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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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    • "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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