Abstract

A large number of anorexia nervosa patients manifest anancastic personality traits or obsessive-compulsive symptoms. The clinical characteristics and psychological data from nine female anorexia nervosa patients, characterized by obsessive-compulsive symptoms during the course of their illness, were compared with the data from sixteen anorexia nervosa patients without obsessive-compulsive features. Patients with obsessive-compulsive symptoms showed higher scores in general psychiatric symptoms and in anorectic behavior. Deficiencies in social adjustment were pronounced. The combination of marked obsessive-compulsive and anorectic behaviors seems to coincide with more severe disturbances and chronicity of the disease. The data from this study, which are consistent with the hypothesis that there is a strong relationship between anorexia nervosa and obsessive- compulsive neurosis, are discussed.

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