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Anxiety disorders in anorexia nervosa and bulimia nervosa: co-morbidity and chronology of appearance

Published online by Cambridge University Press:  16 April 2020

N.T. Godart ,
M.F. Flament ,
Y. Lecrubier  and
P. Jeammet
N.T. Godart
Affiliation:
Department of Psychiatry, Institut Mutualiste Montsouris,Paris, France
M.F. Flament
Affiliation:
CNRS UMR 7593, Hôpital La Salpêtrière,Paris, France
Y. Lecrubier
Affiliation:
INSERM U302, Hôpital La Salpêtrière,Paris, France
P. Jeammet
Affiliation:
Department of Psychiatry, Institut Mutualiste Montsouris,Paris, France
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Summary

The objectives of the study were to assess lifetime prevalence of specific anxiety disorders, and their age of onset relative to that of eating disorders (ED), in a French sample of patients with anorexia nervosa (AN) or bulimia nervosa (BN). We assessed frequencies of seven anxiety disorders and childhood histories of separation anxiety disorder among 63 subjects with a current DSM-IV diagnosis of an ED, using the Composite International Diagnostic Interview (CIDI). Eighty-three percent of subjects with AN and 71% of those with BN had at least one lifetime diagnosis of an anxiety disorder. By far, the most frequent was social phobia (55% of the anorexics and 59% of the bulimics). When present, the co-morbid anxiety disorder had predated the onset of the ED in 75% of subjects with AN, and 88% of subjects with BN. Our results are consistent with those of studies conducted in other countries, and show that an anxiety disorder frequently exists before an ED. This has to be taken in consideration for successful treatment of patients with AN or BN.

Keywords

age of onsetanorexia nervosaanxiety disordersbulimia nervosaco-morbiditysocial phobia
Type
Original article
Information
European Psychiatry , Volume 15 , Issue 1 , 2000 , pp. 38 - 45
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2000

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