The co-morbidity of eating disorders and anxiety disorders: a review

2007 ◽  
Vol 15 (4) ◽  
pp. 253-274 ◽  
Author(s):  
Jessica M. Swinbourne ◽  
Stephen W. Touyz
Keyword(s):  
Eating Disorders ◽  
Anxiety Disorders ◽  
Co Morbidity

scholarly journals Temporal trends in annual incidence rates for psychiatric disorders and self-harm among children and adolescents in the UK, 2003–2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lukasz Cybulski ◽  
Darren M. Ashcroft ◽  
Matthew J. Carr ◽  
Shruti Garg ◽  
Carolyn A. Chew-Graham ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Young People ◽  
Anxiety Disorders ◽  
Children And Adolescents ◽  
Autism Spectrum ◽  
Incidence Rates ◽  
Annual Incidence ◽  
Health Crisis ◽  
Self Harm ◽  
The Uk

Abstract Background There has been growing concern in the UK over recent years that a perceived mental health crisis is affecting children and adolescents, although published epidemiological evidence is limited. Methods Two population-based UK primary care cohorts were delineated in the Aurum and GOLD datasets of the Clinical Practice Research Datalink (CPRD). We included data from 9,133,246 individuals aged 1–20 who contributed 117,682,651 person-years of observation time. Sex- and age-stratified annual incidence rates were estimated for attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) (age groups: 1–5, 6–9, 10–12, 13–16, 17–19), depression, anxiety disorders (6–9, 10–12, 13–16, 17–19), eating disorders and self-harm (10–12, 13–16, 17–19) during 2003–2018. We fitted negative binomial regressions to estimate incidence rate ratios (IRRs) to examine change in incidence between the first (2003) and final year (2018) year of observation and to examine sex-specific incidence. Results The results indicated that the overall incidence has increased substantially in both boys and girls in between 2003 and 2018 for anxiety disorders (IRR 3.51 95% CI 3.18–3.89), depression (2.37; 2.03–2.77), ASD (2.36; 1.72–3.26), ADHD (2.3; 1.73–3.25), and self-harm (2.25; 1.82–2.79). The incidence for eating disorders also increased (IRR 1.3 95% CI 1.06–1.61), but less sharply. The incidence of anxiety disorders, depression, self-harm and eating disorders was in absolute terms higher in girls, whereas the opposite was true for the incidence of ADHD and ASD, which were higher among boys. The largest relative increases in incidence were observed for neurodevelopmental disorders, particularly among girls diagnosed with ADHD or ASD. However, in absolute terms, the incidence was much higher for depression and anxiety disorders. Conclusion The number of young people seeking help for psychological distress appears to have increased in recent years. Changes to diagnostic criteria, reduced stigma, and increased awareness may partly explain our results, but we cannot rule out true increases in incidence occurring in the population. Whatever the explanation, the marked rise in demand for healthcare services means that it may be more challenging for affected young people to promptly access the care and support that they need.

scholarly journals Highlights of this issue

2013 ◽  
Vol 203 (6) ◽  
pp. A22-A22
Author(s):  
Kimberlie Dean
Keyword(s):  
Eating Disorders ◽  
Randomised Controlled Trial ◽  
Anxiety Disorders ◽  
Early Life ◽  
Controlled Trial ◽  
Childhood Anxiety ◽  
Childhood Anxiety Disorders ◽  
Low Intensity ◽  
Randomised Controlled ◽  
Diagnostic Outcomes

Interventions throughout early life - antenatally, in childhood and in adolescenceTwo papers in the Journal this month describe trials of interventions targeting young people – one focused on treating anxiety disorders in childhood and another on preventing eating disorders in adolescence. While CBT for childhood anxiety disorders is known to be effective, its availability is limited. Thirlwall et al (pp. 436–444) conducted a randomised controlled trial of low-intensity guided parent-delivered CBT in a sample of children with anxiety disorders referred by primary or secondary care to a specialist clinic. Compared with waiting-list controls, the children receiving the full intervention demonstrated superior diagnostic outcomes, whereas those receiving a brief version of the intervention showed no improvements. In a linked editorial, Cartwright-Hatton (pp. 401–402) highlights the prevalence of childhood anxiety disorders, the implications of failing to treat them and the evidence supporting their treatability. She also points to the implications of findings from Thirlwall et al indicating that therapists need not be highly trained or experienced to achieve significant results.

scholarly journals A study on prevalence and co-morbidity of bipolar and anxiety disorders in chronic headache patients

2017 ◽  
Vol 5 (7) ◽  
pp. 3038 ◽  
Author(s):  
Sivaji M. ◽  
Manickavasagam J. ◽  
Indumathi Sundaramurthi ◽  
Gopinathan S.
Keyword(s):  
Anxiety Disorder ◽  
Panic Disorder ◽  
Anxiety Disorders ◽  
Psychiatric Disorders ◽  
Depressive Episode ◽  
Chronic Headache ◽  
Rating Scale ◽  
Separation Anxiety Disorder ◽  
Co Morbidity ◽  
Headache Patients

Background: Co morbidity between headache and psychiatric disorders is more prevalent in chronic headache patients. The bipolar disorders and anxiety disorders are predominant in migraine and TTH respectively. This co morbidities have a poor reflection and impact on quality and outcome of chronic headache patients and results in worst prognosis and poor response to medical treatment.Methods: The chronic headache patients especially migraine and tension type of headache were analyzed with following materials such as the structured psychiatric clinical interview with ICD-10 mental and behavioural disorder, DSM-5 criteria. HAM-A, HAM-D, BDI-2, BPRS, young mania rating scale, Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and panic disorder scale.Results: Various subsets of bipolar disorder and anxiety disorder were found as follows: 74% of migraineurs are associated with psychiatric disorders in which bipolar affective disorder 6%, depressive episode 48%, dysthymia 30%, GAD 10% and Panic disorder 6%. 52% of TTH are associated with psychiatric disorders as follows: major depressive episode 52%, GAD 30%, separation anxiety disorder 6%, PTSD 7%, OCD 3% and panic disorder 2%.Conclusions: From previous and future studies the headache can be identified according to subsets of headache with psychiatric disorders make easier to provide appropriate pharmacological and psychological treatment which may reduce the chronicity and intractability of headache.

ASD, SUD and gender

2017 ◽  
Vol 41 (S1) ◽  
pp. s882-s883
Author(s):  
P.J.M. Van Wijngaarden-Cremers
Keyword(s):  
Gender Differences ◽  
Eating Disorders ◽  
Substance Use ◽  
Autism Spectrum ◽  
Substance Abuse Disorder ◽  
Co Morbidity ◽  
Spectrum Disorders ◽  
Competing Interest ◽  
And Gender ◽  
Very High

IntroductionAutism and substance use disorder (SUD) is not the co-morbidity that is commonly considered. Yet these conditions have more commonalities than one would suspect.ObjectiveWe will consider the evidence for co-morbidity between ASD and Addiction (Substance Use Disorders (SUD) and explore the influence of gender.MethodA pilot study of 80 admissions to an adult ASD unit will be presented.ResultsThe co-morbidity ASD and SUD in this study was very high (65% of the inpatients). There were no gender differences in prevalence in total but addiction to medication (32% in woman vs. none in man) and eating disorders (24% in women vs. 9% in man) was far more common in women whereas addiction to drugs (13% in man vs. none in women) was far more common in man.ConclusionsThere are clear indications that a possible co-morbidity of substance abuse disorder should be considered in cases of individuals with autism spectrum disorders. There are no gender differences in prevalence of co-morbidity ASD and SUD in total but addiction to medication and eating disorders seems to be much more common in women whereas addiction to drugs probably more common in man.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Why Do People Get Better With Exposure Therapy?

2019 ◽  
pp. 19-32
Author(s):  
Carolyn Black Becker ◽  
Nicholas R. Farrell ◽  
Glenn Waller
Keyword(s):  
Eating Disorders ◽  
Anxiety Disorders ◽  
Therapeutic Intervention ◽  
Exposure Therapy ◽  
Therapeutic Benefit ◽  
Evidence Based ◽  
Systematic Desensitization ◽  
Evidence Based Treatments ◽  
Inhibitory Learning

This chapter outlines a theoretically based rationale for using exposure consistently in the treatment of individuals with eating disorders. Due to the substantial overlap between eating disorders and anxiety disorders (both in symptom content and in comorbidity between the conditions), exposure therapy is a sound choice for therapeutic intervention. Indeed, the most evidence-based treatments for eating disorders contain a number of exposure-based strategies that drive much of the therapeutic benefit. The chapter discusses habituation, systematic desensitization, and inhibitory learning and differentiates exposure therapy from systematic desensitization. Using a case study to consider how exposure therapists can help patients learn to tolerate their anxiety by leaning into it rather than engaging in safety behaviors, this chapter lays the foundation for the application of exposure therapy to patients with eating disorders.

Behaviour

2015 ◽  
Author(s):  
Allison G. Harvey ◽  
Edward Watkins ◽  
Warren Mansell ◽  
Roz Shafran
Keyword(s):  
Eating Disorders ◽  
Anxiety Disorders ◽  
Sleep Disorders ◽  
Obsessive Compulsive Disorder ◽  
Somatoform Disorders ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Substance Related Disorders ◽  
Safety Signals

Chapter 6 reviews the literature on behavioural processes and draws conclusions about the extent to which they are transdiagnostic. Three behavioural processes considered are escape/avoidance, within-situation safety-seeking behaviours, and ineffective safety-signals. These processes are considered in the context of anxiety disorders and obsessive-compulsive disorder (OCD), somatoform disorders, eating disorders, sleep disorders, and substance-related disorders).

Thought

2015 ◽  
Author(s):  
Allison G. Harvey ◽  
Edward Watkins ◽  
Warren Mansell ◽  
Roz Shafran
Keyword(s):  
Eating Disorders ◽  
Anxiety Disorders ◽  
Mood Disorders ◽  
Psychotic Disorders ◽  
Thought Suppression ◽  
Somatoform Disorders ◽  
Psychological Disorders ◽  
Negative Thinking ◽  
Substance Related Disorders

This chapter examines recurrent thinking, thought suppression, and metacognition across psychological disorders. It discusses intrusions, recurrent negative thinking (worry and rumination), and the evidence for their presence across psychological disorders (anxiety disorders, somatoform disorders, eating disorders, mood disorders, psychotic disorders, and substance-related disorders).

Reasoning

2015 ◽  
Author(s):  
Allison G. Harvey ◽  
Edward Watkins ◽  
Warren Mansell ◽  
Roz Shafran
Keyword(s):  
Eating Disorders ◽  
Anxiety Disorders ◽  
Mood Disorders ◽  
Psychotic Disorders ◽  
Somatoform Disorders ◽  
Psychological Disorders ◽  
Self Report ◽  
Illusory Correlation ◽  
Ambiguous Stimuli ◽  
Substance Related Disorders

Chapter 4 discusses reasoning. This includes the interpretation of ambiguous stimuli, self-report paradigms, cognitive-experimental paradigms, attributions, expectancies and heuristics, covariation and illusory correlation, and the evidence for the presence of these reasoning processes across psychological disorders (anxiety disorders, somatoform disorders, eating disorders, mood disorders, psychotic disorders, and substance-related disorders).

Sign in / Sign up

Export Citation Format

Share Document