title: Depression in anorexia nervosa and bulimia nervosa: discriminating depressive symptoms and episodes.
abstract: In a clinical sample of 198 female patients with anorexia nervosa (N = 83) and bulimia nervosa (N = 115), 43% met criteria for major depression using the Structured Clinical Interview for DSMIII-R. This group had a mean score of 30.9 +/- 8.7 on the Beck Depression Inventory (BDI) which was significantly higher than the BDI mean score of 20.5 +/- 8.9 among the remainder of the sample (p < 0.0001). A score of 26 yielded the highest levels of sensitivity and specificity, while five items from the BDI (loss of satisfaction, discouragement, weight loss, suicidal ideation and decision-making) correctly classified approximately 80% of subjects into "depression-positive" or "depression-negative" categories. Detection of co-morbid depression in patients with eating disorders may have practical implications for treatment.
authors.affiliation: Department of Psychiatry, University of Toronto, Toronto Hospital, Canada.
authors.forename: S H
authors.initials: SH
authors.lastname: Kennedy
authors.forename: A S
authors.initials: AS
authors.lastname: Kaplan
authors.forename: P E
authors.initials: PE
authors.lastname: Garfinkel
authors.forename: W
authors.initials: W
authors.lastname: Rockert
authors.forename: B
authors.initials: B
authors.lastname: Toner
authors.forename: S E
authors.initials: SE
authors.lastname: Abbey
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D002032:Bulimia / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D003937:Diagnosis, Differential; D016002:Discriminant Analysis; D005260:Female; D006760:Hospitalization; D006801:Humans; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales