Prevalence and correlates of DSM-5 eating disorders in patients with bipolar disorder

Autor: Marin Veldic, Thomas J. Blom, Stacey J. Winham, William V. Bobo, Scott J. Crow, David J. Bond, Mark A. Frye, Jennifer R. Geske, Nicole Mori, Joanna M. Biernacka, Susan L. McElroy, Miguel L. Prieto, Lisa R. Seymour, Alfredo B. Cuellar-Barboza
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Anorexia Nervosa
Bipolar Disorder
Adolescent
Comorbidity
Anorexia nervosa
Severity of Illness Index
behavioral disciplines and activities
Body Mass Index
03 medical and health sciences
0302 clinical medicine
Prevalence of mental disorders
Binge-eating disorder
Internal medicine
mental disorders
Prevalence
medicine
Humans
Obesity
Bipolar disorder
Bulimia Nervosa
Psychiatry
Aged
Aged
80 and over
Psychiatric Status Rating Scales
Binge eating
Bulimia nervosa
business.industry
Middle Aged
medicine.disease
Anxiety Disorders
030227 psychiatry
Eating Disorder Diagnostic Scale
Diagnostic and Statistical Manual of Mental Disorders
Suicide
Psychiatry and Mental health
Clinical Psychology
Eating disorders
Female
medicine.symptom
business
Binge-Eating Disorder
030217 neurology & neurosurgery
Zdroj: Journal of Affective Disorders. 191:216-221
ISSN: 0165-0327
DOI: 10.1016/j.jad.2015.11.010
Popis: Objective To determine prevalence rates and clinical correlates of current DSM-5 eating disorders in patients with bipolar disorder (BP). Methods Prevalence rates of current DSM-5- and DSM-IV-defined binge eating disorder (BED), bulimia nervosa (BN), and anorexia nervosa (AN) were assessed with the Eating Disorder Diagnostic Scale (EDDS) in 1092 patients with BP. Psychiatric illness burden was evaluated with five proxy measures of BP illness severity. Medical illness burden was evaluated with the Cumulative Index Rating Scale (CIRS). Results Twenty-seven percent of patients had a current DSM-5 eating disorder: 12% had BED, 15% had BN, and 0.2% had AN. Rates of DSM-5-defined BED and BN were higher than clinical diagnosis rates and rates of DSM-IV-defined BED and BN. Compared with BP patients without an eating disorder, BP patients with a DSM-5 eating disorder were younger and more likely to be women; had an earlier age of onset of BP; had higher EDDS composite scores and higher degrees of suicidality, mood instability, and anxiety disorder comorbidity; and had a higher mean BMI, higher rate of obesity, and higher CIRS total scores. In a logistic regression model controlling for previously identified correlates of an eating disorder, younger age, female gender, and higher BMI remained significantly associated with an eating disorder. Limitations The EDDS has not been validated in BP patients. Conclusion DSM-5-defined BED and BN are common in BP patients, possibly more common than DSM-IV-defined BED and BN, and associated with greater psychiatric and general medical illness burden. Further studies assessing DSM-5 eating disorders in people with BP are greatly needed.
Databáze: OpenAIRE
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