammet, 2000; Godart et al., 2003).”
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“Thus, lifetime prevalence of anxiety disorders amounts to 83% (anorexia nervosa) and 71% (bulimia nervosa) notably social anxiety as the most prevalent condition (i.e. 49–55% and 59–68%, respectively) (Godart, Flament, Lecrubier, & Jeammet, 2000; Godart et al., 2003).”
BackgroundEating Disorders with Comorbidity Anxiety Disorders
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The comorbidity between eating disorders and anxiety disorders
Swinbourne, J. M. (2008) · UPT. Syiah Kuala University Library (Syiah Kuala University) · Cited by 6
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[The prevalence of eating disorders and comorbid psychiatric disorders in the Sivas Province].
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“Previous studies [18, 60] use this inventory to measure diverse ED symptoms established according to DSM-IV axis I criteria (American Psychiatric Association, 1994).”
MethodTroubles du comportement alimentaire chez l'adulte
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“…frameworks, these different measures of appearance concerns may assess a common construct that may contribute to the high levels of comorbidity observed in appearance-related forms of psychopathology (Fang & Hofmann, 2010; Godart et al., 2003; Kelly et al., 2013 ; Ruffolo et al., 2006).”
Pineda-García, G., Gómez‐Peresmitré, G., Ariza, V. V., Acevedo, S. P., & Vizcarra, V. A. (2014) · Revista Mexicana de Trastornos Alimentarios/Mexican Journal of Eating Disorders · doi:10.1016/s2007-1523(14)72003-8 · Cited by 4
“…del análisis del riesgo de bulimia, sólo se encontraron diferencias ukipkÝecvkxcu"gp"gn"itcfq"fg"cpukgfcf"*gn"vcoc‚q"fgn" efecto fue medio, f2 parcial =.15), lo cual es congruente eqp"nc"nkvgtcvwtc""rtgxkc"kfgpvkÝecpfq"tgncek„p"gpvtg" ansiedad y anorexia (Godart et al., 2003; Solano & Cano, 2012).”
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“In a much larger sample of inpatients and outpatients with AN, Godart and colleagues similarly reported a lifetime prevalence of OCD in approximately 25% of patients [10], which is significantly greater than in a matched control population.”
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“Social anxiety is one of the most frequently occurring comorbidities with EDs and is correlated with more severe ED symptomatology (Alcaraz-Ibanez et al., 2023; Godart et al., 2003).”
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“For example, EDs carry high lifetime rates of depression (76.3% for BN, 65.5% for BED, and 49.5% for AN) and approximately two-thirds of patients will meet the criteria for an anxiety disorder (Attia & Walsh, 2025; Godart et al., 2003; Kaye et al., 2004; Swinbourne et al., 2012).”
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“conducted a study with 271 people diagnosed with ED and 271 controls; results were that 47 % of women had anxiety prior to the ED [ 99 ].”
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“…AN and BN levels were not directly in uenced by the anxiety scores in the three cities, despite high anxiety was frequently related to the presence and severity in ED patients (Brytek-Matera, 2008), concretely among AN (Bulik, 2002; Godier & Park, 2015; Woodside & Staab, 2006; Godart et al., 2003).”
BackgroundAdditional considerations in gynecologic care
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“For instance, Godart et al. (2003) demonstrated the prevalence of PD in an AN sample (AN-R 5.4%; AN-BP 14.5”
BackgroundResultInfluentialRisk factors and clinical correlates in eating disorders
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Comorbidities: Anxiety Disorders
Young, K. P. D. (2015) · Springer eBooks · doi:10.1007/978-981-287-087-2_23-1
Frank, G. (2019) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.734669560.793558797
Wang, Y. Y., Ma, Z., Lu, S., Duan, Z., Wilson, A. D., Jia, Y., Yong, Y., & Chen, R. (2022) · Research Square · doi:10.21203/rs.3.rs-1933205/v1
Anorexia Nervosa and Concurrent Psychiatric Comorbidity
Catone, G. (2023) · Springer eBooks · doi:10.1007/978-3-031-16691-4_38
Metadata
- Authors
- Godart, N. T., Flament, M. F., Curt, F., Perdereau, F., Lang, F., Venisse, J. L., Halfon, O., Bizouard, P., Loas, G., Corcos, M., Jeammet, P., & Fermanian, J.
- Affiliations
- Institute Mutualiste Montsouris (FR)
- Centre National de la Recherche Scientifique (FR)
- Centre Hospitalier Universitaire de Saint-Étienne (FR)
- Hôpital Saint-Jacques (FR)
- Centre Hospitalier Universitaire de Besançon (FR)
- Centre Hospitalier Philippe Pinel (FR)
- Hôpital Necker-Enfants Malades (FR)
- Corresponding author
- Godart, Nathalie T.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2003-03
- Volume
- 117
- Issue
- 3
- Pages
- 245-258
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2129771883
- Cited by
- 207
- References
- 51
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 8 · 2023: 8 · 2022: 8 · 2021: 12 · 2020: 13 · 2019: 2 · 2018: 8 · 2017: 9 · 2016: 10 · 2015: 18 · 2014: 14 · 2013: 17 · 2012: 13
- FWCI
- 5.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- 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
- anxiety disorders, eating disorders, anorexia nervosa, bulimia nervosa, comorbidities, prevalence, women, DSM-IV, Mini International Neuropsychiatric Interview, psychiatric comorbidity
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Feeding and Eating Disorders, Female, Humans, Patient Acceptance of Health Care, Severity of Illness Index, Comorbidity, Prevalence, Diagnostic and Statistical Manual of Mental Disorders
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