Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity

, Volume 6, Issue 2, pp 99–107

Predictive factors of social disability in patients with eating disorders

  • M. F. Flament
  • N. T. Godart
  • J. Fermanian
  • P. Jeammet
Original Research Paper

DOI: 10.1007/BF03339758

Cite this article as:
Flament, M.F., Godart, N.T., Fermanian, J. et al. Eat Weight Disord (2001) 6: 99. doi:10.1007/BF03339758

Abstract

Objective: The study was designed to assess whether social avoidance symptoms and/or comorbid anxiety disorders were predictive factors of social disability in subjects with eating disorders. Method: Sixty-three subjects with anorexia nervosa or bulimia nervosa were assessed for lifetime diagnoses of anxiety disorders, childhood history of separation anxiety disorder, social avoidance symptoms and social disability. Results: On the Groningen Social Disabilities Schedule, 86% of the anorexics and 65% of the bulimics had disability regarding the ‘social role’, and 86% and 61% disability regarding the ‘occupational role’. Using all subsets logistic regression analyses, predictive factors of disability were: (1) for the social role, social avoidance symptom score (p<0.002) and diagnosis of separation anxiety disorder (p<0.01); (2) for the occupational role, number of lifetime anxiety disorders (p<0.01) and diagnosis of separation anxiety disorder (p<0.06). Discussion: Recognizing and treating comorbid anxiety disorders in subjects with eating disorders could improve social adaptation and global psychopathological outcome.

Key words

Eating disordersanorexia nervosabulimia nervosacomorbidityanxiety disorderssocial avoidancesocial disability

Copyright information

© Editrice Kurtis 2001

Authors and Affiliations

  • M. F. Flament
    • 1
  • N. T. Godart
    • 2
  • J. Fermanian
    • 3
  • P. Jeammet
    • 2
  1. 1.CNRS UMR 7593, Pavillon ClérambaultHôpital La SalpêtrièreParisFrance
  2. 2.Department of PsychiatryInstitut Mutualiste MontsourisParisFrance
  3. 3.Department of BiostatisticsHôpital NeckerParisFrance