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Eating disorder features in bipolar disorder: clinical implications


McAulay, C and Mond, J and Outhred, T and Malhi, GS and Touyz, S, Eating disorder features in bipolar disorder: clinical implications, Journal of Mental Health pp. 1-11. ISSN 0963-8237 (2021) [Refereed Article]

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Copyright 2021 Informa UK Limited

DOI: doi:10.1080/09638237.2021.1875401


Background: Bipolar disorder (BD) is associated with elevated rates of eating disorders (EDs), but the nature and impact of specific ED features are unclear.

Aims: This study sought to identify which ED features are common in BD, and whether these relate to quality of life (QoL) impairment and body mass index (BMI).

Method: A clinical sample of 73 adults with BD completed self-report measures of health, ED features, emotion regulation ability, impulsivity, and QoL.

Results: Binge eating (45%), excessive dietary restriction (39%), overvaluation of weight/shape (51%), purging (16%) and driven exercise (27%) were common, and associated with a poorer clinical picture, including poorer QoL and poorer emotion regulation. Furthermore, regular binge eating episodes explained a significant proportion of variance in QoL impairment after controlling for other significant predictors. The best predictors of BMI were number of medical conditions, impulsivity and positive beliefs about binge eating.

Conclusions: ED features that may not meet criteria for a fully diagnosable ED - particularly overvaluation of weight/shape and binge eating - warrant greater attention, as they may still significantly worsen QoL. Future research should focus on modifying existing psychological interventions to better target ED features among individuals with BD and thereby improve clinical outcomes.

Item Details

Item Type:Refereed Article
Keywords:bipolar disorder, binge eating, comorbidity, eating disorders, emotion regulation, impulsivity
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Mental health services
UTAS Author:Mond, J (Dr Jon Mond)
ID Code:146734
Year Published:2021
Web of Science® Times Cited:2
Deposited By:UTAS Centre for Rural Health
Deposited On:2021-09-23
Last Modified:2021-11-23

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