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The combined presence of obsessive compulsive behaviors in males and females with eating disorders account for longer lengths of stay and more severe eating disorder symptoms

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Abstract

The goal of this study was to analyze the impact of obsessive compulsive behaviors (OCB) in eating disorder males and females admitted for residential treatment in terms of length of stay and severity of symptoms. Patients (N=384) were separated into four groups based on gender and the score obtained for the Maudsley Obsessive-Compulsive Inventory at admission. The instrument used to assess severity of eating disorder symptoms was the Eating Disorder Inventory (EDI-2) at admission and discharge. The results showed that the presence of comorbid OCB in eating disordered males and females account for longer length of stay (LOS) and an increased severity of eating disorder symptoms. Clinically, these findings point to the need for development of more targeted residential programs that are equipped for and adept at treating the comorbid eating disorder/OCB patient population.

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References

  1. Milos G., Spindler A., Ruggiero G., Klaghofer R., Schnyder U.: Comorbidity of obsessive-compulsive disorders and duration of eating disorders. Int. J. Eat. Disord., 31, 284, 2002.

    Article  PubMed  Google Scholar 

  2. Fisher M., Fornar V., Waldbaum R., Gold R.: Three case reports on the relationship between anorexia nervosa and obsessive compulsive disorder. Int. J. Adolesc. Med. Health, 14, 329, 2002.

    PubMed  Google Scholar 

  3. Lennkh C., Strnad A., Bailer U., Biener D., Fodor G., de Zwaan M:: Comorbidity of obsessive compulsive disorder in patients with eating disorders. Eat. Weight Disord., 3, 37, 1998.

    PubMed  CAS  Google Scholar 

  4. Cassidy E., Allsopp M., Williams T.: Obsessive compulsive symptoms at initial presentation of adolescent eating disorders. Eur. Child Adolesc. Psychiatry, 8, 193, 1999.

    Article  PubMed  CAS  Google Scholar 

  5. Tadai T., Nakamura M., Okazaki S., Nakajima T.: The prevalence of obsessive-compulsive disorder in Japan: a study of students using the Maudsley Obsessional- Compulsive Inventory and DSM-III-R. Psychiatry Clin. Neurosci., 49, 39, 1995. javascript:PopUp Menu2_Set(Menu8608432)

    Article  PubMed  CAS  Google Scholar 

  6. Emmelkamp P.M., Kraaijkamp H.J., van den Hout M.A.: Assessment of obsessive-compulsive disorder. Behav. Modif., 23, 269, 1999.

    Article  PubMed  CAS  Google Scholar 

  7. Garner D.M., Olmsted M.P., Polivy J.: Development and validation of a multidimensional Eating Disorder. Inventory for anorexia nervosa and bulimia. Int. J Eat. Disord., 2, 15, 1983.

    Article  Google Scholar 

  8. Bean P., Loomis C.C., Timmel P., Hallinan P., Moore S., Mammel.J, Weltzin T.: Outcome variables for anorexic males and females one year after discharge from residential treatment. J. Addict. Dis., 23, 83, 2004.

    Article  PubMed  Google Scholar 

  9. Bean P., Weltzin T.E.: Evolution of symptoms severity during residential treatment of females with eating disorders. Eat. Weight Disord., 6, 197, 2001.

    PubMed  CAS  Google Scholar 

  10. Garner D.M.: Eating Disorder Inventory — 2, Professional Manual. Psychological Assessment Resources, Inc. P.O. Box 998, Odessa, Florida 33556.

  11. Matsunaga H., Kiriike N., Miyata A., Iwasaki.Y, Matsui T., Fujimoto K., Kasai S., Kaye W.H:. Prevalence and symptomatology of comorbid obsessive compulsive disorder among bulimic patients. Psychiatry Clin. Neurosci., 53, 661, 1999.

    Article  PubMed  CAS  Google Scholar 

  12. Hudson J.I., Pope H.G. Jr, Jonas J.M., Yurgelun-Todd D.: Phenomenologic relationship of eating disorders to major affective disorder. Psychiatry Res., 9, 345, 1983.

    Article  PubMed  CAS  Google Scholar 

  13. Speranza M., Corcos M., Godart N., Jeammet P., Flament M.: Current and lifetime prevalence of obsessive compulsive disorders in eating disorders. Encephala, 27, 541, 2001.

    CAS  Google Scholar 

  14. Speranza M., Corcos M., Godart N., Loas G., Guilbaud O., Jeammet P., Flament M.: Obsessive compulsive disorders in eating disorders. Eat. Behav., 2, 193, 2001.

    Article  PubMed  CAS  Google Scholar 

  15. Bean P., Maddocks M.B., Timmel P., Weltzin T.: Gender differences in the progression of co-morbid psychopathology symptoms of eating disordered patients. Eat. Weight Disord., 10, 168, 2005.

    PubMed  CAS  Google Scholar 

  16. Stewart S.E., Stack D.E., Farrell C., Pauls D.L., Jenike M.A.: Effectiveness of intensive residential treatment (IRT) for severe, refractory obsessive-compulsive disorder. J. Psychiatr. Res., 39, 603, 2005.

    Article  PubMed  Google Scholar 

  17. Grabe J.H., Thiel A., Freyberger J.H.: Symptoms of eating disorders in obsessive compulsive disorder. Acta Psychiatr. Scand., 162, 449, 2000.

    Article  Google Scholar 

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Weltzin, T., Cornella-Carlson, T., Weisensel, N. et al. The combined presence of obsessive compulsive behaviors in males and females with eating disorders account for longer lengths of stay and more severe eating disorder symptoms. Eat Weight Disord 12, 176–182 (2007). https://doi.org/10.1007/BF03327595

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  • DOI: https://doi.org/10.1007/BF03327595

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