title: The impact of bulimic syndromes, mood and anxiety disorders and their comorbidity on psychosocial impairment: what drives impairment in comorbidity?
abstract: OBJECTIVE
  To examine associations between psychosocial impairment and comorbid disorders in bulimic syndromes.
  
  
  METHODS
  Participants (N = 391; 91% women) completed structured clinical interviews to determine the presence of Axis I disorders (bulimic syndromes, anxiety disorders and mood disorders) and current psychosocial functioning.
  
  
  RESULTS
  Individuals with a current bulimic syndrome and comorbid anxiety disorder had worse psychosocial functioning than either disorder alone. In contrast, there was no additional effect of a current bulimic syndrome in individuals with a current mood disorder on psychosocial impairment.
  
  
  CONCLUSIONS
  Findings highlight the importance of addressing comorbid disorders in individuals with bulimic syndromes to improve overall functioning and reduce risk of relapse.
authors.affiliation: Department of Psychology, Florida State University, Tallahassee, FL 32306, USA.
authors.forename: Lindsay P
authors.initials: LP
authors.lastname: Bodell
authors.forename: Tiffany A
authors.initials: TA
authors.lastname: Brown
authors.forename: Pamela K
authors.initials: PK
authors.lastname: Keel
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000453:epidemiology / Q000523:psychology; D001008:Anxiety Disorders / Q000453:epidemiology / Q000523:psychology*; D056912:Binge-Eating Disorder / Q000453:epidemiology / Q000523:psychology; D052018:Bulimia Nervosa / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D001068:Feeding and Eating Disorders / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D019964:Mood Disorders / Q000453:epidemiology / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012917:Social Adjustment; D055815:Young Adult