Comorbidité des troubles du comportement alimentaire et des troubles anxieux

Taking into account the methodological problems underlined in the first part of this paper, the current review aims to answer three questions : 1) Is there convincing evidence that anxiety disorders (AD) are more frequent among women with eating disorders (ED) than among women from the community ? 2) Is there convincing evidence that prevalence of AD differs across diagnostic types or subtypes of ED ? 3) What is the chronology of appearance of the two disorders ? We performed a manual and computerized search (Medline) for all published studies on comorbidity between ED and AD (1985-2002 period), and selected the most relevant studies. An increased risk for AD in subjects with ED has been shown in several community studies, but studies conducted in referred subjects have led to inconstant findings. The answer to the questions remains uncertain, because too few studies included control groups and few studies have compared diagnostic subgroups of ED subjects, with scarce or conflicting results.