Lifetime co-morbidity with different subtypes of eating disorders in 148 females with bipolar disorders

Comorbilidad entre el trastorno bipolar y los trastornos de la conducta alimentaria

“…Gravedad del TB: inicio del TB más temprano (sobre todo en AN) 9 , más episodios anímicos (predominantemente depresión 2,5,6,17 ) y más sintomáticos (sobre todo con TA) 3,5,9 . 2.…”

Comorbidity

“…It seems that when the ED spectrum is studied along with the BD spectrum, comorbidity and clinical correlates become stronger and more meaningful (McElroy et al 2005 ). Concerning specifi c ED, around 8.8-12.9 % of BD patients are also suffering from binge eating disorder (BED) (Bellani et al 2012 ;Kruger et al 1996 ;McElroy et al 2011McElroy et al , 2013Schoofs et al 2011 ;Krishnan 2005 ;Fornaro et al 2010 ;Angst 1998 ). Around two times, these rates manifest subthreshold BED, and 42.3 % of patients with comorbid BED and BD are obese (McElroy et al 2013 ;Kruger et al 1996 ).…”

“…It is reported that 80 % of BD-BED patients noticed regular weight gain prior to menses (Schoofs et al 2011 ). Anorexia nervosa (AN) is seen in 0-3.1 % of BD patients, and more frequent in younger ones Fogarty et al 1994 ;McElroy et al 2001McElroy et al , 2011Pini et al 1999 ;Seixas et al 2012 ;Fornaro et al 2010 ). It might be absent during periods of mania (Fogarty et al 1994 ).…”

“…It might be absent during periods of mania (Fogarty et al 1994 ). Bulimia nervosa (BN) is seen in 1.4-7.5 % of BD patients (Baldassano et al 2005 ;McElroy et al 2001McElroy et al , 2011Pini et al 1999 ;Strakowski et al 1992Strakowski et al , 1993Vieta et al 2001 ;Seixas et al 2012 ;Fornaro et al 2010 ) and up to 7-12 % in bipolar females (Baldassano et al 2005 ;Strakowski et al 1992 ;Schuckit et al 1996 ). Reversely, BN patients are at a 4.5 times higher risk to also suffer from BD (Lunde et al 2009 ).…”

“…Female patients with ED have an earlier onset of BD and an increased number of mood episodes, predominantly depressive (Mantere et al 2010 ;Brietzke et al 2011 ). Rapid cycling and comorbid drug abuse might be more common in BED-BD patients (Brietzke et al 2011 ;Fornaro et al 2010 ) After controlling for obesity, BED was found to correlate with suicidality, psychosis, mood instability, anxiety disorder comorbidity and substance abuse comorbidity (Brietzke et al 2011 ;McElroy et al 2013 ). Reversely, after controlling for BED status, obesity was found to correlate with greater general medical comorbidity, but lower substance abuse comorbidity (McElroy et al 2013 ).…”