Symptoms of eating disorders in patients with obsessive-compulsive disorder

Teresa A. Pigott · Megan Altemus · Cheryl Rubenstein · James Hill · Katalin Bihari · F L'Heureux +2 more

78 citations0/0 files storedAmerican Journal of Psychiatry

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Obsessive-Compulsive Spectrum Disorders

Abstract

OBJECTIVE: This study was designed to explore potential overlap of the symptoms of obsessive-compulsive disorder and eating disorders. METHOD: The authors administered a structured, self-rating scale, the Eating Disorder Inventory, to 59 outpatients at an obsessive-compulsive disorder clinic and to 60 sex-matched normal volunteers. The Eating Disorder Inventory has been previously validated as a reliable measure of the specific cognitive and behavioral dimensions of the psychopathology typical of patients with eating disorders. The scores of the patients with obsessive-compulsive disorder and of the healthy comparison subjects were compared with those of 32 female inpatients with anorexia nervosa (N = 10) or bulimia nervosa (N = 22) who had also been given the inventory. RESULTS: The patients with obsessive-compulsive disorder scored significantly higher than the healthy comparison subjects on all eight subscales of the Eating Disorder Inventory: drive for thinness, bulimia, body dissatisfaction, ineffectiveness, perfectionism, interpersonal distrust, interoceptive awareness, and maturity fears. Relative to the healthy subjects, male patients with obsessive-compulsive disorder had more symptoms than female patients with obsessive-compulsive disorder. The scores of the female patients with obsessive-compulsive disorder were midway between those of the 32 female patients with eating disorders and those of the 35 female normal subjects. CONCLUSIONS: These results suggest that patients with obsessive-compulsive disorder display significantly more disturbed eating attitudes and behavior than healthy comparison subjects and that they share some of the psychopathological eating attitudes and behavior that are common to patients with eating disorders.

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References

1977Obsessional-compulsive complaints 1990Studies of the epidemiology of bulimia nervosa 1988Fasting girls: the emergence of anorexia nervosa as a modern disease 1987A controlled study of lifetime prevalence of affective and other psychiatric disorders in bulimic outpatients 1984Differences in brain serotonergic metabolism between nonbulimic and bulimic patients with anorexia nervosa 1986Past history of anorexia nervosa in women with obsessive-compulsive disorder 1986Eating Disorder as a Modern Obsessive-Compulsive Syndrome 1982A Comparative Psychometric Study of Anorexia Nervosa and Obsessive Neurosis

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2001Validating the Eating Disorder Inventory-2 (EDI-2) in Sweden 2000Aggressive Behavioral Characteristics and Endogenous Hormones in Women with Bulimia nervosa 2007The Relationship of Body Dysmorphic Disorder and Eating Disorders to Obsessive-Compulsive Disorder

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