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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The prevalence, odds and predictors of lifespan comorbid eating disorder among people with a primary diagnosis of bipolar disorders, and vice-versa: Systematic review and meta-analysis
Journal of Affective Disorders, Volume 280, Year 2021
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Description
Background: There are scarce and discrepant data about the prevalence and correlates of co-occurring eating disorders (EDs) among people with a primary diagnosis of bipolar disorder (BD), and vice-versa, compelling a systematic review and meta-analysis on the matter. Methods: MEDLINE/PsycINFO databases were systematically searched for original studies documenting BD⇌ED comorbidity across the lifespan, from inception up until April 20th, 2020. Random-effects meta-analysis and meta-regression analyses were conducted, accounting for multiple moderators. Results: Thirty-six studies involved 15,084 primary BD patients. Eleven studies encompassed 15,146 people with primary EDs. Binge eating disorder (BED) occurred in 12.5% (95%C.I.=9.4-16.6%, I2=93.48%) of BDs, while 9.1% (95%C.I.=3.3-22.6%) of BEDs endorsed BD. Bulimia Nervosa (BN) occurred in 7.4% (95%C.I.=6-10%) of people with BD, whereas 6.7% (95%C.I.=12-29.2%) of subjects with BN had a diagnosis of BD. Anorexia Nervosa (AN) occurred in 3.8% (95%C.I.=2-6%) of people with BDs; 2% (95%C.I.=1-2%) of BD patients had a diagnosis of AN. Overall, BD patients with EDs had higher odds of being female vs. non-ED controls. Several moderators yielded statistically significant differences both within- and between different types of BDs and EDs. Limitations: Scant longitudinal studies, especially across different EDs and pediatric samples. High heterogeneity despite subgroup comparisons. Limited discrimination of the quality of the evidence. Conclusions: The rates of BD⇌ED comorbidity vary across different diagnostic groups, more than they do according to the “direction” of BD⇌ED. Further primary studies should focus on the risks, chronology, clinical impact, and management of the onset of intertwined BD⇌ED across different ages, promoting a continuum approach. © 2020 Elsevier B.V.
Authors & Co-Authors
Fornaro, M.
Italy, Naples
Università Degli Studi Di Napoli Federico Ii
Daray, Federico Manuel
Argentina, Buenos Aires
Universidad de Buenos Aires
Stubbs, Brendon
United Kingdom, London
South London and Maudsley Nhs Foundation Trust
United Kingdom, London
Health Service and Population Research Department
De Berardis, Domenico
Unknown Affiliation
Shin, Jae Il I.
South Korea, Seoul
Yonsei University College of Medicine
Husain, Muhammad Ishrat
Canada, Toronto
University of Toronto
Canada, Toronto
Centre for Addiction and Mental Health
Dragioti, Elena
Sweden, Linkoping
Linköpings Universitet
Greece, Ioannina
Faculty of Medicine
Fusar-Poli, Paolo
United Kingdom, London
King's College London
United Kingdom, London
South London and Maudsley Nhs Foundation Trust
Italy, Pavia
Università Degli Studi Di Pavia
United Kingdom, Royston
National Institute for Health and Care Research
Solmi, Marco
United Kingdom, London
King's College London
Italy, Padua
Università Degli Studi Di Padova
Berk, Michael
Australia, Melbourne
University of Melbourne
Australia, Geelong
Barwon Health
Australia, Melbourne
Orygen Youth Health
Australia, Melbourne
The Florey
Vieta, Eduard
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
Carvalho, André F.
Canada, Toronto
University of Toronto
Canada, Toronto
Centre for Addiction and Mental Health
Statistics
Citations: 24
Authors: 12
Affiliations: 18
Identifiers
Doi:
10.1016/j.jad.2020.11.015
ISSN:
01650327
Research Areas
Genetics And Genomics
Mental Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Systematic review
Participants Gender
Female