Psychiatric comorbidity in eating disorders: psychopathological considerations.
The psychiatric comorbidity was examined in patients who met ICD-10 criteria for eating disorders. The most frequent comorbid diagnoses were mood disorders, followed by personality disorders and neurotic disorders. Non-attendance at school was also seen. Eating disorders did not directly cause mood disorders, but rather indirectly brought them about by a devaluation of self-esteem. Features of personality disorders occurred independently of eating disorders, appearing or disappearing relative to the major object or transitional object. Neurotic disorders served as non-verbal communication, a function originally included in eating disorders. It is important to take note of the devaluation of self-esteem and the meanings of symptoms as communication within eating disorders.
Takaoka
K
K
Department of Psychiatry, Gifu University School of Medicine, Japan.
D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D015897:Comorbidity; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D010554:Personality Disorders / Q000150:complications / Q000175:diagnosis; D011569:Psychiatric Status Rating Scales; D012649:Self Concept