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Anxiety and psychoactive substance use disorder comorbidity in anorexia nervosa or depression
Author(s) -
Jordan Jennifer,
Joyce Peter R.,
Carter Frances A.,
Horn Jacqueline,
McIntosh Virginia V.W.,
Luty Suzanne E.,
McKenzie Janice M.,
Mulder Roger T.,
Bulik Cynthia M.
Publication year - 2003
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/eat.10177
Subject(s) - anorexia nervosa , anxiety , comorbidity , psychiatry , depression (economics) , eating disorders , psychology , clinical psychology , binge eating disorder , bulimia nervosa , binge eating , anxiety disorder , major depressive disorder , substance dependence , substance abuse , mood , economics , macroeconomics
Objective This study considered whether the prevalence and type of anxiety and psychoactive substance use disorder (PSUD) diagnoses differ between women with spectrum anorexia nervosa (AN) ( N =40) and women with major depressive disorder ( N = 58) participating in outpatient clinical trials. Method Anxiety and PSUD diagnoses (according to criteria in the 3rd Rev. ed. of the Diagnostic and Statistical Manual of Mental Disorders) were assessed using structured clinical interviews. Comparisons were made between AN subtypes (restricting or binge eating/purging) and by history of depression within the AN sample. Results A high prevalence of obsessive‐compulsive disorder (OCD) was found in women with AN. However, social phobia, simple phobia, and PSUD were significantly elevated in both women with depression and women with AN. Prevalences were similar for anxiety and PSUD diagnoses between AN subtypes. Discussion Women with anorexia or depression were comparable in all respects, except for the elevated OCD prevalence in AN, emphasizing the need to use clinical comparison groups to avoid inadvertently attributing elevated prevalences of comorbid conditions to specific disorders. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: 211–219, 2003.