Comparison of obsession and compulsion in patients with anorexia nervosa and obsessive-compulsive disorder

University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania, USA.
Biological Psychiatry (Impact Factor: 10.25). 07/1996; 39(11):966-9. DOI: 10.1016/0006-3223(95)00306-1
Source: PubMed

ABSTRACT Patients with anorexia nervosa (n = 18) and patients with obsessive-compulsive disorder (OCD) (n = 16) had similar scores on the Yale-Brown Obsessive Compulsive Scale (19 + or - 9 vs. 22 + or - 6). This suggests that these disorders have similar magnitude of impairment from obsessions and compulsions; however, OCD patients endorsed a wide variety of obsessions and compulsions, whereas anorexics tended to endorse symptoms that were related to symmetry and order.

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    • "Although obsessions and rituals are central features of anorexia nervosa, these thoughts and behaviors are limited to food and dietary behaviors (e.g., rigidity about eating, inflexibility about dietary and exercise behaviors, obsession with weight and appearance). In a comparative study, Bastiani et al. (1996) found that OCD patients endorsed a wide variety of obsessions and compulsions, whereas patients with "
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    ABSTRACT: Obsessive-compulsive disorder (OCD) presents heterogeneously and can be difficult to assess in youth. This review focuses on research-supported assessment approaches for OCD in childhood. Content areas include pre-visit screening, diagnostic establishment, differential diagnosis, assessment of comorbid psychiatric conditions, tracking symptom severity, determining psychosocial functioning, and evaluating clinical improvement. Throughout this review, similarities and differences between assessment approaches geared towards clinical and research settings are discussed.
    Child and Youth Care Forum 04/2010; 39(2):73-89. DOI:10.1007/s10566-009-9092-8 · 1.25 Impact Factor
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    • "Godart et al. (2006) reported that the obsessive compulsive symptomatology increased the risk of depression among their AN subjects. Other studies have also pointed to obsessivecompulsiveness as the central feature of anorexia (Rastam, Gillberg & Gillberg, 1996; Toner, Garfinkel & Garner, 1986), and as a lifetime characteristic (Bastiani et al., 1996; Halmi et al., 2003) that may predate its onset and persist after recovery (Cassin & von Ranson, 2005; Halmi et al., 2003; Jacobi et al., 2004; Rastam, 1992; Srinivasagam et al., 1995). Bruce and Steiger (2005) claim that obsessionality, perfectionism and rigidity appear to be clear-cut risk and maintenance factors for anorexia nervosa. "
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    • "The relationship between and comorbidity of ED and obsessive compulsive disorder (OCD) have been extensively investigated [15-19]. Research findings show that ED has a considerable psychopathological overlap with OCD [20]. Hence, obsessions and compulsions cause a significant amount of distress and have a significant negative impact on the sufferer's interpersonal relations [21]. "
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    ABSTRACT: This study compares the family functioning of patients with anorexia nervosa (AN), bulimia nervosa (BN) and obsessive compulsive disorder (OCD). The study participants, who were all female, consisted of 15 patients with AN, 13 with BN, and 17 with OCD. Family functioning was assessed by using the Family Assessment Device self-rating scale. The study subjects also completed the Eating Attitudes Test. Subjects in the AN and BN groups did not differ statistically either from each other or from the OCD group in all 7 Family Assessment Device subscales. Patients with an eating disorder and OCD rated their family functioning in a similar way. It is difficult to conclude that patients with AN or BN have a specific type of family functioning, which is totally different from the family functioning of patients with OCD. Thus, the study results further support the idea that family interaction in eating disorders is not specific to these disorders, especially when compared with patients with OCD.
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