Objective. Despite evidence from case series, the comorbidity of eating disorders (EDs) with schizophrenia is poorly understood.
This review aimed to assess the epidemiological and clinical characteristics of EDs in schizophrenia patients and to examine
whether the management of EDs can be improved. Methods. A qualitative review of the published literature was performed using
the following terms: “schizophrenia” in association with “eating disorders,” “anorexia nervosa,” “bulimia nervosa,” “binge eating
disorder,” or “night eating syndrome.” Results. According to our literature review, there is a high prevalence of comorbidity between
schizophrenia and EDs. EDs may occur together with or independent of psychotic symptoms in these patients. Binge eating
disorders and night eating syndromes are frequently found in patients with schizophrenia, with a prevalence of approximately 10%.
Anorexia nervosa seems to affect between 1 and 4% of schizophrenia patients. Psychopathological and neurobiological mechanisms,
including effects of antipsychotic drugs, should bemore extensively explored. Conclusions.Thecomorbidity ofEDs in schizophrenia
remains relatively unexplored. The clearest message of this review is the importance of screening for and assessment of comorbid
EDs in schizophrenia patients.Themanagement of EDs in schizophrenia requires amultidisciplinary approach to attain maximized
health outcomes. For clinical practice, we propose some recommendations regarding patient-centered care.
Objective. Despite evidence from case series, the comorbidity of eating disorders (EDs) with schizophrenia is poorly understood.This review aimed to assess the epidemiological and clinical characteristics of EDs in schizophrenia patients and to examinewhether the management of EDs can be improved. Methods. A qualitative review of the published literature was performed usingthe following terms: “schizophrenia” in association with “eating disorders,” “anorexia nervosa,” “bulimia nervosa,” “binge eatingdisorder,” or “night eating syndrome.” Results. According to our literature review, there is a high prevalence of comorbidity betweenschizophrenia and EDs. EDs may occur together with or independent of psychotic symptoms in these patients. Binge eatingdisorders and night eating syndromes are frequently found in patients with schizophrenia, with a prevalence of approximately 10%.Anorexia nervosa seems to affect between 1 and 4% of schizophrenia patients. Psychopathological and neurobiological mechanisms,including effects of antipsychotic drugs, should bemore extensively explored. Conclusions.Thecomorbidity ofEDs in schizophreniaremains relatively unexplored. The clearest message of this review is the importance of screening for and assessment of comorbidEDs in schizophrenia patients.Themanagement of EDs in schizophrenia requires amultidisciplinary approach to attain maximizedhealth outcomes. For clinical practice, we propose some recommendations regarding patient-centered care.
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