Family study of the aggregation of eating disorders and mood disorders

Psychol Med. 2003 Oct;33(7):1319-23. doi: 10.1017/s0033291703008250.

Abstract

Background: Family studies have suggested that eating disorders and mood disorders may coaggregate in families. To study further this question, data from a family interview study of probands with and without major depressive disorder was examined.

Method: A bivariate proband predictive logistic regression model was applied to data from a family interview study, conducted in Innsbruck, Austria, of probands with (N = 64) and without (N = 58) major depressive disorder, together with 330 of their first-degree relatives.

Results: The estimated odds ratio (OR) for the familial aggregation of eating disorders (anorexia nervosa, bulimia nervosa and binge-eating disorder) was 7.0 (95 % CI 1.4, 28; P = 0.006); the OR for the familial aggregation of mood disorders (major depression and bipolar disorder) was 2.2 (0.92, 5.4; P = 0.076); and for the familial coaggregation of eating disorders with mood disorders the OR was 2.2 (1.1, 4.6; P = 0.035).

Conclusions: The familial coaggregation of eating disorders with mood disorders was significant and of the same magnitude as the aggregation of mood disorders alone--suggesting that eating disorders and mood disorders have common familial causal factors.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Anorexia Nervosa / diagnosis
  • Anorexia Nervosa / epidemiology
  • Anorexia Nervosa / genetics*
  • Anorexia Nervosa / psychology
  • Austria
  • Bipolar Disorder / diagnosis
  • Bipolar Disorder / epidemiology
  • Bipolar Disorder / genetics*
  • Bipolar Disorder / psychology
  • Bulimia / diagnosis
  • Bulimia / epidemiology
  • Bulimia / genetics*
  • Bulimia / psychology
  • Causality
  • Comorbidity
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / epidemiology
  • Depressive Disorder, Major / genetics*
  • Depressive Disorder, Major / psychology
  • Female
  • Humans
  • Interview, Psychological
  • Logistic Models
  • Male
  • Middle Aged
  • Odds Ratio