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Abstract

Disordered eating behaviors are highly prevalent in many psychiatric disorders. In this chapter, we describe the most recent literature evidence demonstrating which eating symptoms have been found to correlate with each disease. Disordered eating occurs in schizophrenia, bipolar disorders, depressive disorders, anxiety disorders, obsessive-compulsive disorders, dissociative disorders, sleep-wake disorders, and personality disorders (especially in borderline personality disorders) to different extents. In the following paragraphs, we aim to describe this relationship.

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References

  1. American Psychiatric Association, editor. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, D.C: American Psychiatric Association; 2013.

    Google Scholar 

  2. Emil Kraepelin Dementia praecox and paraphrenia; 1919, pp. 87. Chicago Medical Co.

    Google Scholar 

  3. Eugen B. Textbook of psychiatry. New York: Macmillan Co; 1924. p. 149. [original published 1911]. The Macmillan Company.

    Google Scholar 

  4. Yum SY, Caracci G, Hwang MY. Schizophrenia and eating disorders. Psychiatr Clin. 2009;32:809–19.

    Google Scholar 

  5. Brown S, Birtwistle J, Roe L, Thompson C. The unhealthy lifestyle of people with schizophrenia. Psychol Med. 1999;29:697–701.

    Article  CAS  PubMed  Google Scholar 

  6. Amani R. Is dietary pattern of schizophrenia patients different from healthy subjects? BMC Psychiatry. 2007;7(15)

    Google Scholar 

  7. Strassnig M, Brar JS, Ganguli R. Nutritional assessment of patients with schizophrenia: a preliminary study. Schizophr Bull. 2003;29:393–7.

    Article  PubMed  Google Scholar 

  8. Palmese LB, Ratliff JC, Reutenauer EL, Tonizzo KM, Grilo CM, Tek C. Prevalence of night eating in obese individuals with schizophrenia and schizoaffective disorder. Compr Psychiatry. 2013;54:276–81.

    Article  PubMed  Google Scholar 

  9. Strassnig M, Brar JS, Ganguli R. Dietary intake of patients with schizophrenia. Psychiatry (Edgmont). 2005;2:31–5.

    Google Scholar 

  10. Dipasquale S, Pariante CM, Dazzan P, Aguglia E, McGuire P, Mondelli V. The dietary pattern of patients with schizophrenia: a systematic review. J Psychiatr Res. 2013;47:197–207.

    Article  PubMed  Google Scholar 

  11. Teasdale SB, Ward PB, Samaras K, Firth J, Stubbs B, Tripodi E, Burrows TL. Dietary intake of people with severe mental illness: systematic review and meta-analysis. Br J Psychiatry. 2019;214:251–9.

    Article  PubMed  Google Scholar 

  12. Seeman MV. Eating disorders and psychosis: seven hypotheses. World J Psychiatry. 2014;4:112–9.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Zhang R, Larsen JT, Kuja-Halkola R, Thornton L, Yao S, Larsson H, Lichtenstein P, Petersen LV, Bulik CM, Bergen SE. Familial co-aggregation of schizophrenia and eating disorders in Sweden and Denmark. Mol Psychiatry. 2020; https://doi.org/10.1038/s41380-020-0749-x.

  14. Elman I, Borsook D, Lukas SE. Food intake and reward mechanisms in patients with schizophrenia: implications for metabolic disturbances and treatment with second-generation antipsychotic agents. Neuropsychopharmacology. 2006;31:2091–120.

    Article  CAS  PubMed  Google Scholar 

  15. Avena NM, Bocarsly ME. Dysregulation of brain reward systems in eating disorders: neurochemical information from animal models of binge eating, bulimia nervosa, and anorexia nervosa. Neuropharmacology. 2012;63:87–96.

    Article  CAS  PubMed  Google Scholar 

  16. McElroy SL, Kotwal R, Keck PE, Akiskal HS. Comorbidity of bipolar and eating disorders: distinct or related disorders with shared dysregulations? J Affect Disord. 2005;86:107–27.

    Article  PubMed  Google Scholar 

  17. Ramacciotti CE, Paoli RA, Marcacci G, Piccinni A, Burgalassi A, Dell’Osso L, Garfinkel PE. Relationship between bipolar illness and binge-eating disorders. Psychiatry Res. 2005;135:165–70.

    Article  PubMed  Google Scholar 

  18. Kilbourne AM, Rofey DL, McCarthy JF, Post EP, Welsh D, Blow FC. Nutrition and exercise behavior among patients with bipolar disorder. Bipolar Disord. 2007;9:443–52.

    Article  PubMed  Google Scholar 

  19. Bernstein EE, Nierenberg AA, Deckersbach T, Sylvia LG. Eating behavior and obesity in bipolar disorder. Aust N Z J Psychiatry. 2015;49:566–72.

    Article  PubMed  Google Scholar 

  20. Martin K, Woo J, Timmins V, Collins J, Islam A, Newton D, Goldstein BI. Binge eating and emotional eating behaviors among adolescents and young adults with bipolar disorder. J Affect Disord. 2016;195:88–95.

    Article  PubMed  Google Scholar 

  21. Boulanger H, Tebeka S, Girod C, Lloret-Linares C, Meheust J, Scott J, Guillaume S, Courtet P, Bellivier F, Delavest M. Binge eating behaviours in bipolar disorders. J Affect Disord. 2018;225:482–8.

    Article  PubMed  Google Scholar 

  22. McElroy SL, Crow S, Blom TJ, et al. Clinical features of bipolar spectrum with binge eating behaviour. J Affect Disord. 2016;201:95–8.

    Article  PubMed  Google Scholar 

  23. Melo MCA, de Oliveira Ribeiro M, de Araújo CFC, de Mesquita LMF, de Bruin PFC, de Bruin VMS. Night eating in bipolar disorder. Sleep Med. 2018;48:49–52.

    Article  PubMed  Google Scholar 

  24. McDonald CE, Rossell SL, Phillipou A. The comorbidity of eating disorders in bipolar disorder and associated clinical correlates characterised by emotion dysregulation and impulsivity: a systematic review. J Affect Disord. 2019;259:228–43.

    Article  PubMed  Google Scholar 

  25. American Psychiatric Association, American Psychiatric Association, DSM-III Task Force. Diagnostic and statistical manual of mental disorders: DSM-3. Washington, DC: American Psychiatric Association; 1980.

    Google Scholar 

  26. Stice E. Risk and maintenance factors for eating pathology: a meta-analytic review. Psychol Bull. 2002;128:825–48.

    Article  PubMed  Google Scholar 

  27. Jacobi C, Hayward C, de Zwaan M, Kraemer HC, Agras WS. Coming to terms with risk factors for eating disorders: application of risk terminology and suggestions for a general taxonomy. Psychol Bull. 2004;130:19–65.

    Article  PubMed  Google Scholar 

  28. Puccio F, Fuller-Tyszkiewicz M, Ong D, Krug I. A systematic review and meta-analysis on the longitudinal relationship between eating pathology and depression. Int J Eat Disord. 2016;49:439–54.

    Article  PubMed  Google Scholar 

  29. Touchette E, Henegar A, Godart NT, Pryor L, Falissard B, Tremblay RE, Côté SM. Subclinical eating disorders and their comorbidity with mood and anxiety disorders in adolescent girls. Psychiatry Res. 2011;185:185–92.

    Article  PubMed  Google Scholar 

  30. Quirk SE, Williams LJ, O’Neil A, Pasco JA, Jacka FN, Housden S, Berk M, Brennan SL. The association between diet quality, dietary patterns and depression in adults: a systematic review. BMC Psychiatry. 2013;13:175.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Valles-Colomer M, Falony G, Darzi Y, et al. The neuroactive potential of the human gut microbiota in quality of life and depression. Nat Microbiol. 2019;4:623–32.

    Article  CAS  PubMed  Google Scholar 

  32. Koopman M, El Aidy S, MIDtrauma Consortium. Depressed gut? The microbiota-diet-inflammation trialogue in depression. Curr Opin Psychiatry. 2017;30:369–77.

    Article  PubMed  Google Scholar 

  33. Lang UE, Beglinger C, Schweinfurth N, Walter M, Borgwardt S. Nutritional aspects of depression. Cell Physiol Biochem. 2015;37:1029–43.

    Article  CAS  PubMed  Google Scholar 

  34. Herman CP, Polivy J, Lank CN, Heatherton TF. Anxiety, hunger, and eating behavior. J Abnorm Psychol. 1987;96:264–9.

    Article  CAS  PubMed  Google Scholar 

  35. Swinbourne JM, Touyz SW. The co-morbidity of eating disorders and anxiety disorders: a review. Eur Eat Disord Rev. 2007;15:253–74.

    Article  PubMed  Google Scholar 

  36. Gadalla T, Piran N. Psychiatric comorbidity in women with disordered eating behavior: a national study. Women Health. 2008;48:467–84.

    Article  PubMed  Google Scholar 

  37. Hinrichsen H, Wright F, Waller G, Meyer C. Social anxiety and coping strategies in the eating disorders. Eat Behav. 2003;4:117–26.

    Article  PubMed  Google Scholar 

  38. Janjetic MA, Rossi ML, Acquavía C, Denevi J, Marcolini C, Torresani ME. Association between anxiety level, eating behavior, and nutritional status in adult women. J Am Coll Nutr. 2019:1–6.

    Google Scholar 

  39. Menatti AR, Weeks JW, Levinson CA, McGowan MM. Exploring the relationship between social anxiety and bulimic symptoms: mediational effects of perfectionism among females. Cogn Ther Res. 2013;37:914–22.

    Article  Google Scholar 

  40. Ostrovsky NW, Swencionis C, Wylie-Rosett J, Isasi CR. Social anxiety and disordered overeating: an association among overweight and obese individuals. Eat Behav. 2013;14:145–8.

    Article  PubMed  Google Scholar 

  41. Puccio F, Fuller-Tyszkiewicz M, Youssef G, Mitchell S, Byrne M, Allen N, Krug I. Longitudinal bi-directional effects of disordered eating, depression and anxiety. Eur Eat Disord Rev. 2017;25:351–8.

    Article  PubMed  Google Scholar 

  42. Thornton LM, Dellava JE, Root TL, Lichtenstein P, Bulik CM. Anorexia nervosa and generalized anxiety disorder: further explorations of the relation between anxiety and body mass index. J Anxiety Disord. 2011;25:727–30.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Veale D, Costa A, Murphy P, Ellison N. Abnormal eating behaviour in people with a specific phobia of vomiting (emetophobia). Eur Eat Disord Rev. 2012;20:414–8.

    Article  PubMed  Google Scholar 

  44. Pollack LO, Forbush KT. Why do eating disorders and obsessive compulsive disorder co-occur? Eat Behav. 2013;14:211–5.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Tyagi H, Patel R, Rughooputh F, Abrahams H, Watson AJ, Drummond L. Comparative prevalence of eating disorders in obsessive-compulsive disorder and other anxiety disorders. Psychiatry J. 2015;2015:186,927.

    Article  Google Scholar 

  46. Matsunaga H, Miyata A, Iwasaki Y, Matsui T, Fujimoto K, Kiriike N. A comparison of clinical features among Japanese eating-disordered women with obsessive-compulsive disorder. Compr Psychiatry. 1999;40:337–42.

    Article  CAS  PubMed  Google Scholar 

  47. Roberts M. Disordered eating and obsessive-compulsive symptoms in a subclinical student population. N Z J Psychol. 2006;35(45)

    Google Scholar 

  48. Humphreys JD, Clopton JR, Reich DA. Disordered eating behavior and obsessive compulsive symptoms in college students: cognitive and affective similarities. Eat Disord. 2007;15:247–59.

    Article  PubMed  Google Scholar 

  49. Bozzini AB, Malzyner G, Maximino P, Machado RHV, Ramos C de C, Ribeiro L, Fisberg M. Should pediatricians investigate the symptoms of obsessive-compulsive disorder in children with feeding difficulties? Rev Paul Pediatr. 2019;37:104–9.

    Article  PubMed  Google Scholar 

  50. Jiménez-Murcia S, Fernández-Aranda F, Raich RM, Alonso P, Krug I, Jaurrieta N, Alvarez-Moya E, Labad J, Menchón JM, Vallejo J. Obsessive-compulsive and eating disorders: comparison of clinical and personality features. Psychiatry Clin Neurosci. 2007;61:385–91.

    Article  PubMed  Google Scholar 

  51. Froreich FV, Vartanian LR, Grisham JR, Touyz SW. Dimensions of control and their relation to disordered eating behaviours and obsessive-compulsive symptoms. J Eat Disord. 2016;4(14)

    Google Scholar 

  52. Matsui Y, Naito K, Matsuishi K, Kato H, Maeda K, Tanaka K. Assessment of dissociation symptoms in patients with mental disorders by the Dissociation Questionnaire (DIS-Q). Kobe J Med Sci. 2011;56:E263–9.

    PubMed  Google Scholar 

  53. Rosen EF, Petty LC. Dissociative states and disordered eating. Am J Clin Hypn. 1994;36:266–75.

    Article  CAS  PubMed  Google Scholar 

  54. Everill J, Waller G, Macdonald W. Dissociation in bulimic and non-eating-disordered women. Int J Eat Disord. 1995;17:127–34.

    Article  CAS  PubMed  Google Scholar 

  55. Engelberg MJ, Steiger H, Gauvin L, Wonderlich SA. Binge antecedents in bulimic syndromes: an examination of dissociation and negative affect. Int J Eat Disord. 2007;40:531–6.

    Article  PubMed  Google Scholar 

  56. Fuller-Tyszkiewicz M, Mussap AJ. The relationship between dissociation and binge eating. J Trauma Dissociation. 2008;9:445–62.

    Article  PubMed  Google Scholar 

  57. La Mela C, Maglietta M, Castellini G, Amoroso L, Lucarelli S. Dissociation in eating disorders: relationship between dissociative experiences and binge-eating episodes. Compr Psychiatry. 2010;51:393–400.

    Article  PubMed  Google Scholar 

  58. Mason TB, Lavender JM, Wonderlich SA, Steiger H, Cao L, Engel SG, Mitchell JE, Crosby RD. Comfortably numb: the role of momentary dissociation in the experience of negative affect around binge eating. J Nerv Ment Dis. 2017;205:335–9.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Vanderlinden J, Vandereycken W, van Dyck R, Vertommen H. Dissociative experiences and trauma in eating disorders. Int J Eat Disord. 1993;13:187–93.

    Article  CAS  PubMed  Google Scholar 

  60. Palmisano GL, Innamorati M, Susca G, Traetta D, Sarracino D, Vanderlinden J. Childhood traumatic experiences and dissociative phenomena in eating disorders: level and association with the severity of binge eating symptoms. J Trauma Dissociation. 2018;19:88–107.

    Article  PubMed  Google Scholar 

  61. Hirotsu C, Tufik S, Andersen ML. Interactions between sleep, stress, and metabolism: From physiological to pathological conditions. Sleep Sci. 2015;8:143–52.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Bos SC, Soares MJ, Marques M, Maia B, Pereira AT, Nogueira V, Valente J, Macedo A. Disordered eating behaviors and sleep disturbances. Eat Behav. 2013;14:192–8.

    Article  PubMed  Google Scholar 

  63. Tromp MD, Donners AA, Garssen J, Verster JC. Sleep, eating disorder symptoms, and daytime functioning. Nat Sci Sleep. 2016;8:35–40.

    PubMed  PubMed Central  Google Scholar 

  64. Burt J, Dube L, Thibault L, Gruber R. Sleep and eating in childhood: a potential behavioral mechanism underlying the relationship between poor sleep and obesity. Sleep Med. 2014;15:71–5.

    Article  PubMed  Google Scholar 

  65. Aspen V, Weisman H, Vannucci A, Nafiz N, Gredysa D, Kass AE, Trockel M, Jacobi C, Wilfley DE, Taylor CB. Psychiatric co-morbidity in women presenting across the continuum of disordered eating. Eat Behav. 2014;15:686–93.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Spiegel K, Tasali E, Penev P, Van Cauter E. Brief communication: sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med. 2004;141:846–50.

    Article  PubMed  Google Scholar 

  67. Ulukavak Ciftci T, Kokturk O, Bukan N, Bilgihan A. Leptin and ghrelin levels in patients with obstructive sleep apnea syndrome. Respiration. 2005;72:395–401.

    Article  CAS  PubMed  Google Scholar 

  68. Stahl SM. Stahl’s essential psychopharmacology: neuroscientific basis and practical application. 4th ed. Cambridge; New York: Cambridge University Press; 2013.

    Google Scholar 

  69. Chabas D, Foulon C, Gonzalez J, Nasr M, Lyon-Caen O, Willer J-C, Derenne J-P, Arnulf I. Eating disorder and metabolism in narcoleptic patients. Sleep. 2007;30:1267–73.

    Article  PubMed  PubMed Central  Google Scholar 

  70. Palaia V, Poli F, Pizza F, et al. Narcolepsy with cataplexy associated with nocturnal compulsive behaviors: a case-control study. Sleep. 2011;34:1365–71.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Najjar M. Zolpidem and amnestic sleep related eating disorder. J Clin Sleep Med. 2007;3:637–8.

    Article  PubMed  PubMed Central  Google Scholar 

  72. Kim HK, Kwon JT, Baek J, Park DS, Yang KI. Zolpidem-induced compulsive evening eating behavior. Clin Neuropharmacol. 2013;36:173–4.

    Article  PubMed  Google Scholar 

  73. Park Y-M, Shin H-W. Zolpidem induced sleep-related eating and complex behaviors in a patient with obstructive sleep apnea and restless legs syndrome. Clin Psychopharmacol Neurosci. 2016;14:299–301.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  74. Cassin SE, von Ranson KM. Personality and eating disorders: a decade in review. Clin Psychol Rev. 2005;25:895–916.

    Article  PubMed  Google Scholar 

  75. Solmi M, Collantoni E, Meneguzzo P, Degortes D, Tenconi E, Favaro A. Network analysis of specific psychopathology and psychiatric symptoms in patients with eating disorders. Int J Eat Disord. 2018;51:680–92.

    Article  PubMed  Google Scholar 

  76. Solmi M, Collantoni E, Meneguzzo P, Tenconi E, Favaro A. Network analysis of specific psychopathology and psychiatric symptoms in patients with anorexia nervosa. Eur Eat Disord Rev. 2019;27:24–33.

    Article  PubMed  Google Scholar 

  77. De Paoli T, Fuller-Tyszkiewicz M, Huang C, Krug I. A network analysis of borderline personality disorder symptoms and disordered eating. J Clin Psychol. 2020; https://doi.org/10.1002/jclp.22916.

  78. Dufresne L, Bussières E-L, Bédard A, Gingras N, Blanchette-Sarrasin A, Bégin C. Personality traits in adolescents with eating disorder: a meta-analytic review. Int J Eat Disord. 2019; https://doi.org/10.1002/eat.23183.

  79. Al-Salom P, Boylan K. Borderline personality disorder and disordered eating behaviour: the mediating role of rejection sensitivity. J Can Acad Child Adolesc Psychiatry. 2019;28:72–81.

    PubMed  PubMed Central  Google Scholar 

  80. Barajas Iglesias B, Jáuregui Lobera I, Laporta Herrero I, Santed Germán MÁ. Eating disorders during the adolescence: personality characteristics associated with anorexia and bulimia nervosa. Nutr Hosp. 2017;34:1178–84.

    PubMed  Google Scholar 

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Atti, A.R., Speciani, M., De Ronchi, D. (2022). Disordered Eating Behaviors in Other Psychiatric Disorders. In: Manzato, E., Cuzzolaro, M., Donini, L.M. (eds) Hidden and Lesser-known Disordered Eating Behaviors in Medical and Psychiatric Conditions . Springer, Cham. https://doi.org/10.1007/978-3-030-81174-7_9

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