Comparison of obsessions & compulsions in patients with anorexia nervosa & obsessive-compulsive disorder

University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania, USA.
Biological Psychiatry (Impact Factor: 10.26). 07/1996; 39(11):966-9. DOI: 10.1016/0006-3223(95)00306-1
Source: PubMed


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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    • "In studies examining the overlap in symptomatology between AN and OCD, those with AN are more likely to exhibit OCD symptoms focussed on symmetry and order, and contamination obsessions and related compulsions (Bastiani et al., 1996; Hasler et al., 2005). Research to date has focussed on the relationship between eating disorders and OCD. "

    Journal of Obsessive-Compulsive and Related Disorders 10/2015; · 1.18 Impact Factor
    • "Several authors have suggested that anorexia nervosa could be considered a form of OCD (e.g., Kaye, Weltzin, & Hsu 1993; Solyom, Freeman, & Miles, 1982). Interestingly, some studies found symmetry obsessions to be the most common obsessions in patients with anorexia (Bastiani et al., 1996; Matsunaga et al., 1999). Furthermore, Halmi et al. (2003) found that anorexia nervosa subgroups were similar to OCD patients in terms of the frequency of obsessions in the symmetry and somatic categories and in the compulsion categories of ordering and hoarding. "
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    ABSTRACT: Not Just Right Experiences (NJREs) are considered to be a perceptually tinged phenomenon mainly related to obsessive-compulsive disorder (OCD). The evidence of an association between NJREs and OCD or OC symptoms have been accumulating in the last few years, whereas there is a paucity of studies about the role of this construct in other clinical conditions considered part of the "OCD spectrum". In the current study, the NJRE-Q-R Severity scale (a well-validated measure of NJREs) was administered to 41 patients with OCD, 53 with hair-pulling disorder (HPD), 38 with gambling disorder (GD) and 43 with eating disorders (ED) along with measures of OC symptoms and general distress. In each group, NJREs were consistently associated with OC symptoms; moreover, the pattern of associations appeared coherent with the main clinical features of each disorder. The OCD group reported higher levels of NJREs severity than GD and ED, whereas there were no differences between the OCD and HPD groups. However, HPD patients did not have higher scores of NJREs severity than GD and ED counterparts. NJREs appear to be specific to OCD, but further study is needed to establish the role of this construct in OCD-related disorders. Copyright © 2015. Published by Elsevier Ltd.
    Journal of Anxiety Disorders 02/2015; 31:73-83. DOI:10.1016/j.janxdis.2015.02.002 · 2.96 Impact Factor
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    • "Rothenberg [3] proposed that eating disorders are a “variant” of Obsessive-Compulsive Disorder (OCD), evidenced by high comorbidity between OCD and AN [4-6] and reporting of obsessional symptoms in AN patients [7]. AN patients follow strict food and exercise routines, and commonly present with obsessions of contamination and symmetry as well as compulsions of checking and counting [8-10]. There is also some neuro-chemical evidence for the relationship, with altered serotonergic function (5-HT) apparent in OCD and AN [11]. "
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    ABSTRACT: Objective Obsessive-compulsive personality disorder (OCPD) traits and obsessive-compulsive disorder (OCD) are commonly associated with patients with Anorexia Nervosa (AN). The aim of this review was to systematically search the literature to examine whether OCPD and OCD are positively associated with excessive exercise in patients with AN. Method A systematic electronic search of the literature (using PsycInfo, Medline and Web of Knowledge) was undertaken to identify relevant publications until May 2012. Results A total of ten studies met criteria for inclusion in the review. The design of the studies varied from cross-sectional to retrospective and quasi-experimental. Seven out of the ten studies reviewed demonstrated a positive relationship between OCPD and/or OCD in AN patients who exercise excessively, whilst three studies found a lack of relationship, or a negative relationship, between these constructs. Conclusion There is evidence from the literature to suggest that there is a positive relationship between OCPD and excessive exercise in patients with AN. However, the relationship between OCD and excessive exercise is less clear and further research is required to qualify the strength of such relationships. Future research should utilise the most comprehensive and reliable clinical assessment tools, and address prognostic factors, treatment factors and specific interventions for patients with OCPD and/or OCD and excessive exercise.
    Journal of Eating Disorders 05/2013; 1(1). DOI:10.1186/2050-2974-1-16
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