Symptom Profile of Major Depressive Disorder in Women with Eating Disorders
| Autor: | Steven Crawford, Maria La Via, D. Blake Woodside, James E. Mitchell, Alessandro Rotondo, Katherine Plotnicov, Cynthia M. Bulik, Federica Tozzi, Karl Rickels, Harry Brandt, Craig Johnson, Walter H. Kaye, Pamela K. Keel, Allan S. Kaplan, Michael Strober, Kelly L. Klump, Manfred M. Fichter, Katherine A. Halmi, Laura Thornton, Andréa Poyastro Pinheiro, Scott J. Crow, Fernando Fernández-Aranda, Wade H. Berrettini |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Psychomotor agitation Lifetime prevalence Comorbidity Severity of Illness Index behavioral disciplines and activities Feeding and Eating Disorders 03 medical and health sciences 0302 clinical medicine mental disorders Prevalence medicine Humans 030212 general & internal medicine Psychiatry Depressive symptoms Depression (differential diagnoses) Depressive Disorder Major General Medicine Ideation medicine.disease 030227 psychiatry Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Eating disorders Major depressive disorder Female medicine.symptom Psychology |
| Zdroj: | Australian & New Zealand Journal of Psychiatry. 41:24-31 |
| ISSN: | 1440-1614 0004-8674 |
| DOI: | 10.1080/00048670601057718 |
| Popis: | Objective: Based on the well-documented association between eating disorders (EDs) and affective disorders, the patterns of comorbidity of EDs and major depressive disorder (MDD) were investigated. The temporal relation between EDs and MDD onset was analyzed to determine differences in the course and nature of MDD when experienced prior to versus after the onset of the ED. Method: Lifetime MDD and depressive symptoms were assessed in 1371 women with a history of ED. The prevalence of MDD was first explored across ED subtypes, and ages of onset of MDD and EDs were compared. Depressive symptoms were examined in individuals who developed MDD before and after ED onset. Results: The lifetime prevalence of MDD was 72.9%. Among those with lifetime MDD (n =963), 34.5% reported MDD onset before the onset of ED. Those who experienced MDD first reported greater psychomotor agitation (OR =1.53; 95%CI =1.14–2.06), and thoughts of own death (but not suicide attempts or ideation; OR =1.73; 95%CI =1.31–2.30). Among individuals who had MDD before ED, 26.5% had the MDD onset during the year before the onset of ED; 67% of individuals had the onset of both disorders within the same 3 year window. Conclusion: Clinicians treating individuals with new-onset ED or MDD should remain vigilant for the emergence of additional psychopathology, especially during the initial 3 year window following the onset of the first disorder. |
| Databáze: | OpenAIRE |
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