The Impact of Comorbid Depressive and Anxiety Disorders on Severity of Anorexia Nervosa in Adolescent Girls

@article{BrandGothelf2014TheIO,
  title={The Impact of Comorbid Depressive and Anxiety Disorders on Severity of Anorexia Nervosa in Adolescent Girls},
  author={Ayelet Brand-Gothelf and Shani Leor and Alan Apter and Silvana Fennig},
  journal={The Journal of Nervous and Mental Disease},
  year={2014},
  volume={202},
  pages={759–762}
}
Abstract We examined the impact of comorbid depression and anxiety disorders on the severity of anorexia nervosa (AN) in adolescent girls. Adolescent girls with AN (N = 88) were divided into one group with and another group without comorbid disorders, and selected subjective and objective measures of illness severity were compared between the two groups. The comorbid group had significantly higher scores than the noncomorbid group for all four subscales and total scores of the Eating Disorders… 
View on Wolters Kluwer
multibriefs.com
58 Citations
Background Citations
15
Results Citations
1

58 Citations

Mood disorders in eating disorder patients: Prevalence and chronology of ONSET.

Differences in severity of eating disorder symptoms between adults with depression and adults with anxiety

It is possible that anxiety serves as a maintaining factor for ED symptoms such that dieting and other ED-related behaviors may function to modulate symptoms of anxiety.

Is the Severity of the Clinical Expression of Anorexia Nervosa Influenced by an Anxiety, Depressive, or Obsessive-Compulsive Comorbidity Over a Lifetime?

Patients with anorexia nervosa had the greatest clinical severity when they had a comorbid disorder over their lifetime, such as MDD, GAD, or SP, and there seems to be an association between severity of AN and both MDD and GAD.

Depression, Anxiety and Eating Disorder-Related Impairment: Moderators in Female Adolescents and Young Adults

Young age appeared to augment the association of anxiety/depression and eating disorder symptomatology, and Preventive care in particular needs to consider age-related effects as eating disorder symptoms are associated more strongly with symptoms of anxiety and depression in early adolescence.

Comorbidity Between Anorexia Nervosa and Depressive Disorder: A Narrative Review

The comorbidity between DD and ED have important influence in its symptomatic expression, severity and prognosis and it would be necessary to increase the number of studies and use a unified methodology.

Anxiety and depressive symptoms are related to core symptoms, general health outcome, and medical comorbidities in eating disorders.

The results of this study suggest that depressive and anxiety symptoms are related to ED symptoms, health status, ED subtype, medical comorbitidy, and educational level.

Low Fasting Oxytocin Levels Are Associated With Psychopathology in Anorexia Nervosa in Partial Recovery.

It is speculated that a dysregulation of oxytocin pathways may contribute to persistent psychopathology after partial weight recovery from anorexia nervosa.

Prevalence, comorbidity and predictors of anxiety disorders among children and adolescents.

The relationship of body image with symptoms of depression and anxiety in patients with anorexia nervosa during outpatient psychotherapy: Results of the ANTOP study.

Results showed that body image perceptions were significantly associated with symptoms of depression and anxiety in patients with AN at all treatment stages, and body image dimensions at early treatment stages predict depression and Anxiety in follow-up measurements.

Family-based treatment for adolescent anorexia nervosa: What happens to rates of comorbid diagnoses?

Findings suggest that FBT for adolescent anorexia nervosa may aid in the resolution of some co-occurring psychiatric diagnoses, including major depressive disorder, generalized anxiety disorder, and panic disorder/agoraphobia.
...

References

SHOWING 1-10 OF 21 REFERENCES

Non-eating disorders psychopathology in children and adolescents with eating disorders: implications for malnutrition and symptom severity.

Comorbid psychiatric disorders in female adolescents with first-onset anorexia nervosa.

Prevalence rates of comorbid psychiatric disorders and suicidal ideation are considerably lower among adolescents with anorexia nervosa compared with adults, suggesting an early and careful assessment, along with adequate treatment of the eating disorder, might prevent the development of severe psychiatricComorbidities.

Psychiatric Comorbidities among Female Adolescents with Anorexia Nervosa

Clinicians should be alerted to the particularly high rate of psychiatric comorbidities in adolescents suffering from Anorexia Nervosa, with two specific diagnoses differed across the two subtypes of AN.

Anorexia nervosa, psychopathology, and outcome.

  • C. NorthS. Gowers
  • Psychology, Medicine
    The International journal of eating disorders
  • 1999
Abnormal cognitions reported in the EDI are much greater in those cases with comorbid depression, but neither the presence of depression nor high EDI scores appears to adversely affect prognosis.

Psychiatric Comorbidity and Eating Disorder Inventory (EDI) Profiles in Eating Disorder Patients

The EDI appears to primarily reflect Axis I and II disorders related to affective and anxiety problems, and Clinicians and researchers employing the EDI should be aware that it is not sensitive for all forms of comorbidity prevalent in ED patients.

Depression influences the EDI scores in anorexia nervosa patients

Psychiatric Comorbidities of Female Inpatients With Eating Disorders

New findings emerged: extremely high comorbidity regardless of eating disorder, ubiquitous depression across all eating disorders, no difference in overall rate of anxiety disorders acrosseating disorders, greater posttraumatic stress disorder in binge-purge anorexia, more psychotic diagnoses in anorexic patients.

Suicidal behavior and depression in adolescents with eating disorders

The risk of attempted suicide was associated with depression, a history of sexual abuse and longer duration of illness, but it was moderated by hospital treatment, and suicidal ideation was related only to depression.

Shared transmission of eating disorders and anxiety disorders.

Findings support shared transmission between eating disorders and anxiety disorders, however, the nature of this shared diathesis remains unknown.

Expressed emotion in anorexia nervosa: what is inside the "black box"?