Psychiatric Comorbidities among Female Adolescents with Anorexia Nervosa |
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Authors: | Harriet Salbach-Andrae Klaus Lenz Nicole Simmendinger Nora Klinkowski Ulrike Lehmkuhl Ernst Pfeiffer |
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Institution: | 01. Department of Child and Adolescent Psychiatry, Psychosomatic and Psychotherapy, Charité, Universit?tsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany
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Abstract: | This study investigated current comorbid Axis I diagnoses associated with Anorexia Nervosa (AN) in adolescents. The sample
included 101 female adolescents treated at a psychiatric unit for primary DSM-IV diagnoses of AN. 73.3% of the AN patients
were diagnosed as having a current comorbidity of at least one comorbid Axis I diagnosis, with no differences across AN subtypes.
Mood disorders (60.4%) were most commonly identified, followed by the category anxiety disorders without obsessive-compulsive
disorders (OCD) (25.7%), OCD (16.8%) and substance use disorders (7.9%). Two specific diagnoses differed across the two subtypes
of AN. Substance use disorder was 18 times, and the category anxiety disorder without OCD was three times as likely to co-occur
with AN binge-eating disorder and purging type than with AN restricting type. Clinicians should be alerted to the particularly
high rate of psychiatric comorbidities in adolescents suffering from AN. |
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Keywords: | Anorexia nervosa Adolescents Comorbidity Axis I |
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