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Psychiatric Disorders Associated with the Onset and Persistence of Bulimia Nervosa and Binge Eating Disorder During Adolescence

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Abstract

A prospective longitudinal study was conducted to investigate whether anxiety, depressive, personality, or substance use disorders increase risk for onset of bulimia nervosa (BN) or binge eating disorder (BED) during adolescence. Axis I and II psychiatric disorders were assessed in a primary care sample of 201 adolescents. Axis I disorders were reassessed 10 months later. Youths with dysthymic disorder were at elevated risk for the onset or recurrence of BN or BED after preexisting psychiatric disorders were controlled statistically. Problems with depression or anxiety tended to precede the onset of eating problems. In addition, youths with eating disorder symptoms were at elevated risk for the onset or recurrence of depressive disorders. These findings suggest that adolescents with chronic depressive symptoms may be at elevated risk for the development of BN or BED, and that adolescents with eating disorder symptoms may be at elevated risk for the development of depressive disorders.

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REFERENCES

  • Attie, I., and Brooks-Gunn, J. (1989). Development of eating problems in adolescent girls: A longitudinal study. Dev. Psychol. 25: 70-79.

    Google Scholar 

  • Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. International Universities Press, New York.

    Google Scholar 

  • Braun, D. L., Sunday, R., and Halmi, K. A. (1994). Psychiatric comorbidity in patients with eating disorders. Psychol. Med. 24: 859-867.

    Google Scholar 

  • Brent, D. A., Zelenak, J. P., Bukstein, O., and Brown, R. V. (1990). Reliability and validity of the Structured Interview for Personality Disorders in Adolescents. J. Am. Acad. Child Adolesc. Psychiatry 29: 349-354.

    Google Scholar 

  • Brewerton, T. D., Lydiard, B. R., Herzog, D. B., Brotman, A.W., O'Neil, P. M., and Balenger, J. C. (1995). Comorbidity of Axis I psychiatric disorders in bulimia nervosa. J. Clin. Psychiatry 56: 77-80.

    Google Scholar 

  • Bulik, C. M., Sullivan, P. F., Fear, J. L., and Joyce, P. R. (1997). Eating disorders and antecedent anxiety disorders:Acontrolled study. Acta Psychiatr. Scand. 96: 101-107.

    Google Scholar 

  • Cockell, S. J., Goldner, E. M., Hewitt, P. I., and Remick, R. A. (1997). Is anorexia a disorder of perfectionism? In Livesley, J. (ed.), 5th International Congress on the Disorders of Personality Abstracts, Vancouver, Canada, p. 36.

    Google Scholar 

  • Cooper, Z., and Fairburn, C. (1987). The Eating Disorder Examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders. Int. J. Eat. Disord. 6: 1-8.

    Google Scholar 

  • Deep, A., Nagy, L., Weltzin, T., Rao, R., and Kaye,W. (1995). Premorbid onset of psychopathology in long-term recovered anorexia nervosa. Int. J. Eat. Disord. 17: 291-298.

    Google Scholar 

  • Devaud, C., Jeannin, A., Narring, F., Ferron, C., and Michaud, P. A. (1998). Eating disorders among female adolescents in Switzerland: Prevalence and associations with mental and behavioral disorders. Int. J. Eat. Disord. 24: 207-216.

    Google Scholar 

  • Ekselius, L., Lindstrom, E., von Knorring, L., Bodlund, O., and Kullgren, G. (1994). SCID-II interviews and the SCID Screen questionnaire as diagnostic tools for personality disorders in DSM-III-R. Acta Psychiatr. Scand. 90: 120-123.

    Google Scholar 

  • Fairburn, C. G., Cooper, P. J., Kirk, J., and O'Connor, M. (1985). The significance of the neurotic symptoms of bulimia nervosa. J. Psychiatr. Res. 19: 135-139.

    Google Scholar 

  • Fairburn, C. G., Welch, S., Doll, H. A., Davies, B. A., and O'Connor, M. E. (1997). Risk factors for bulimia nervosa. Arch. Gen. Psychiatry 54: 509-517.

    Google Scholar 

  • Fava, M., Abraham, M., Clancy-Colecchi, K., Pava, J. A., Matthews, J., and Rosenbaum, J. E. (1997). Eating disorder symptomatology in major depression. J. Nerv. Ment. Dis. 185: 140-144.

    Google Scholar 

  • Fichter, M. M., Quadflieg, N., and Brandl, B. (1993). Recurrent overeating: An empirical comparison of binge eating disorder, bulimia nervosa, and obesity. Int. J. Eat. Disord. 14: 1-16.

    Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbons, M., and Williams, J. B.W. (1995a). The Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II), Part I: Description. J. Pers. Disord. 9: 83-91.

    Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbons, M., Williams, J. B.W., Davies, M., Borus, J., Howes, M. J., Kane, J., Pope, H. G., and Rounsaville, B. (1995b). The Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II). Part II: Multi-site test-retest reliability study. J. Pers. Disord. 9: 92-104.

    Google Scholar 

  • Geist, R., Davis, R., and Heinman, M. (1998). Binge/purge symptoms and comorbidity in adolescents with eating disorders. Can. J. Psychiatry 43: 507-512.

    Google Scholar 

  • Grilo, C. M., Levy, K. N., Becker, D. F., Edell, W. S., and McGlashan, T. H. (1996). Comorbidity of DSM-III-R Axis I and Axis II disorders among female inpatients with eating disorders. Psychiatr. Serv. 47: 426-429.

    Google Scholar 

  • Grilo, C. M., McGlashan, T. H., Quinlan, D. M., Walker, M. L., Greenfield, D., and Edell, W. S. (1998). Frequency of personality disorders in two age cohorts of psychiatric patients. Am. J. Psychiatry 155: 140-142.

    Google Scholar 

  • Harris, E. S., and Johnson, J. G. (1997). Investigation of the utility and validity of a newinstrument for the assessment of adolescent mental disorders in primary care. Paper presented at the 11th Annual NIMH International Research Conference on Mental Health Problems in the General Health Care Sector, Bethesda, MD.

  • Herzog, D. B., Keller, M. B., Lavori, P. W., Kenny, G. M., and Sacks, N. (1992). The prevalence of personality disorders in 210 women with eating disorders. J. Clin. Psychiatry 53: 147-152.

    Google Scholar 

  • Jacobsberg, L., Perry, S., and Frances, A. (1995). Diagnostic agreement between the SCID-II screening questionnaire and the Personality Disorder Examination. J. Pers. Assess. 65: 428-433.

    Google Scholar 

  • Johnson, J. G., Cohen, P., Kasen, S., Skodol, A., and Brook, J. (2000a). Age-related change in personality disorder symptom levels between early adolescence and adulthood: A community-based longitudinal investigation. Acta Psychiatr. Scand. 102: 265-275.

    Google Scholar 

  • Johnson, J. G., Cohen, P., Skodol, A., Oldham, J. M., Kasen, S., and Brook, J. (1999). Personality disorders in adolescence and risk of major mental disorders and suicidality during adulthood. Arch. Gen. Psychiatry 56: 805-811.

    Google Scholar 

  • Johnson, J. G., Cohen, P., Smailes, E., Kasen, S., Oldham, J. M., and Skodol, A. E. (2000b). Adolescent personality disorders associated with violence and criminal behavior during adolescence and early adulthood. Am. J. Psychiatry 157: 1406-1412.

    Google Scholar 

  • Johnson, J. G., Harris, E. S., Spitzer, R. L., and Williams, J. B.W. (2002). The Patient Health Questionnaire for Adolescents: Validation of an instrument for the assessment of mental disorders among adolescent primary care patients. J. Adolesc. Health 30: 196-204.

    Google Scholar 

  • Killen, J. D., Hayward, C., Wilson, D. M., Taylor, C. B., Hammer, L. D., Litt, I., Simmonds, B., and Haydel, F. (1994). Factors associated with eating disorder symptoms in a community sample of 6th and 7th grade girls. Int. J. Eat. Disord. 15: 357-367.

    Google Scholar 

  • Klein, D. N., and Salisbury, H. K. (1993). Diagnosis and classification of dysthymia. Psychiatr. Ann. 23: 609-616.

    Google Scholar 

  • Kolbe, L. J. (1990). An epidemiological surveillance system to monitor the prevalence of youth behaviors that most affect health. Health Educ. 21: 44-48.

    Google Scholar 

  • Leon, G. R., Fulkerson, J. A., Perry, C. L., and Early-Zald, M. B. (1995). Prospective analysis of personality and behavioral vulnerabilities and gender influences in the later development of disordered eating. J. Abnorm. Psychol. 104: 140-149.

    Google Scholar 

  • Leon, G. R., Fulkerson, J. A., Perry, C. L., and Klump, K. L. (1999). Three to four year prospective evaluation of personality and behavioral risk factors for later disordered eating in adolescent girls and boys. J. Youth Adolesc. 28: 181-196.

    Google Scholar 

  • Lewinsohn, P. M., Hops, H., Roberts, R. E., Seeley, J. R., and Andrews, J. A. (1993). Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. J. Abnorm. Psychol. 102: 133-144.

    Google Scholar 

  • Lowry, R., Holtzman, D., Truman, B. I., Kann, L., Collins, J. L., and Kolbe, L. J. (1994). Substance use and HIV-related sexual behaviors among U.S. high school students: Are they related? Am. J. Public Health 84: 1116-1120.

    Google Scholar 

  • Ludolph, P. S., Westen, D., Misle, B., Jackson, A., Wixom, J., and Wiss, F. C. (1990). The borderline diagnosis in adolescents: Symptoms and developmental history. Am. J. Psychiatry 147: 470-476.

    Google Scholar 

  • Markowitz, J. C. (1993). Comorbidity of dysthymia. Psychiatr. Ann. 23: 617-624.

    Google Scholar 

  • Nussbaum, D., and Rogers, R. (1992). Screening psychiatric patients for axis II disorders. Can. J. Psychiatry 37: 658-660.

    Google Scholar 

  • O'Boyle, M., and Self, D. (1990). A comparison of two interviews for DSM-III-R personality disorders. Psychiatry Res. 32: 85-92.

    Google Scholar 

  • Oldham, J. M., Skodol, A. E., Kellman, H. D., Hyler, S. E., Rosnick, L., and Davies, M. (1992). Diagnoses of DSM-III-R personality disorders by two structured interviews: Patterns of comorbidity. Am. J. Psychiatry 149: 213-220.

    Google Scholar 

  • Ouimette, P. C., and Klein, D. N. (1995). Test-retest stability, moodstate dependence, and informant-subject concordance of the SCIDAxis II Questionnaire in a nonclinical sample. J. Pers. Disord. 9: 105-111.

    Google Scholar 

  • Rastam, M. (1992). Anorexia nervosa in 51 Swedish adolescents: Premorbid problems and comorbidity. J. Am. Acad. Child Adolesc. Psychiatry 31: 819-829.

    Google Scholar 

  • Rohde, P., Lewinsohn, P. M., and Seeley, J. R. (1997). Comparability of telephone and face-to-face interviews in assessing axis I and II disorders. Am. J. Psychiatry 154: 1593-1598.

    Google Scholar 

  • Rothenberg, A. (1990). Adolescence and eating disorder: The obsessive-compulsive syndrome. Psychiatr. Clin. North Am. 13: 469-488.

    Google Scholar 

  • Skodol, A. E., Oldham, J. M., Rosnick, L., Kellman, H. D., and Hyler, S. E. (1991). Diagnosis of DSM-III-R personality disorders:Acomparison of two structured interviews. Int. J. Methods Psychiatr. Res. 1: 13-26.

    Google Scholar 

  • Spitzer, R. L., Kroenke, K., and Williams, J. B.W. (1999).Validation and utility of a self-report version of PRIME-MD: The PHQ Primary Care Study. J. Am. Med. Assoc. 282: 1737-1744.

    Google Scholar 

  • Spitzer, R. L., Williams, J. B., Kroenke, K., Linzer, M., deGruy, F. V., Hahn, S. R., Brody, D., and Johnson, J. G. (1994). Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. J. Am. Med. Assoc. 272: 1749-1756.

    Google Scholar 

  • Stice, E., Killen, J. D., Hayward, C., and Taylor, C. B. (1998). Age of ońset for binge eating and purging during late adolescence: A 4-year survival analysis. J. Abnorm. Psychol. 107: 671-675.

    Google Scholar 

  • Strober, M., and Katz, J. L. (1987). Do eating disorders and affective disorders share a common etiology? A dissenting opinion. Int. J. Eat. Disord. 6: 171-180.

    Google Scholar 

  • Vitousek, K., and Manke, F. (1994). Personality variables and disorders in anorexia nervosa and bulimia nervosa. J. Abnorm. Psychol. 103: 137-147.

    Google Scholar 

  • Wonderlich, S. A., and Mitchell, J. E. (1997). Eating disorders and comorbidity: Empirical, conceptual, and clinical implications. Psychopharmacol. Bull. 33: 381-390.

    Google Scholar 

  • Yanovski, S. Z., Nelson, J. E., Dubbert, B. K., and Spitzer, R. L. (1993). Associationof binge eating disorder and psychiatric comorbidity in obese subjects. Am. J. Psychiatry 150: 1472-1479.

    Google Scholar 

  • Zaider, T. I., Johnson, J. G., and Cockell, S. J. (2000). Psychiatric comorbidity associated with eating disorder symptomatology among adolescents in the community. Int. J. Eat. Disord. 28: 58-67.

    Google Scholar 

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Authors and Affiliations

  1. Temple University, USA

    Talia I. Zaider

  2. Department of Psychiatry and the New York State Psychiatric Institute, Columbia University, USA

    Jeffrey G. Johnson

  3. University of British Columbia, Canada

    Sarah J. Cockell

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  1. Talia I. Zaider
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  2. Jeffrey G. Johnson
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  3. Sarah J. Cockell
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Zaider, T.I., Johnson, J.G. & Cockell, S.J. Psychiatric Disorders Associated with the Onset and Persistence of Bulimia Nervosa and Binge Eating Disorder During Adolescence. Journal of Youth and Adolescence 31, 319–329 (2002). https://doi.org/10.1023/A:1015694623574

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