Is major depressive disorder or dysthymia more strongly associated with bulimia nervosa?

Int J Eat Disord. 2004 Jul;36(1):55-61. doi: 10.1002/eat.20020.

Abstract

Objective: Research on adult samples has found that the comorbidity between depression and eating disorders exceeds the comorbidity of any other Axis I disorder and eating disorders. Few studies have investigated the specific associations of major depression versus dysthymia with eating disorders.

Method: This sample consisted of 937 adolescents who were repeatedly assessed until the age of 24.

Results: Analyses revealed that dysthymia was a stronger correlate with bulimia than major depression, even while controlling for other mood disorders and a history of depression and dysthymia.

Conclusions: The presence of dysthymia in adolescence might be a possible risk factor for the development of bulimia nervosa.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Bulimia / diagnosis
  • Bulimia / epidemiology*
  • Comorbidity
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / epidemiology*
  • Dysthymic Disorder / diagnosis
  • Dysthymic Disorder / epidemiology*
  • Female
  • Humans
  • Male
  • Prevalence
  • Severity of Illness Index
  • Surveys and Questionnaires