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  1. Article ; Online: Psychological interventions for interoception in mental health disorders: A systematic review of randomized-controlled trials.

    Heim, Nikolas / Bobou, Marina / Tanzer, Michal / Jenkinson, Paul M / Steinert, Christiane / Fotopoulou, Aikaterini

    Psychiatry and clinical neurosciences

    2023  Volume 77, Issue 10, Page(s) 530–540

    Abstract: Disturbed interoception (i.e., the sensing, awareness, and regulation of internal body signals) has been found across several mental disorders, leading to the development of interoception-based interventions (IBIs). Searching PubMed and PsycINFO, we ... ...

    Abstract Disturbed interoception (i.e., the sensing, awareness, and regulation of internal body signals) has been found across several mental disorders, leading to the development of interoception-based interventions (IBIs). Searching PubMed and PsycINFO, we conducted the first systematic review of randomized-controlled trials (RCTs) investigating the efficacy of behavioral IBIs at improving interoception and target symptoms of mental disorders in comparison to a non-interoception-based control condition [CRD42021297993]. Thirty-one RCTs fulfilled inclusion criteria. Across all studies, a pattern emerged with 20 (64.5%) RCTs demonstrating IBIs to be more efficacious at improving interoception compared to control conditions. The most promising results were found for post-traumatic stress disorder, irritable bowel syndrome, fibromyalgia and substance use disorders. Regarding symptom improvement, the evidence was inconclusive. The IBIs were heterogenous in their approach to improving interoception. The quality of RCTs was moderate to good. In conclusion, IBIs are potentially efficacious at improving interoception for some mental disorders. In terms of symptom reduction, the evidence is less promising. Future research on the efficacy of IBIs is needed.
    MeSH term(s) Humans ; Mental Health ; Psychosocial Intervention ; Interoception ; Stress Disorders, Post-Traumatic/psychology ; Substance-Related Disorders ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2023-08-09
    Publishing country Australia
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1292906-2
    ISSN 1440-1819 ; 1323-1316
    ISSN (online) 1440-1819
    ISSN 1323-1316
    DOI 10.1111/pcn.13576
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  2. Article: Psychological interventions for interoception in mental health disorders

    Heim, Nikolas / Bobou, Marina / Tanzer, Michal / Jenkinson, Paul M. / Steinert, Christiane / Fotopoulou, Aikaterini

    Psychiatry and Clinical Neurosciences

    A systematic review of randomized-controlled trials

    2023  Volume 77, Issue 10, Page(s) 530–540

    Abstract: Disturbed interoception (i.e., the sensing, awareness, and regulation of internal body signals) has been found across several mental disorders, leading to the development of interoception-based interventions (IBIs). Searching PubMed and PsycINFO, we ... ...

    Title translation Psychologische Interventionen zur Interozeption bei psychischen Störungen: Eine systematische Übersicht über randomisiert-kontrollierte Studien
    Abstract Disturbed interoception (i.e., the sensing, awareness, and regulation of internal body signals) has been found across several mental disorders, leading to the development of interoception-based interventions (IBIs). Searching PubMed and PsycINFO, we conducted the first systematic review of randomized-controlled trials (RCTs) investigating the efficacy of behavioral IBIs at improving interoception and target symptoms of mental disorders in comparison to a non-interoception-based control condition [CRD42021297993]. Thirty-one RCTs fulfilled inclusion criteria. Across all studies, a pattern emerged with 20 (64.5%) RCTs demonstrating IBIs to be more efficacious at improving interoception compared to control conditions. The most promising results were found for posttraumatic stress disorder, irritable bowel syndrome, fibromyalgia and substance use disorders. Regarding symptom improvement, the evidence was inconclusive. The IBIs were heterogenous in their approach to improving interoception. The quality of RCTs was moderate to good. In conclusion, IBIs are potentially efficacious at improving interoception for some mental disorders. In terms of symptom reduction, the evidence is less promising. Future research on the efficacy of IBIs is needed.
    Keywords Body Awareness ; Cognitive Therapy ; Interoception ; Interozeption ; Intervention ; Kognitive Therapie ; Körperbewusstsein ; Mental Disorders ; Psychische Störungen ; Randomisierte kontrollierte Studien ; Randomized Controlled Trials ; Therapieergebnisse ; Treatment Outcomes
    Language English
    Document type Article
    ZDB-ID 1292906-2
    ISSN 1440-1819 ; 1323-1316
    ISSN (online) 1440-1819
    ISSN 1323-1316
    DOI 10.1111/pcn.13576
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  3. Article: Differing impact of the COVID-19 pandemic on youth mental health: combined population and clinical study.

    Qi, Lu / Zhang, Zuo / Robinson, Lauren / Bobou, Marina / Gourlan, Chantal / Winterer, Jeanne / Adams, Rebecca / Agunbiade, Kofoworola / Zhang, Yuning / King, Sinead / Vaidya, Nilakshi / Artiges, Eric / Banaschewski, Tobias / Bokde, Arun L W / Broulidakis, M John / Brühl, Rüdiger / Flor, Herta / Fröhner, Juliane H / Garavan, Hugh /
    Grigis, Antoine / Heinz, Andreas / Hohmann, Sarah / Martinot, Marie-Laure Paillère / Millenet, Sabina / Nees, Frauke / van Noort, Betteke Maria / Orfanos, Dimitri Papadopoulos / Poustka, Luise / Sinclair, Julia / Smolka, Michael N / Whelan, Robert / Stringaris, Argyris / Walter, Henrik / Martinot, Jean-Luc / Schumann, Gunter / Schmidt, Ulrike / Desrivières, Sylvane

    BJPsych open

    2023  Volume 9, Issue 6, Page(s) e217

    Abstract: Background: Identifying youths most at risk to COVID-19-related mental illness is essential for the development of effective targeted interventions.: Aims: To compare trajectories of mental health throughout the pandemic in youth with and without ... ...

    Abstract Background: Identifying youths most at risk to COVID-19-related mental illness is essential for the development of effective targeted interventions.
    Aims: To compare trajectories of mental health throughout the pandemic in youth with and without prior mental illness and identify those most at risk of COVID-19-related mental illness.
    Method: Data were collected from individuals aged 18-26 years (
    Results: Mental health trajectories differed significantly between cohorts. In the population cohort, depression and eating disorder symptoms increased by 33.9% (95% CI 31.78-36.57) and 15.6% (95% CI 15.39-15.68) during the pandemic, respectively. By contrast, these remained high over time in the clinical cohort. Conversely, trajectories of alcohol misuse were similar in both cohorts, decreasing continuously (a 15.2% decrease) during the pandemic. Pre-pandemic symptom severity predicted the observed mental health trajectories in the population cohort. Surprisingly, being relatively healthy predicted increases in depression and eating disorder symptoms and in body mass index. By contrast, those initially at higher risk for depression or eating disorders reported a lasting decrease.
    Conclusions: Healthier young people may be at greater risk of developing depressive or eating disorder symptoms during the COVID-19 pandemic. Targeted mental health interventions considering prior diagnostic risk may be warranted to help young people cope with the challenges of psychosocial stress and reduce the associated healthcare burden.
    Language English
    Publishing date 2023-11-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2829557-2
    ISSN 2056-4724
    ISSN 2056-4724
    DOI 10.1192/bjo.2023.601
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  4. Article: Machine learning models for diagnosis and risk prediction in eating disorders, depression, and alcohol use disorder.

    Desrivières, Sylvane / Zhang, Zuo / Robinson, Lauren / Whelan, Robert / Jollans, Lee / Wang, Zijian / Nees, Frauke / Chu, Congying / Bobou, Marina / Du, Dongping / Cristea, Ilinca / Banaschewski, Tobias / Barker, Gareth / Bokde, Arun / Grigis, Antoine / Garavan, Hugh / Heinz, Andreas / Bruhl, Rudiger / Martinot, Jean-Luc /
    Martinot, Marie-Laure Paillère / Artiges, Eric / Orfanos, Dimitri Papadopoulos / Poustka, Luise / Hohmann, Sarah / Millenet, Sabina / Fröhner, Juliane / Smolka, Michael / Vaidya, Nilakshi / Walter, Henrik / Winterer, Jeanne / Broulidakis, M / van Noort, Betteke / Stringaris, Argyris / Penttilä, Jani / Grimmer, Yvonne / Insensee, Corinna / Becker, Andreas / Zhang, Yuning / King, Sinead / Sinclair, Julia / Schumann, Gunter / Schmidt, Ulrike

    Research square

    2024  

    Abstract: This study uses machine learning models to uncover diagnostic and risk prediction markers for eating disorders (EDs), major depressive disorder (MDD), and alcohol use disorder (AUD). Utilizing case-control samples (ages 18-25 years) and a longitudinal ... ...

    Abstract This study uses machine learning models to uncover diagnostic and risk prediction markers for eating disorders (EDs), major depressive disorder (MDD), and alcohol use disorder (AUD). Utilizing case-control samples (ages 18-25 years) and a longitudinal population-based sample (n=1,851), the models, incorporating diverse data domains, achieved high accuracy in classifying EDs, MDD, and AUD from healthy controls. The area under the receiver operating characteristic curves (AUC-ROC [95% CI]) reached 0.92 [0.86-0.97] for AN and 0.91 [0.85-0.96] for BN, without relying on body mass index as a predictor. The classification accuracies for MDD (0.91 [0.88-0.94]) and AUD (0.80 [0.74-0.85]) were also high. Each data domain emerged as accurate classifiers individually, with personality distinguishing AN, BN, and their controls with AUC-ROCs ranging from 0.77 to 0.89. The models demonstrated high transdiagnostic potential, as those trained for EDs were also accurate in classifying AUD and MDD from healthy controls, and vice versa (AUC-ROCs, 0.75-0.93). Shared predictors, such as neuroticism, hopelessness, and symptoms of attention-deficit/hyperactivity disorder, were identified as reliable classifiers. For risk prediction in the longitudinal population sample, the models exhibited moderate performance (AUC-ROCs, 0.64-0.71), highlighting the potential of combining multi-domain data for precise diagnostic and risk prediction applications in psychiatry.
    Language English
    Publishing date 2024-02-01
    Publishing country United States
    Document type Preprint
    DOI 10.21203/rs.3.rs-3777784/v1
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  5. Article ; Online: Author Correction: A shared neural basis underlying psychiatric comorbidity.

    Xie, Chao / Xiang, Shitong / Shen, Chun / Peng, Xuerui / Kang, Jujiao / Li, Yuzhu / Cheng, Wei / He, Shiqi / Bobou, Marina / Broulidakis, M John / van Noort, Betteke Maria / Zhang, Zuo / Robinson, Lauren / Vaidya, Nilakshi / Winterer, Jeanne / Zhang, Yuning / King, Sinead / Banaschewski, Tobias / Barker, Gareth J /
    Bokde, Arun L W / Bromberg, Uli / Büchel, Christian / Flor, Herta / Grigis, Antoine / Garavan, Hugh / Gowland, Penny / Heinz, Andreas / Ittermann, Bernd / Lemaître, Hervé / Martinot, Jean-Luc / Martinot, Marie-Laure Paillère / Nees, Frauke / Orfanos, Dimitri Papadopoulos / Paus, Tomáš / Poustka, Luise / Fröhner, Juliane H / Schmidt, Ulrike / Sinclair, Julia / Smolka, Michael N / Stringaris, Argyris / Walter, Henrik / Whelan, Robert / Desrivières, Sylvane / Sahakian, Barbara J / Robbins, Trevor W / Schumann, Gunter / Jia, Tianye / Feng, Jianfeng

    Nature medicine

    2023  Volume 29, Issue 9, Page(s) 2375

    Language English
    Publishing date 2023-08-10
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 1220066-9
    ISSN 1546-170X ; 1078-8956
    ISSN (online) 1546-170X
    ISSN 1078-8956
    DOI 10.1038/s41591-023-02512-3
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  6. Article ; Online: A shared neural basis underlying psychiatric comorbidity.

    Xie, Chao / Xiang, Shitong / Shen, Chun / Peng, Xuerui / Kang, Jujiao / Li, Yuzhu / Cheng, Wei / He, Shiqi / Bobou, Marina / Broulidakis, M John / van Noort, Betteke Maria / Zhang, Zuo / Robinson, Lauren / Vaidya, Nilakshi / Winterer, Jeanne / Zhang, Yuning / King, Sinead / Banaschewski, Tobias / Barker, Gareth J /
    Bokde, Arun L W / Bromberg, Uli / Büchel, Christian / Flor, Herta / Grigis, Antoine / Garavan, Hugh / Gowland, Penny / Heinz, Andreas / Ittermann, Bernd / Lemaître, Hervé / Martinot, Jean-Luc / Martinot, Marie-Laure Paillère / Nees, Frauke / Orfanos, Dimitri Papadopoulos / Paus, Tomáš / Poustka, Luise / Fröhner, Juliane H / Schmidt, Ulrike / Sinclair, Julia / Smolka, Michael N / Stringaris, Argyris / Walter, Henrik / Whelan, Robert / Desrivières, Sylvane / Sahakian, Barbara J / Robbins, Trevor W / Schumann, Gunter / Jia, Tianye / Feng, Jianfeng

    Nature medicine

    2023  Volume 29, Issue 5, Page(s) 1232–1242

    Abstract: Recent studies proposed a general psychopathology factor underlying common comorbidities among psychiatric disorders. However, its neurobiological mechanisms and generalizability remain elusive. In this study, we used a large longitudinal neuroimaging ... ...

    Abstract Recent studies proposed a general psychopathology factor underlying common comorbidities among psychiatric disorders. However, its neurobiological mechanisms and generalizability remain elusive. In this study, we used a large longitudinal neuroimaging cohort from adolescence to young adulthood (IMAGEN) to define a neuropsychopathological (NP) factor across externalizing and internalizing symptoms using multitask connectomes. We demonstrate that this NP factor might represent a unified, genetically determined, delayed development of the prefrontal cortex that further leads to poor executive function. We also show this NP factor to be reproducible in multiple developmental periods, from preadolescence to early adulthood, and generalizable to the resting-state connectome and clinical samples (the ADHD-200 Sample and the Stratify Project). In conclusion, we identify a reproducible and general neural basis underlying symptoms of multiple mental health disorders, bridging multidimensional evidence from behavioral, neuroimaging and genetic substrates. These findings may help to develop new therapeutic interventions for psychiatric comorbidities.
    MeSH term(s) Adolescent ; Humans ; Young Adult ; Comorbidity ; Mental Disorders/diagnostic imaging ; Mental Disorders/epidemiology ; Mental Disorders/psychology ; Neuroimaging ; Psychopathology
    Language English
    Publishing date 2023-04-24
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1220066-9
    ISSN 1546-170X ; 1078-8956
    ISSN (online) 1546-170X
    ISSN 1078-8956
    DOI 10.1038/s41591-023-02317-4
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  7. Article ; Online: Association of Genetic and Phenotypic Assessments With Onset of Disordered Eating Behaviors and Comorbid Mental Health Problems Among Adolescents.

    Robinson, Lauren / Zhang, Zuo / Jia, Tianye / Bobou, Marina / Roach, Anna / Campbell, Iain / Irish, Madeleine / Quinlan, Erin Burke / Tay, Nicole / Barker, Edward D / Banaschewski, Tobias / Bokde, Arun L W / Grigis, Antoine / Garavan, Hugh / Heinz, Andreas / Ittermann, Bernd / Martinot, Jean-Luc / Stringaris, Argyris / Penttilä, Jani /
    van Noort, Betteke / Grimmer, Yvonne / Martinot, Marie-Laure Paillère / Insensee, Corinna / Becker, Andreas / Nees, Frauke / Orfanos, Dimitri Papadopoulos / Paus, Tomáš / Poustka, Luise / Hohmann, Sarah / Fröhner, Juliane H / Smolka, Michael N / Walter, Henrik / Whelan, Robert / Schumann, Gunter / Schmidt, Ulrike / Desrivières, Sylvane

    JAMA network open

    2020  Volume 3, Issue 12, Page(s) e2026874

    Abstract: Importance: Eating disorders are serious mental disorders with increasing prevalence. Without early identification and treatment, eating disorders may run a long-term course.: Objective: To characterize any associations among disordered eating ... ...

    Abstract Importance: Eating disorders are serious mental disorders with increasing prevalence. Without early identification and treatment, eating disorders may run a long-term course.
    Objective: To characterize any associations among disordered eating behaviors (DEBs) and other mental health disorders and to identify early associations with the development of symptoms over time.
    Design, setting, and participants: This multicenter, population-based, longitudinal cohort study used data from baseline (collected in 2010), follow-up 1 (collected in 2012), and follow-up 2 (collected in 2015) of the IMAGEN Study, which included adolescents recruited from 8 European sites. The present study assessed data from 1623 healthy adolescents, aged 14 years at baseline, recruited from high schools. Data analyses were performed from January 2018 to September 2019.
    Main outcomes and measures: Body mass index (BMI), mental health symptoms, substance use behaviors, and personality variables were investigated as time-varying associations of DEBs (dieting, binge eating, and purging) or change in BMI over time. Polygenic risk scores were calculated to investigate genetic contributions associated with BMI, attention-deficit/hyperactivity disorder (ADHD) and neuroticism to DEBs.
    Results: In this cohort study of 1623 adolescents (829 girls [51.1%]) recruited at a mean (SD) age of 14.5 (0.4) years and followed up at ages 16 and 19 years, 278 adolescents (17.1%) reported binge eating, 334 adolescents (20.6%) reported purging, and 356 adolescents (21.9%) reported dieting at 14, 16, or 19 years. Among the precursors of DEBs, high BMI was associated with future dieting (OR, 3.44; 95% CI, 2.09-5.65). High levels of neuroticism (OR, 1.04; 95% CI, 1.01-1.06), conduct problems (OR, 1.41; 95% CI, 1.17-1.69), and deliberate self-harm (OR, 2.18; 95% CI, 1.37-3.45) were associated with future binge eating. Low agreeableness (OR, 0.95; 95% CI, 0.92-0.97), deliberate self-harm (OR, 2.59; 95% CI, 1.69-3.95), conduct problems (OR, 1.42; 95% CI, 1.20-1.68), alcohol misuse (OR, 1.31; 95% CI, 1.10-1.54), and drug abuse (OR, 2.91; 95% CI, 1.78-4.74) were associated with future purging. Polygenetic risk scores for BMI were associated with dieting (at 14 years: OR, 1.27; lower bound 95% CI, 1.08; at 16 years: OR, 1.38; lower bound 95% CI, 1.17); ADHD, with purging (at 16 years: OR, 1.25; lower bound 95% CI, 1.08; at 19 years, OR, 1.23; lower bound 95% CI, 1.06); and neuroticism, with binge eating (at 14 years: OR, 1.32; lower bound 95% CI, 1.11; at 16 years: OR, 1.24; lower bound 95% CI, 1.06), highlighting distinct etiologic overlaps between these traits. The DEBs predated other mental health problems, with dieting at 14 years associated with future symptoms of depression (OR, 2.53; 95% CI, 1.56-4.10), generalized anxiety (OR, 2.27; 95% CI, 1.14-4.51), deliberate self-harm (OR, 2.10; 95% CI, 1.51-4.24), emotional problems (OR, 1.24; 95% CI, 1.08-1.43), and smoking (OR, 2.16; 95% CI, 1.36-3.48). Purging at 14 years was also associated with future depression (OR, 2.87; 95% CI, 1.69-5.01) and anxiety (OR, 2.48; 95% CI, 1.49-4.12) symptoms.
    Conclusions and relevance: The findings of this study delineate temporal associations and shared etiologies among DEBs and other mental health disorders and emphasize the potential of genetic and phenotypical assessments of obesity, behavioral disorders, and neuroticism to improve early and differential diagnosis of eating disorders.
    MeSH term(s) Adolescent ; Adolescent Behavior ; Adolescent Psychiatry ; Anxiety ; Comorbidity ; Depression ; Europe/epidemiology ; Feeding and Eating Disorders/epidemiology ; Feeding and Eating Disorders/genetics ; Feeding and Eating Disorders/psychology ; Female ; Genetics ; Humans ; Longitudinal Studies ; Male ; Mental Disorders/epidemiology ; Mental Disorders/genetics ; Mental Disorders/psychology ; Multifactorial Inheritance ; Phenotype ; Psychiatric Status Rating Scales ; Risk Factors
    Language English
    Publishing date 2020-12-01
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2020.26874
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  8. Article: Association of genetic and phenotypic assessments with onset of disordered eating behaviors and comorbid mental health problems among adolescents

    IMAGEN Consortium / Robinson, Lauren / Zhang, Zuo / Jia, Tianye / Bobou, Marina / Roach, Anna / Campbell, Iain / Irish, Madeleine / Quinlan, Erin Burke / Tay, Nicole / Barker, Edward D. / Banaschewski, Tobias / Bokde, Arun L. W. / Grigis, Antoine / Garavan, Hugh / Heinz, Andreas / Ittermann, Bernd / Martinot, Jean-Luc / Stringaris, Argyris /
    Penttilä, Jani / van Noort, Betteke / Grimmer, Yvonne / Paillere Martinot, Marie-Laure / Insensee, Corinna / Becker, Andreas / Nees, Frauke / Dimitri Papadopoulos Orfanos, Dimitri / Paus, Tomas / Poustka, Luise / Hohmann, Sarah / Fröhner, Juliane H. / Smolka, Michael N. / Walter, Henrik / Whelan, Robert / Schumann, Gunter / Schmidt, Ulrike / Desrivieres, Sylvane

    JAMA Network Open

    2020  Volume 3, Issue 12, Page(s) No

    Abstract: Importance: Eating disorders are serious mental disorders with increasing prevalence. Without early identification and treatment, eating disorders may run a long-term course. Objective: To characterize any associations among disordered eating behaviors ( ... ...

    Title translation Assoziation von genetischen und phänotypischen Merkmalen mit dem Auftreten von gestörtem Essverhalten und komorbiden psychischen Problemen bei Heranwachsenden (DeepL)
    Abstract Importance: Eating disorders are serious mental disorders with increasing prevalence. Without early identification and treatment, eating disorders may run a long-term course. Objective: To characterize any associations among disordered eating behaviors (DEBs) and other mental health disorders and to identify early associations with the development of symptoms over time. Design, Setting, and Participants: This multicenter, population-based, longitudinal cohort study used data from baseline (collected in 2010), follow-up 1 (collected in 2012), and follow-up 2 (collected in 2015) of the IMAGEN Study, which included adolescents recruited from 8 European sites. The present study assessed data from 1623 healthy adolescents, aged 14 years at baseline, recruited from high schools. Data analyses were performed from January 2018 to September 2019. Main Outcomes and Measures: Body mass index (BMI), mental health symptoms, substance use behaviors, and personality variables were investigated as time-varying associations of DEBs (dieting, binge eating, and purging) or change in BMI over time. Polygenic risk scores were calculated to investigate genetic contributions associated with BMI, attention-deficit/hyperactivity disorder (ADHD) and neuroticism to DEBs. Results: In this cohort study of 1623 adolescents (829 girls [51.1%]) recruited at a mean (SD) age of 14.5 (0.4) years and followed up at ages 16 and 19 years, 278 adolescents (17.1%) reported binge eating, 334 adolescents (20.6%) reported purging, and 356 adolescents (21.9%) reported dieting at 14, 16, or 19 years. Among the precursors of DEBs, high BMI was associated with future dieting (OR, 3.44; 95% CI, 2.09-5.65). High levels of neuroticism (OR, 1.04; 95% CI, 1.01-1.06), conduct problems (OR, 1.41; 95% CI, 1.17-1.69), and deliberate self-harm (OR, 2.18; 95% CI, 1.37-3.45) were associated with future binge eating. Low agreeableness (OR, 0.95; 95% CI, 0.92-0.97), deliberate self-harm (OR, 2.59; 95% CI, 1.69-3.95), conduct problems (OR, 1.42; 95% CI, 1.20-1.68), alcohol misuse (OR, 1.31; 95% CI, 1.10-1.54), and drug abuse (OR, 2.91; 95% CI, 1.78-4.74) were associated with future purging. Polygenetic risk scores for BMI were associated with dieting (at 14 years: OR, 1.27; lower bound 95% CI, 1.08; at 16 years: OR, 1.38; lower bound 95% CI, 1.17); ADHD, with purging (at 16 years: OR, 1.25; lower bound 95% CI, 1.08; at 19 years, OR, 1.23; lower bound 95% CI, 1.06); and neuroticism, with binge eating (at 14 years: OR, 1.32; lower bound 95% CI, 1.11; at 16 years: OR, 1.24; lower bound 95% CI, 1.06), highlighting distinct etiologic overlaps between these traits. The DEBs predated other mental health problems, with dieting at 14 years associated with future symptoms of depression (OR, 2.53; 95% CI, 1.56-4.10), generalized anxiety (OR, 2.27; 95% CI, 1.14-4.51), deliberate self-harm (OR, 2.10; 95% CI, 1.51-4.24), emotional problems (OR, 1.24; 95% CI, 1.08-1.43), and smoking (OR, 2.16; 95% CI, 1.36-3.48). Purging at 14 years was also associated with future depression (OR, 2.87; 95% CI, 1.69-5.01) and anxiety (OR, 2.48; 95% CI, 1.49-4.12) symptoms. Conclusions and Relevance: The findings of this study delineate temporal associations and shared etiologies among DEBs and other mental health disorders and emphasize the potential of genetic and phenotypical assessments of obesity, behavioral disorders, and neuroticism to improve early and differential diagnosis of eating disorders.
    Keywords At Risk Populations ; Comorbidity ; Eating Disorders ; Epidemiologie ; Epidemiology ; Essstörungen ; Etiology ; Genetics ; Genetik ; Ko-Morbidität ; Mental Disorders ; Psychische Störungen ; Risikofaktoren ; Risikogruppen ; Risk Factors ; Symptome ; Symptoms ; Ätiologie
    Language English
    Document type Article
    ISSN 2574-3805
    ISSN 2574-3805
    DOI 10.1001/jamanetworkopen.2020.26874
    Database PSYNDEX

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