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A comparison of anorexia nervosa and affective psychosis in young females

Published online by Cambridge University Press:  09 July 2009

John M. Eagles*
Affiliation:
Royal Cornhill Hospital, Aberdeen
Arlette M. Wilson
Affiliation:
Royal Cornhill Hospital, Aberdeen
David Hunter
Affiliation:
Royal Cornhill Hospital, Aberdeen
John S. Callender
Affiliation:
Royal Cornhill Hospital, Aberdeen
*
1Address for correspondence: Dr John M. Eagles, Ross Clinic, Royal Cornhill Hospital, Cornhill Road, Aberdeen AB9 2ZF.

Synopsis

In a retrospective case note study, 73 young females with anorexia nervosa were compared with 88 young females with affective psychosis. These groups of patients did not differ in terms of place of residence, birth order or social class. They differed very significantly, however, in terms of age at onset of symptoms, marital status, educational attainments and in the pattern of family histories of psychiatric illness. It is concluded that anorexics and young females with affective disorders are two quite distinct groups of patients.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1990

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References

Altshuler, K. Z. & Weiner, M. F. (1985). Anorexia nervosa and depression: a dissenting view. American Journal of Psychiatry 142, 328332.Google ScholarPubMed
Blazer, D. M., George, L.K., Landerman, R., Pennybacker, M., Melville, M. L., Woodbury, M., Manton, K. G., Jordon, K. & Locke, B. (1985). Psychiatric disorders: a rural/urban comparison. Archives of General Psychiatry 42, 651656.CrossRefGoogle ScholarPubMed
Bruch, H. (1973). Eating Disorders: Obesity, Anorexia Nervosa and the Person Within. Basic Books: New York.Google Scholar
Cantwell, D. P., Sturzenberger, S., Burroughs, J., Salkin, B. & Green, J. K. (1977). Anorexia nervosa: an affective disorder? Archives of General Psychiatry 34, 10871093.CrossRefGoogle ScholarPubMed
Crisp, A. H. (1983). Anorexia nervosa. British Medical Journal 287, 855858.CrossRefGoogle ScholarPubMed
Crisp, A. H., Hsu, L. K. G., Harding, B. & Hartshorn, J. (1980). Clinical features of anorexia nervosa: a study of consecutive series of 102 female patients. Journal of Psychosomatic Research 24, 179191.CrossRefGoogle ScholarPubMed
Crowell, B. A., George, L. K., Blazer, D. & Landerman, R. (1986). Psychosocial risk factors and urban/rural differences in the prevalence of major depression. British Journal of Psychiatry 149, 307314.CrossRefGoogle Scholar
Eagles, J. M. & Whalley, L. J. (1985). Ageing and affective disorders: the age at first onset of affective disorders in Scotland 1969–1978. British Journal of Psychiatry 147, 180187.CrossRefGoogle ScholarPubMed
Garner, D. M. & Garfinkel, P. E. (1980). Social cultural factors in the development of anorexia nervosa. Psychological Medicine 10, 647656.CrossRefGoogle ScholarPubMed
Holland, A. J., Hall, A., Murray, R., Russell, G. F. M. & Crisp, A. H. (1984). Anorexia nervosa: a study of 34 twin pairs and one set of triplets. British journal of Psychiatry 145, 414419.CrossRefGoogle ScholarPubMed
Hsu, L. K. G. (1983). The aetiology of anorexia nervosa. Psychological Medicine 13, 231238.Google ScholarPubMed
Johnson-Sabine, E., Wood, K., Patton, G., Mann, A. & Wakeling, A. (1988). Abnormal eating attitudes in London schoolgirls a prospective epidemiological study: factors associated with abnormal response on screening questionnaires. Psychological Medicine 18, 615622.CrossRefGoogle ScholarPubMed
Katz, J. L. (1987). Eating disorder and affective disorder: relatives or merley chance acquaintances. Comprehensive Psychiatry 28, 220228.CrossRefGoogle ScholarPubMed
McGuffin, R., Katz, R., Aldrich, J. & Bebbington, P. (1988). The Camberwell Collaborative Depression Study. II. Investigation of family member. British Journal of Psychiatry 152, 766774.CrossRefGoogle Scholar
Morgan, H. G. & Russell, G. F. M. (1975). Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa. Psychological Medicine 5, 355371.CrossRefGoogle ScholarPubMed
Munoz, R. A. & Amado, H. (1986). Anorexia nervosa: an affective disorder? New Directions for Mental Health Services 31, 1319.CrossRefGoogle Scholar
Pope, H. G., Champoux, R. F. & Hudson, J. I. (1987). Eating disorder and socioeconomic class: anorexia nervosa and bulimia in nine communities. Journal of Nervous and Mental Diseases 175, 620623.CrossRefGoogle ScholarPubMed
Reich, R., Van Eerdewegh, P., Rice, J., Mullaney, J., Endicott, J. & Klerman, G. L. (1987). The familial transmission of primary major depressive disorder. Journal of Psychiatric Research 21, 613624.CrossRefGoogle ScholarPubMed
Rice, J., Reich, T., Andreasen, N. C., Endicott, J., Van Eerdewegh, M., Fishman, R., Hirschfeld, R. M. A. & Klerman, G. L. (1987). The familial transmission of bipolar illness. Archives of General Psychiatry, 44, 441447.CrossRefGoogle ScholarPubMed
Rivinus, T. M., Biederman, J., Herzog, D. B., Kemper, K., Harper, G. P., Harmatz, J. S. & Houseworth, S. (1984). Anorexia nervosa and affective disorders: a controlled family history study. American Journal of Psychiatry 141, 14141418.Google ScholarPubMed
Strober, M. & Katz, J. L. (1987). Do eating disorders and affective disorders share a common aetiology? A dissenting opinion. International Journal of Eating Disorders 6, 171180.3.0.CO;2-I>CrossRefGoogle Scholar
Strober, M., Morrell, W., Burroughs, J., Salkin, B. & Jacobs, C. (1985). A controlled family study of anorexia nervosa. Journal of Psychiatric Research 19, 239246.CrossRefGoogle ScholarPubMed
Strober, M., Salkin, B., Burroughs, J. & Morrell, W. (1982). Validity of the bulimia-restrictor distinction in anorexia nervosa: parental personality characteristics and family psychiatric morbidity. Journal of Nervous and Mental Diseases 170, 345351.CrossRefGoogle ScholarPubMed
Swift, W. J., Andrews, D. & Barklage, N. E. (1986). The relationship between affective disorder and eating disorder: a review of the literature. American Journal of Psychiatry 143, 290299.Google ScholarPubMed
Szmukler, G. I. (1985). The epidemiology of anorexia nervosa and bulimia. Journal of Psychiatric Research 19, 143153.CrossRefGoogle ScholarPubMed
Szmukler, G. I. (1987). Some comments on the link between anorexia nervosa and affective disorder. International Journal of Eating Disorders 6, 181189.3.0.CO;2-C>CrossRefGoogle Scholar
Theander, S. (1970). Anorexia nervosa: a psychiatric investigation of 94 female patients. Acta Psychiatrica Scandinavica Supplement 214.Google Scholar
Vandereyeken, W. (1987). Are anorexia nervosa and bulimia variants of affective disorders? Acta Psychiatrica Belgica 87, 267280.Google Scholar
Weissman, M. M., Wickramaratne, P., Merikangas, K. R., Leckman, J. F., Prusoff, B. A., Caruso, K. A., Kidd, K. K. & Gammon, G. D. (1984). Onset of major depression in early adulthood: increased familial loading and specificity. Archives of General Psychiatry 41 11361143.CrossRefGoogle ScholarPubMed
Winokur, A., March, V. & Mendels, J. (1980). Primary affective disorder in relatives of patients with anorexia nervosa. American Journal of Psychiatry 137, 695698.Google ScholarPubMed
World Health Organization (1967). Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death, 1965 revision (8th edition) (ICD-8). Geneva: WHO.Google Scholar