Psychiatric Comorbidity in Mexican Adolescents with a Diagnosis of Eating Disorders Its Relationship with the Body Mass Index

David Ruiz-Ramos, José Jaime Martínez-Magaña, Ana Rosa García, Isela Esther Juarez-Rojop, Thelma Beatriz Gonzalez-Castro, Carlos Alfonso Tovilla-Zarate, Emmanuel Sarmiento, María Lilia López-Narvaez, Humberto Nicolini and Alma Delia Genis-Mendoza
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David Ruiz-Ramos: División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa 86100, Mexico
José Jaime Martínez-Magaña: División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa 86100, Mexico
Ana Rosa García: Hospital Psiquiátrico Infantil Juan N, Navarro, Secretaría de Salud, Ciudad de México 14080, Mexico
Isela Esther Juarez-Rojop: División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa 86100, Mexico
Thelma Beatriz Gonzalez-Castro: División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa 86100, Mexico
Carlos Alfonso Tovilla-Zarate: División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco 86100, Mexico
Emmanuel Sarmiento: Hospital Psiquiátrico Infantil Juan N, Navarro, Secretaría de Salud, Ciudad de México 14080, Mexico
María Lilia López-Narvaez: Hospital General de Yajalón “Dr. Manuel Velazco Siles”, Secretaría de Salud, Yajalón 29930, Mexico
Humberto Nicolini: Instituto Nacional de Medicina Genómica (INMEGEN), Ciudad de México 14610, Mexico
Alma Delia Genis-Mendoza: Instituto Nacional de Medicina Genómica (INMEGEN), Ciudad de México 14610, Mexico

IJERPH, 2021, vol. 18, issue 8, 1-12

Abstract: The prevalence of comorbid psychiatric disorders among patients with eating disorders (ED) is higher than the general population. Individuals diagnosed with eating disorders have changes in their body mass index which could promote severe metabolic disruptions. This study aimed (1) to report the prevalence of comorbid psychiatric disorders among a Mexican adolescent sample diagnosed with eating disorders, (2) to compare our results with the prevalence of psychiatric disorders reported from a national survey of mental health of adolescents, (3) to compare the presence of psychiatric comorbidities between ED diagnoses, and (4) to explore the relationship of these comorbidities with the body mass index. In the study, we included 187 Mexican adolescents diagnosed with eating disorders. The psychiatric comorbidities were evaluated using the Mini International Neuropsychiatric Interview for children/adolescents, and a revised questionnaire on eating and weight patterns. We found that 89% of the Mexican adolescents diagnosed with ED had another psychiatric comorbidity. Major depressive disorder (52.40%) and suicide risk (40%) were the most prevalent comorbidities. Attention and deficit hyperactivity disorder (ADHD) prevalence was different between ED diagnosis, and adolescents with binge-eating disorder and ADHD had the higher body mass index. Our results showed that in this sample of Mexican adolescents, the presence of comorbidities could impact body mass index. This emphasizes the importance that clinicians take into consideration the presence of psychiatric comorbidities to achieve an integrative treatment for adolescents diagnosed with ED.

Keywords: psychiatric comorbidity; Mexican population; eating disorders (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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