Eating disorders and bipolar disorders comorbidity

Abstract

Recent data indicate bipolar disorders (BPD) often co-occurs with eating disorders (ED), but comorbidity of BPD and EDs remains relatively unexplained and unexamined. We reviewed studies addressing comorbidity of EDs in BPD and studies BPD in patients with EDs. The results of the clinical studies indicate that patients with BPD have higher rates of eating disorders compared with the general population. Rates of lifetime BPD in eating disorders are variable but higher than rates of BPD in the general population. Diagnostic, prognostic and treatment implications of these findings are discussed.

Keywords

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Yeme bozuklukları ve iki uçlu mizaç bozuklukları ekhastalığı

Öz

İki Uçlu Mizaç Bozuklukları’nın (İUMB) Yeme Bozuklukları (YB) ile yüksek oranda birlikte görüldüğünü bildiren çalışmalar yapılmıştır; fakat İUMB ile YB ekhastalığı nisbeten az çalışılmış ve tam olarak anlaşılmamış bir konudur. İki uçlu mizaç bozukluklu hastalarda yeme bozuklukları ve yeme bozukluklarında iki uçlu bozukluk ekhastalığı ile ilgili çalışmaları gözden geçirdik. Klinik çalışmaların sonuçlarına göre İUMB olan hastalarda toplumda görülen oranlardan daha yüksek oranlarda YB saptanmıştır. YB’de İUMB görülme oranları değişken olmakla birlikte genel toplumda görülen orandan daha yüksek çıkmıştır. Bu bulguların teşhiş, prognoz ve tedavi açısından önemi ve yansımaları tartışılmıştır.

Anahtar Kelimeler

• İki uçlu bozukluk, yeme bozuklukları, depresyon, ekhastalık

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