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Psychiatric comorbidity of eating disorders in men: A national study of hospitalized veterans
Author(s) -
StriegelMoore Ruth H.,
Garvin Vicki,
Dohm FaithAnne,
Rosenheck Robert A.
Publication year - 1999
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/(sici)1098-108x(199905)25:4<399::aid-eat4>3.0.co;2-0
Subject(s) - comorbidity , anorexia nervosa , psychiatry , eating disorders , bulimia nervosa , psychology , schizophrenia (object oriented programming) , veterans affairs , borderline personality disorder , clinical psychology , medicine
Objective This study examined eating disorders and their psychiatric comorbidity in a national sample of hospitalized male veterans. Method Review of discharge summaries for 466,590 male patients from Veterans Affairs medical centers for fiscal year 1996 resulted in the identification of 98 men with a current ICD‐9‐CM diagnosis of an eating disorder. For the comorbidity analyses, eating disorder cases were matched with controls drawn randomly from the pool of male patients without an eating disorder, using age and race as matching variables. Results There was a high rate of comorbid substance use and mood disorder for men with anorexia nervosa (AN), bulimia nervosa (BN), and eating disorder not otherwise specified (EDNOS). Men with AN were also at high risk for comorbid schizophrenia/psychotic disorder, men with BN were at risk for comorbid personality disorder, and men with EDNOS were at special risk for comorbid organic mental disorder and schizophrenia/psychotic disorder. Discussion For each eating disorder, there was a distinct pattern of psychiatric comorbidity that deserves further study. © 1999 by John Wiley & Sons, Inc. Int J Eat Disord 25: 399–404, 1999.