Are eating disorders associated with bipolar disorder type I? Results of a Lebanese case-control study

Sahar Obeid; Alaa Chok; Hala Sacre; Chadia Haddad; Fouad Tahan; Lara Ghanem; Jocelyne Azar; Souheil Hallit

doi:10.1111/ppc.12567

Are eating disorders associated with bipolar disorder type I? Results of a Lebanese case-control study

Perspect Psychiatr Care. 2021 Jan;57(1):326-334. doi: 10.1111/ppc.12567. Epub 2020 Jul 5.

Authors

Sahar Obeid^{1

2

3}, Alaa Chok⁴, Hala Sacre³, Chadia Haddad¹, Fouad Tahan^{1

4}, Lara Ghanem⁴, Jocelyne Azar^{1

4

5}, Souheil Hallit^{3

6}

Affiliations

¹ Departments of Research, Psychology, and Psychiatry, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.
² Department of Psychology, Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.
³ INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie- Liban, Beirut, Lebanon.
⁴ Faculty of Science, Lebanese University, Fanar, Lebanon.
⁵ Faculty of Medicine, Lebanese American University, Byblos, Lebanon.
⁶ Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.

PMID: 32627196
DOI: 10.1111/ppc.12567

Abstract

Objectives: To assess the association between disordered eating and bipolar disorder (BD).

Methods/design: A case-control study, conducted between April and September 2018, enrolled 50 patients and 50 controls.

Results: Higher eating attitude test scores were significantly associated with the presence of BD. This association remained after the introduction of other factors (marital status, family history of BD, shopping and gambling addictions, sleep quality, and insomnia severity) that were also associated with the presence of BD.

Practical implications: This study suggested that eating disorders are associated with BD type I, independent of mediating factors. Health care providers should consider pharmacological or psychotherapeutic interventions that could treat both syndromes sparingly.

Keywords: bipolar disorder; eating disorders; insomnia; shopping addiction; violence.

MeSH terms

Behavior, Addictive
Bipolar Disorder / epidemiology*
Case-Control Studies
Feeding and Eating Disorders / epidemiology*
Female
Humans
Male
Sleep Initiation and Maintenance Disorders / epidemiology