Affiliation:
1. Department of Psychiatry and Behavioral Sciences Medical University of South Carolina Charleston South Carolina USA
2. Timothy D. Brewerton, MD, LLC Mt. Pleasant South Carolina USA
3. Monte Nido and Affiliates Miami Florida USA
4. Department of Psychiatry and Behavioral Health Florida International University Herbert Wertheim College of Medicine Miami Florida USA
Abstract
AbstractObjectiveMajor depressive disorder (MDD) and bipolar disorder (BD) are commonly comorbid with eating disorders (EDs). However, there is limited data about the clinical features of such patients, especially their association with traumatic histories and PTSD, which occur commonly in patients admitted to residential treatment.MethodsAdults (≥18 years, 91% female, n = 2155) admitted to residential ED treatment were evaluated upon admission for DSM‐5 defined MDD and BD. Patients were divided into three groups based on an admission diagnosis of no mood disorder (NMD), MDD, and BD (types I and II) and compared on a number of demographic variables, clinical features and assessments.ResultsMood disorders occurred in 76.4% of participants. There were statistically significant differences across groups in most measures with the BD group showing higher rates and doses of traumatic events; higher current PTSD; higher BMIs; higher severity of ED, depression and state‐trait anxiety symptoms; worse quality of life; and higher rates of substance use disorders. Similarly, the MDD group had higher rates than the NMD group on most measures.ConclusionsThese findings have important implications for prevention, treatment and long‐term follow‐up and highlight the need for early trauma‐focused treatment of ED patients with comorbid mood disorders and PTSD.
Subject
Psychiatry and Mental health,Clinical Psychology
Cited by
1 articles.
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