Comorbidity of eating disorders with bipolar disorder and treatment implications

McElroy, Susan L.; Kotwal, Renu; Keck, Paul E.

doi:10.1111/j.1399-5618.2006.00401.x

Cited by 94 publications

(53 citation statements)

References 112 publications

(154 reference statements)

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“…It has been suggested that psychiatric patients are at risk for the development of EDs [8,38]. Recognition of hidden EDs in patients with mental disorders also has important implications for treatment [39]. Therefore, a valid and easy to use screening instrument, such as SCOFF, may provide a solution to this "hidden" problem in psychiatric outpatient settings.…”

Section: Discussionmentioning

confidence: 98%

Sex difference in using the SCOFF questionnaire to identify eating disorder patients at a psychiatric outpatient clinic

Liu

Tseng

Chen

et al. 2015

Comprehensive Psychiatry

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Section: Discussionmentioning

confidence: 98%

Sex difference in using the SCOFF questionnaire to identify eating disorder patients at a psychiatric outpatient clinic

Liu

Tseng

Chen

et al. 2015

Comprehensive Psychiatry

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“…Clinical studies of bipolar patients have found rates of binge eating from 13% to 38% (1,2). Moreover, epidemiologic research has demonstrated an association between subsyndromal (i.e., "soft spectrum") bipolar disorders and eating disorders in community samples of adolescents and adults (3,4).…”

Section: Introductionmentioning

confidence: 99%

Eating disorders and illness burden in patients with bipolar spectrum disorders

Wildes

Marcus

Fagiolini

2007

Comprehensive Psychiatry

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Objectives-To evaluate the clinical significance of lifetime eating disorder co-morbidity in a welldefined sample of patients with bipolar spectrum disorders and to describe cognitive correlates of disordered eating in this group.Method-Twenty-six bipolar patients with a lifetime history of a DSM-IV defined eating disorder (n = 17) or a clinically significant subthreshold eating disorder (n = 9) (ED group) were compared to 46 bipolar patients with no history of an eating disorder (No ED group) on demographic and clinical characteristics at study presentation, history of bipolar illness, and other psychiatric co-morbidity. Measures included the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), the Clinical Global Impression-Severity Scale-Bipolar Version (CGI-S-BP), and the Eating Disorder Examination (EDE). Height and weight were recorded to calculate body mass index (BMI).Results-Patients in the ED group were heavier and were rated as more symptomatic on the CGI-S-BP than were patients in the No ED group. The ED group also had a higher number of lifetime depressive episodes and greater psychiatric co-morbidity, excluding eating and mood disorders. Finally, after controlling for BMI and CGI-S-BP rating, patients in the ED group had significantly higher EDE Restraint, Eating Concern, Shape Concern, Weight Concern, and Global scores than did patients in the No ED group.Conclusions-These findings highlight the need for a renewed emphasis on the evaluation and management of weight and eating in the mood disorders. In particular, this research suggests that eating disorder co-morbidity may be a marker for increased symptom load and illness burden in bipolar disorder.

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“…Various studies found a significant relationship between BD and eating disorders (McElroy, Kotwal, & Keck, 2006;McElroy, Kotwal, Keck, & Akiskal, 2005;Moya, Cordas, & Lafer, 2004). Woodside and Staab (2006) suggested that both pharmacotherapy and psychotherapy would be useful in treating clients with comorbidity of BD and eating disorders.…”

Section: Potential Eeeects Oe Bd On Clients' Quality Oe Lieementioning

confidence: 98%

The Use of Narrative Therapy with Clients Diagnosed with Bipolar Disorder

Ngazimbi

Lambie

Shillingford

2008

Journal of Creativity in Mental Health

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Clients diagnosed with bipolar disorder often suffer from mood instability, and research suggests that these clients need both counseling services and pharmacotherapy. Narrative therapy is a social constructionist approach grounded on the premise that there is no single "truth"; individuals may create new meanings and retell their stories to overcome the discourses that have oppressed them. This manuscript (a) reviews bipolar disorder and the traditional therapeutic approaches employed to treat the disorder, (b) introduces the theoretical constructs of therapy, and (c) presents a case illustration of the application of narrative therapy with a client diagnosed with bipolar disorder.

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Comorbidity of eating disorders with bipolar disorder and treatment implications

Abstract: Pharmacologic treatment approaches to patients with BD and a co-occurring eating disorder require examination of the possible adverse effects of the treatment of each syndrome on the other and attempts to manage both syndromes with agents that might be beneficial to both.

Cited by 94 publications

References 112 publications

Sex difference in using the SCOFF questionnaire to identify eating disorder patients at a psychiatric outpatient clinic

Sex difference in using the SCOFF questionnaire to identify eating disorder patients at a psychiatric outpatient clinic

Eating disorders and illness burden in patients with bipolar spectrum disorders

The Use of Narrative Therapy with Clients Diagnosed with Bipolar Disorder

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