Relation between the syndromes of bulimia nervosa and obsessive compulsive disorder
- 54 Downloads
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 wordsbulimia nervosa obseassive compulsive disorder
Unable to display preview. Download preview PDF.
- 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
- 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
- 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
- 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
- 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
- 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
- Steketee, G. (1994). Behavioral assessment and treatment planning with obsessive compulsive disorder: A review emphasizing clinical application.Behavior Therapy, 25, 613–633.Google Scholar
- 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
- Sternberger, L. G., & Burns, G. L. (1991). Obsessive compulsive disorder: Symptoms and diagnosis in a college sample.Behavior Therapy, 22, 569–576.Google Scholar
- 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