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P02-324 - Obsessive Symptoms and Traits in a Sample of Spanish Outpatients with Anorexia and Bulimia Nervosa

Published online by Cambridge University Press:  17 April 2020

R. Ramos-Ríos ,
M. Tajes-Alonso ,
P. Martínez-Gómez ,
M.J. Gastañaduy-Tilve ,
I. González-Lado ,
S. Martínez-Formoso  and
M. Arrojo-Romero
R. Ramos-Ríos
Affiliation:
Department of Psychiatry, Santiago de Compostela, Spain
M. Tajes-Alonso
Affiliation:
Department of Psychiatry, Santiago de Compostela, Spain Eating Disorders Unit, Complexo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain
P. Martínez-Gómez
Affiliation:
Department of Psychiatry, Santiago de Compostela, Spain
M.J. Gastañaduy-Tilve
Affiliation:
Eating Disorders Unit, Complexo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain
I. González-Lado
Affiliation:
Eating Disorders Unit, Complexo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain
S. Martínez-Formoso
Affiliation:
Department of Psychiatry, Santiago de Compostela, Spain
M. Arrojo-Romero
Affiliation:
Department of Psychiatry, Santiago de Compostela, Spain

Abstract

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Objectives

Nowadays several authors defend the existence of an obsessive-compulsive (OC) spectrum in which eating disorders (ED), especially anorexia nervosa, would be include. We investigated the presence of OC symptoms in bulimic and anorexic patients and its relationships with personality traits.

Method

The Maudsley Obsessive Compulsive Questionnaire (MOCQ) and the revised version of the Temperament and Character Inventory (TCI-R) were administered to patients and healthy controls.

Results

Patients show higher scores than controls in the global punctuation of de MOCQ, and in the checking and doubt subscales. Cases also score higher in harm avoidance (dimension associated with personality disorders of cluster C) and in its subscale anticipatory worry. No differences were found between patients subgroups.

 Restricting Anorexia Nervosa (RAN, n = 21)Binging-Purging Anorexia Nervosa (BPAN, n = 29)Bulimia Nervosa (BN, n = 34)Control (C, n = 52)p 
MOCQ11.912.611.87.8<0.001RAN, BPAN, BN > C
Checking subscale (MOCQ)33.93.41.7<0.001BPAN, BN > C
Cleanness (MOCQ)3.83.83.93.20.36n. s.
Slowness (MOCQ)3.22.82.82.80.64n. s
Doubt (MOCQ)3.843.721.4<0.001RAN, BPAN, BN > C
Harm avoidance (TCI-R)116.1118.4116.7104.50.005BPAN, BN > C
Anticipatory worry vs optimism (TCI-R)39.238.238.431.9<0.001RAN, BPAN, BN > C

[Results]

Conclusions

Patients present more OC behaviours in comparison with healthy population but measures of obsessivity do not differ between the types of ED. Traits of personality characteristically associated to cluster C and to anxiety disorders seem to be also common features. These results do not support a separated classification of RAN into the OC spectrum.

Type
Psychosomatic disorders / Eating disorders / Somatoform disorders
Information
European Psychiatry , Volume 25 , Issue S1: 18th European Congress of Psychiatry. February 27, March 2, 2010 - Munich, Germany , 2010 , 25-E1023
Copyright
Copyright © European Psychiatric Association 2010
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