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Bulimia comorbidity in the general population and in the clinic

Published online by Cambridge University Press:  09 July 2009

J. A. Bushnell ,
J. E. Wells ,
J. M. McKenzie ,
A. R. Hornblow ,
M. A. Oakley-Browne  and
P. R. Joyce
J. A. Bushnell*
Affiliation:
Department of Psychological Medicine, Wellington School of Medicine, Departments of Community Health and General Practice, Psychological Medicine, Christchurch School of Medicine, University of Otago, New Zealand
J. E. Wells
Affiliation:
Department of Psychological Medicine, Wellington School of Medicine, Departments of Community Health and General Practice, Psychological Medicine, Christchurch School of Medicine, University of Otago, New Zealand
J. M. McKenzie
Affiliation:
Department of Psychological Medicine, Wellington School of Medicine, Departments of Community Health and General Practice, Psychological Medicine, Christchurch School of Medicine, University of Otago, New Zealand
A. R. Hornblow
Affiliation:
Department of Psychological Medicine, Wellington School of Medicine, Departments of Community Health and General Practice, Psychological Medicine, Christchurch School of Medicine, University of Otago, New Zealand
M. A. Oakley-Browne
Affiliation:
Department of Psychological Medicine, Wellington School of Medicine, Departments of Community Health and General Practice, Psychological Medicine, Christchurch School of Medicine, University of Otago, New Zealand
P. R. Joyce
Affiliation:
Department of Psychological Medicine, Wellington School of Medicine, Departments of Community Health and General Practice, Psychological Medicine, Christchurch School of Medicine, University of Otago, New Zealand
*
1Address for correspondence: Dr John A. Bushnell, Department of Psychological Medicine, Wellington School of Medicine, University of Otago, Box 7343, Wellington, New Zealand
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Synopsis

This study compares rates of comorbidity of lifetime psychiatric disorder in a clinical sample of women with bulimia, with general population base rates, and with rates of comorbidity among bulimic women in the general population. Eighty-four per cent of the clinical sample of bulimic women had a lifetime affective disorder, and 44% a lifetime alcohol or drug disorder. These rates of disorder were significantly higher than the base rates in the general population. Bulimic women in the general population also had more affective and substance-use disorders than the general population base rates, but the rates of these disorders were lower than found in the clinical sample. In the general population, quite similar rates of other disorders including generalized anxiety, panic, phobia and obsessive–compulsive disorder, are found among those with bulimia, substance-use disorder and depression. Furthermore, among those with depression and substance-use disorder in the general population, rates of eating disorder are comparable. Rather than suggesting a specific relationship between bulimia and either depression or substance-use disorder, the data from this study suggest that the presence of any disorder is associated with a non-specific increase in the likelihood of other psychiatric disorder.

Type
Original Articles
Information
Psychological Medicine , Volume 24 , Issue 3 , August 1994 , pp. 605 - 611
Copyright
Copyright © Cambridge University Press 1994

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References

Abraham, S. F. & Beumont, P. J. V. (1982). How patients describe bulimia or binge eating. Psychological Medicine 12, 625–635.CrossRefGoogle ScholarPubMed
Beary, M. D., Lacey, J. H. & Merry, J. (1986). Alcoholism and eating disorders in women of fertile age. British Journal of Addiction 81, 685–689.CrossRefGoogle ScholarPubMed
Berkson, J. (1946). Limitations of the application of fourfold table analysis to hospital data. Biometric Bulletin 2, 47–53.CrossRefGoogle ScholarPubMed
Bulik, C. M. (1987 a). Alcohol use and depression in women with bulimia. American Journal of Drug and Alcohol Abuse 13, 343–355.Google Scholar
Bulik, C. M. (1987 b). Drug and alcohol use by bulimic women and their families. American Journal of Psychiatry 144, 1604–1606.Google ScholarPubMed
Bushnell, J. A., Wells, J. E., Hornblow, A. R., Oakley-Browne, M. A. & Joyce, P. R. (1990). The prevalence of three bulimia syndromes in the general population. Psychological Medicine 20, 671–680.CrossRefGoogle ScholarPubMed
Cooper, P. J. & Fairburn, C. G. (1986). The depressive symptoms of bulimia nervosa. British Journal of Psychiatry 148, 268–274.Google Scholar
Dixon, W. J. (ed.) (1985). BMDP Statistical Software. University of California Press: Berkeley.Google Scholar
Fairburn, C. G. & Cooper, P. J. (1982). Self-induced vomiting and bulimia nervosa: an undetected problem. British Medical Journal 284, 1153–1155.CrossRefGoogle ScholarPubMed
Fairburn, C. G. & Cooper, P. J. (1984). Binge eating, self induced vomiting and laxative abuse: a community study. Psychological Medicine 14, 401–410.Google Scholar
Goldberg, D. (1972). The Detection of Psychiatric Illness by Questionnaire. Oxford University Press: Oxford.Google Scholar
Halmi, K. A., Falk, J. R. & Schwartz, E. (1981). Binge eating and vomiting: a survey of a college population. Psychological Medicine 11, 697–706.CrossRefGoogle ScholarPubMed
Hatsukami, D., Eckert, E., Mitchell, J. E. & Pyle, R. (1984). Affective disorder and substance abuse in women with bulimia. Psychological Medicine 14, 701–704.CrossRefGoogle ScholarPubMed
Henderson, S., Duncan-Jones, P., Byrne, D. G., Scott, R. & Adcock, S. (1979). Psychiatric disorder in Canberra. Acta Psychiatrica Scandinavica 60, 355–374.CrossRefGoogle ScholarPubMed
Herzog, D. B. (1982). Bulimia: the secretive syndrome. Psychosomatics 23, 481–487.Google Scholar
Herzog, D. B. (1984). Are anorexic and bulimic patients depressed? American Journal of Psychiatry 141, 1594–1597.Google ScholarPubMed
Hudson, J. I., Pope, H. G., Jonas, J. M., Yurgelun-Todd, D. & Frankenburg, F. R. (1987). A controlled family history study of bulimia. Psychological Medicine 17, 883–890.CrossRefGoogle ScholarPubMed
Johnson, C. L., Stuckey, M. K., Lewis, L. D. & Schwartz, D. M. (1982). Bulimia: a descriptive report of 316 cases. International Journal of Eating Disorders 2, 3–16.3.0.CO;2-K>CrossRefGoogle Scholar
Katzman, M. A. & Wolchik, S. A. (1984). Bulimia and binge eating in college women: a comparison of personality and behavioral characteristics. Journal of Consulting and Clinical Psychology 52, 423–428.CrossRefGoogle ScholarPubMed
Kish, L. (1965). Survey Sampling. Wiley: New York.Google Scholar
Mitchell, J. E., Davis, L., Goff, G. & Pyle, R. (1985). A follow-up study of patients with bulimia. International Journal of Eating Disorders 5, 441–451.Google Scholar
Pyle, R. L., Mitchell, J. E. & Eckert, E. D. (1981). Bulimia: a report of 34 cases. Journal of Clinical Psychiatry 42, 60–66.Google ScholarPubMed
Robins, L. N., Helzer, J. E., Croughan, J. & Ratcliff, K. S. (1981). National Institute of Mental Health Diagnostic Interview Schedule: its history, characteristics and validity. Archives of General Psychiatry 38, 381–389.Google Scholar
Robins, L. N., Helzer, J. E., Weissman, M. M., Orvaschel, H., Gruenberg, E., Burke, J. & Regier, D. A. (1984). Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry 41, 949–958.CrossRefGoogle ScholarPubMed
Robins, L. N., Locke, B. Z. & Regier, D. A. (1991). An overview of psychiatric disorders in America. In Psychiatric Disorders in America (ed. Robins, L. N. and Regier, D. A.), pp. 328–366. Free Press: New York.Google Scholar
Schotte, D. E. & Stunkard, A. J. (1987). Bulimia vs. bulimic behaviors on a college campus. Journal of the American Medical Association 258, 1213–1215.Google Scholar
Walsh, B. T., Roose, S. P., Glassman, A. H., Gladis, M. & Sadik, C. (1985). Bulimia and depression. Psychosomatic Medicine 47, 123–131.Google Scholar
Weiss, S. R. & Ebert, M. H. (1983). Psychological and behavioral characteristics of normal-weight bulimics and normal weight controls. Psychosomatic Medicine 45, 293–303.Google Scholar
Wells, J. E., Bushnell, J. A., Hornblow, A. R., Joyce, P. R. & Oakley-Browne, M. A. (1989). Christchurch Psychiatric Epidemiology Study. Part I. Methodology and lifetime prevalence for specific disorders. Australian and New Zealand Journal of Psychiatry 23, 315–326.CrossRefGoogle Scholar
Wells, J. E., Bushnell, J. A., Joyce, P. R., Oakley-Browne, M. A. & Hornblow, A. R. (1991). Preventing alcohol problems: the implications of a case finding study in Christchurch, New Zealand. Acta Psychiatrica Scandinavica 83, 31–40.Google Scholar