Comorbidity of Psychiatric Diagnoses in Anorexia Nervosa

doi:10.1001/archpsyc.1991.01810320036006

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Vol. 48 No. 8, August 1991

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Comorbidity of Psychiatric Diagnoses in Anorexia Nervosa

Katherine A. Halmi, MD; Elke Eckert, MD; Peggy Marchi, PhD; Vincent Sampugnaro, MA; Robin Apple, MA; Jacob Cohen, PhD

Arch Gen Psychiatry. 1991;48(8):712-718.

Abstract

• The comorbidity of psychiatric diagnoses was examinedwith the Diagnostic Interview Schedule in 62 women who participatedin a 10-year follow-up study of anorexia nervosa. Sixty-twoage- and sex-matched controls, their parents, and parents ofthe anorectic probands were also interviewed with the DiagnosticInterview Schedule. There was a statistically significant comorbidityof the affective and anxiety disorders with anorexia nervosa.The first-degree relatives of the anorectic probands had significantlymore alcoholism and total number of psychiatric diagnoses comparedwith the first-degree relatives of controls. There were twomothers with bulimia nervosa, two cases of anorexia nervosaand two of bulimia nervosa in other first-degree relatives ofanorectic probands, and no cases of eating disorders in thefirst-degree relatives of controls.

Author Affiliations

From the Department of Psychiatry, Cornell University Medical College, White Plains, NY (Drs Halmi and Marchi, and Mr Sampugnaro); Department of Psychiatry, University of Minnesota, Minneapolis (Dr Eckert and Ms Apple); and Department of Psychology, New York (NY) University (Dr Cohen).

Footnotes

Accepted for publication December 10, 1990.

Reprint requests to Eating Disorder Program, Cornell MedicalCenter-Westchester Division, 21 Bloomingdale Rd, White Plains,NY 10605 (Dr Halmi).

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