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Relation between the syndromes of bulimia nervosa and obsessive compulsive disorder

  • Gina M. Formea
  • G. Leonard Burns
Article

Abstract

Bulimia nervosa (BN) has been conceptualized as similar to obsessive compulsive disorder (OCD). The results of studies investigating the relation between BN and OCD, however, are inconclusive. Our goal was to attempt to clarify the relation between the syndromes of BN and OCD. The Padua Inventory (PI), a measure of OCD, and the Bulimia Test—Revised (BULIT-R), a measure of bulimic behaviors, were administered to 981 women and 722 men. A significant relationship, equal in magnitude for women and men, was found between BN and OCD. Bulimic symptoms also had a stronger relation to obsessions than compulsions. Finally, 6 of 23 women (26%) who met the diagnostic criteria for BN also met the criteria for OCD, while 1 of 1 man who met the criteria for BN also met the criteria for OCD. Implications for similarities between the two disorders as well as future issues in the study of comorbidity are discussed.

Key words

bulimia nervosa obseassive compulsive disorder 

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References

  1. Brelsford, T. N., Hummel, R. M., & Barrios, B. A. (1992). The Bulimia Test-Revised: A psychometric investigation.Psychological Assessment, 4, 399–401.CrossRefGoogle Scholar
  2. Burns, G. L., Formea, G. M., Keortge, S. G., & Sternberger L. G. (1995). The utilization of nonpatient samples in the study of obsessive compulsive disorder.Behaviour Research and Therapy, 33, 133–144.CrossRefPubMedGoogle Scholar
  3. Eaton, W. W., Kramer, M., Anthony, J. C., Dryman, A., Shapiro, S., & Locke, B. Z. (1989). The incidnece of specific DIS/DSM-III mental disorders.Acta Psychiatrica Scandinavica, 79, 163–178.PubMedGoogle Scholar
  4. Fahy, T. A. (1991). Obsessive-compulsive symptoms in eating disorders.Behaviour Research Therapy, 19, 113–116.CrossRefGoogle Scholar
  5. Fairburn, C. G., & Cooper, P. J. (1984). The clinical features of bulimia nervosa.British Journal of Psychiatry, 144, 238–246.PubMedGoogle Scholar
  6. Fairburn, C. G., Cooper, Z., & Cooper, P. J. (1986). The clinical features and maintenance of bulimia nervosa. In K. D. Brownell & J. P. Foreyt (Eds.),Handbook of eating disorders: Physiology, psychology and treatment of obesity, anorexia and bulimia (pp. 389–404). New York: Basic Books.Google Scholar
  7. Fichter, M. M., Quadflieg, N., & Brandl, B. (1993). Recurrent overeating: An empirical comparison of binge eating disorder, bulimia nervosa, and obesity.International Journal of Eating Disorders, 14, 1–16.PubMedGoogle Scholar
  8. Frost, R. O., Sher, K. J., & Geen, T. (1986). Psychopathology and personality characteristics of nonclinical compulsive checkers.Behaviour Research and Therapy, 24, 133–143.CrossRefPubMedGoogle Scholar
  9. Gleaves, D. H., Williamson, D. A., & Barker, S. E. (1993). Confirmatory factor analysis of a multidimensional model of bulimia nervosa.Journal of Abnormal Psychology, 102, 173–176.CrossRefPubMedGoogle Scholar
  10. Hatsukami, D., Mitchell, J. E., Eckert, E. D., & Pyle, R. (1986). Characteristics of patients with bulimia only, bulimia with affective disorder, and bulimia with substance abuse problems.Addictive Behaviors, 11, 399–406.CrossRefPubMedGoogle Scholar
  11. Hsu, L. K. G., Kaye, W., & Weltzin, T. (1993). Are the eating disorders related to obsessive compulsive disorder?International Journal of Eating Disorders, 14, 305–318.PubMedGoogle Scholar
  12. Johnson, N. S., & Holloway, E. L. (1988). Conceptual complexity and obsessionality in bulimic college women.Journal of Counseling Psychology, 35, 251–257.CrossRefGoogle Scholar
  13. Kaye, W. H., Gwirtsman, H. E., George, D. T., Weiss, S. R., & Jimerson, D. C. (1986). Relationship of mood alterations to binging behaviour in bulimia.British Journal of Psychiatry, 149, 479–485.PubMedGoogle Scholar
  14. Laessle, R. G., Wittchen, H. U., Fichter, M. M., & Pirke, K. M. (1989). The significance of subgroups of bulimia and anorexia nervosa: Lifetime frequency of psychiatric disorders.International Journal of Eating Disorders, 8, 569–574.Google Scholar
  15. Leitenberg, H., Gross, J., Peterson, J., & Rosen, J. C. (1984). Analysis of an anxiety model and the process of change during exposure plus response prevention treatment of bulimia nervosa.Behavior Therapy, 15, 3–20.Google Scholar
  16. Meng, X. L., Rosenthal, R., & Rubin, D. B. (1992). Comparing correlated correlation coefficients.Psychological Bulletin, 111, 172–175.CrossRefGoogle Scholar
  17. Mizes, J. S. (1988). Personality characteristics of bulimic and non-eating-disordered female controls: A cognitive behavioral perspective.International Journal of Eating Disorders, 7, 541–550.Google Scholar
  18. Rosen, J. C., & Leitenberg, H. (1985). Exposure plus response prevention treatment of bulimia. In D. M. Garner & P. E. Garfinkel (Eds.),Handbook of psychotherapy for anorexia nervosa and bulimia (pp. 193–209). New York: Guilford Press.Google Scholar
  19. Rothenberg, A. (1986). Eating disorder as a modern obsessive-compulsive syndrome.Psychiatry, 49, 45–49.PubMedGoogle Scholar
  20. Rothenberg, A. (1990). Adolescence and eating disorder: The obsessive-compulsive syndrome.Psychiatric Clinics of North America, 13, 469–488.PubMedGoogle Scholar
  21. Salkovskis, P. M. (1985). Obsessional-compulsive problems: A cognitive-behavioural analysis.Behaviour Research and Therapy, 23, 571–583.CrossRefPubMedGoogle Scholar
  22. Sanavio, E. (1988). Obsessions and compulsions: The Padua Inventory.Behaviour Research and Therapy, 26, 169–177.CrossRefPubMedGoogle Scholar
  23. Schwalberg, M. D., Barlow, D. H., Alger, S. A., & Howard, L. J. (1992). Comparison of bulimics, obese binge eaters, social phobics, and individuals with panic disorder on comorbidity across DSM-III-R anxiety disorders.Journal of Abnormal Psychology, 101, 675–681.CrossRefPubMedGoogle Scholar
  24. Solyom, L., Freeman, R. J., Thomas, C. D., & Miles, J. E. (1983). The comparative psychopathology of anorexia nervosa: Obsessive-compulsive disorder or phobia?International Journal of Eating Disorders, 3, 3–14.Google Scholar
  25. Steketee, G. (1994). Behavioral assessment and treatment planning with obsessive compulsive disorder: A review emphasizing clinical application.Behavior Therapy, 25, 613–633.Google Scholar
  26. Sternberg, S., Tobin, D., & Johnson, C. (1990). The role of bulimic behaviors in affect regulation: Different functions for different patient subgroups?International Journal of Eating Disorders, 9, 51–55.Google Scholar
  27. Sternberger, L. G., & Burns, G. L. (1990). Obsessions and compulsions: Psychometric properties of the Padua Inventory with an American college population.Behaviour Research and Therapy, 28, 341–345.CrossRefPubMedGoogle Scholar
  28. Sternberger, L. G., & Burns, G. L. (1991). Obsessive compulsive disorder: Symptoms and diagnosis in a college sample.Behavior Therapy, 22, 569–576.Google Scholar
  29. Striegel-Moore, R. H., Silberstein, L. R., & Rodin, J. (1993). The social self in bulimia nervosa: Public self-consciousness, social anxiety, and perceived fraudulence.Journal of Abnormal Psychology, 102, 297–303.CrossRefPubMedGoogle Scholar
  30. Thelen, M. H., Farmer, J., Wonderlich, S., & Smith, M. (1991). A revision of the bulimia test: The BULIT-R.Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 119–124.Google Scholar
  31. Tobin, D. L., Johnson, C., Sternberg, S., Staats, M., & Dennis, A. B. (1991). Multifactorial assessment of bulimia nervosa.Journal of Abnormal Psychology, 100, 14–21.CrossRefPubMedGoogle Scholar
  32. Weiss, S. R., & Ebert, M. H. (1983). Psychological and behavioral characteristics of normal-weight bulimics and normal-weight controls.Psychosomatic Medicine, 45, 293–303.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1995

Authors and Affiliations

  • Gina M. Formea
    • 1
  • G. Leonard Burns
    • 1
  1. 1.Department of PsychologyWashington State UniversityPullman

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