Examining weekly relationships between obsessive-compulsive and eating disorder symptoms

•ED symptoms, obsessions and compulsions were associated across five weeks.•ED symptoms associated longitudinally with OCD obsessions across five weeks.•OCD obsessions associated longitudinally with ED symptoms across five weeks.•OCD compulsions did not associate longitudinally with ED symptoms long...

Full description

Saved in:
Bibliographic Details
Published in:Journal of affective disorders 2022-02, Vol.298 (Pt A), p.9-16
Main Authors: Kinkel-Ram, Shruti S., Grunewald, William, Ortiz, Shelby N., Magee, Joshua M., Smith, April R.
Format: Article
Language:English
Subjects:
Comorbidity
Compulsive Behavior - epidemiology
Eating disorders
Feeding and Eating Disorders - diagnosis
Feeding and Eating Disorders - epidemiology
Humans
Male
Obsessive Behavior
Obsessive-compulsive disorder
Obsessive-Compulsive Disorder - diagnosis
Obsessive-Compulsive Disorder - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:•ED symptoms, obsessions and compulsions were associated across five weeks.•ED symptoms associated longitudinally with OCD obsessions across five weeks.•OCD obsessions associated longitudinally with ED symptoms across five weeks.•OCD compulsions did not associate longitudinally with ED symptoms longitudinally or vice versa.•Preliminary evidence for a bidirectional relationship between ED symptoms and obsessions. Despite the severity and high rate of co-occurrence between eating disorders (ED) and obsessive-compulsive disorder (OCD), less is known regarding the longitudinal sequencing of their comorbidity and whether and how their symptoms may influence one another over time. The current study sought to answer these questions by testing if a bidirectional, longitudinal relationship exists between ED symptoms and OCD obsessions and compulsions. We examined the relationship between ED symptoms, obsessions and compulsions across five time points, each one week apart using auto-regressive cross-lagged panel modeling. The final sample consisted of 358 individuals from the community with moderate levels of ED and OCD symptoms, the majority of whom identified as White and male. Bivariate correlations revealed that ED symptoms, obsessions and compulsions were associated with one another across the five weeks. Two cross-lagged panel models indicated that ED symptoms predicted OCD symptoms at numerous time points and vice versa. However, we found this significant longitudinal associations across only certain weeks. Notably, the models found that only ED symptoms and OCD obsessions predicted one another across different time points across the five weeks; ED symptoms and OCD compulsions did not predict one another. Limitations. Due to the non-clinical nature of the sample, there is limited generalizability to clinical populations. Our results provide preliminary evidence that there is a bidirectional, longitudinal relationship between ED symptoms and OCD symptoms among a community sample, particularly with respect to cognitive as opposed to behavioral symptoms.
ISSN:0165-0327
1573-2517
DOI:10.1016/j.jad.2021.10.105