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Obsessive compulsive comorbidity in the dieting disorders

C Thornton1, J Russell

  • 1Eating Disorders Unit, Northside Clinic, Sydney, Australia.

The International Journal of Eating Disorders
|January 1, 1997
PubMed
Summary

Obsessive compulsive disorder (OCD) and obsessive compulsive personality disorder (OCPD) are frequently comorbid with eating disorders. These obsessive-compulsive traits often appear before the onset of the eating disorder, suggesting they are premorbid characteristics.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Eating Disorder Research

Background:

  • Eating disorders, including anorexia nervosa and bulimia nervosa, are complex conditions with significant comorbidity.
  • Obsessive compulsive disorder (OCD) and obsessive compulsive personality disorder (OCPD) are characterized by intrusive thoughts and compulsive behaviors.
  • The relationship between obsessive-compulsive psychopathology and eating disorders requires further investigation.

Purpose of the Study:

  • To investigate the comorbidity of OCD and OCPD in patients with dieting disorders.
  • To test the hypothesis that obsessive-compulsive symptoms and personality traits are premorbid in individuals with eating disorders.

Main Methods:

  • The study included 68 inpatients diagnosed with anorexia nervosa (n=35) or bulimia nervosa (n=33).

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  • Participants were assessed for DSM-III-R Axis I and Axis II obsessive-compulsive psychopathology.
  • Diagnostic tools included the Composite International Diagnostic Interview (CIDI) for OCD and the Personality Disorders Inventory (PDE) for OCPD.
  • Main Results:

    • Twenty-one percent of the total sample met criteria for OCD.
    • Anorexia nervosa patients showed a higher comorbidity rate for OCD (37%) compared to bulimia nervosa patients (3%).
    • Nineteen percent of patients exhibited premorbid OCPD, and in most cases, OCD predated the onset of the eating disorder.

    Conclusions:

    • The findings support the presence of obsessive-compulsive comorbidity within dieting disorders.
    • Obsessive-compulsive traits appear to be a premorbid characteristic in a subset of patients with eating disorders.
    • This research underscores the importance of assessing for obsessive-compulsive psychopathology in the evaluation and treatment of eating disorders.