Velimirović Mina, Robison Morgan, Abber Sophie, Duffy Alan, Rienecke Renee D, Manwaring Jamie, Blalock Dan V, Riddle Megan, Mehler Philip S, Joiner Thomas E
Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia.
Department of Psychology, Florida State University, Tallahassee, Florida, USA.
Eur Eat Disord Rev. 2025 May;33(3):490-502. doi: 10.1002/erv.3160. Epub 2024 Nov 28.
The present study examined whether patients with binge/purge and restricting anorexia nervosa (AN-BP and AN-R), bulimia nervosa (BN), binge eating disorder (BED), avoidant/restrictive food intake disorder (ARFID), and other specified feeding and eating disorder (OSFED) differ in generalised anxiety disorder (GAD), obsessive-compulsive disorder (OCD), and depression symptom patterns and overall comorbid symptom severity at admission. We also assessed between-group differences in the patterns of change and overall comorbid symptom severity change from admission to discharge from routine eating disorder (ED) treatment at higher levels of care (HLOC).
The initial sample included 3730 adults routinely assessed for GAD, depression, and OCD at admission and discharge from treatment.
ED diagnostic groups exhibited somewhat different symptom patterns (e.g., AN-R and ARFID were more prone to GAD and OCD than depression symptoms; BED exhibited the opposite pattern) and overall symptom severity at admission (i.e., AN-BP and OSFED had the highest overall comorbid symptom severity; BED had the lowest). Although the overall symptom improvement was significantly greater in ARFID and BED than in AN-BP, AN-R, and OSFED, ED patients collectively and within each diagnostic group improved significantly in GAD, OCD, and depression symptoms following routine ED treatment at HLOC.
本研究探讨了患有暴饮暴食/清除型和限制型神经性厌食症（AN-BP和AN-R）、神经性贪食症（BN）、暴饮暴食症（BED）、回避/限制性食物摄入障碍（ARFID）以及其他特定的进食和饮食障碍（OSFED）的患者在入院时广泛性焦虑障碍（GAD）、强迫症（OCD）和抑郁症状模式以及总体共病症状严重程度方面是否存在差异。我们还评估了在更高护理水平（HLOC）接受常规饮食失调（ED）治疗的患者从入院到出院期间，各诊断组在症状变化模式和总体共病症状严重程度变化方面的组间差异。
初始样本包括3730名在入院和出院时接受GAD、抑郁和OCD常规评估的成年人。
进食障碍诊断组表现出略有不同的症状模式（例如，AN-R和ARFID比抑郁症状更容易出现GAD和OCD；BED表现出相反的模式）以及入院时的总体症状严重程度（即，AN-BP和OSFED的总体共病症状严重程度最高；BED最低）。尽管ARFID和BED的总体症状改善明显大于AN-BP、AN-R和OSFED，但在HLOC接受常规进食障碍治疗后，进食障碍患者总体以及每个诊断组内的GAD、OCD和抑郁症状均有显著改善。
