Original ArticlesEating Habits and Eating Disorder Associated Behavior in Bipolar DisorderHirte, Teresa S. MSc∗; Fellendorf, Frederike T. MD∗; Unterrainer, Human-Friedrich PhD∗,†,‡; Dalkner, Nina PhD∗; Bengesser, Susanne A. PhD, MD∗; Birner, Armin PhD, MD∗; Platzer, Martina MD∗; Queissner, Robert MD∗; Holasek, Sandra PhD§; Schwerdtfeger, Andreas PhD∥; Reininghaus, Eva Z. PhD, MD∗ Author Information ∗Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz †Center for Integrative Addiction Research, Grüner Kreis Society ‡Institute for Religious Studies, University of Vienna, Vienna §Division of Immunology and Pathophysiology, Medical University Graz ∥Institute of Psychology, University of Graz, Austria. Send reprint requests to Frederike T. Fellendorf, MD, Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Auenbruggerplatz 31, 8036 Graz, Austria. E-mail: [email protected]. The Journal of Nervous and Mental Disease 210(12):p 930-934, December 2022. | DOI: 10.1097/NMD.0000000000001568 Buy Metrics Abstract A relevant comorbidity of bipolar disorder (BD) is eating disorders (EDs). Crossed vulnerability factors as eating disorder–specific symptoms (EDSSs) may trigger the onset of both disorders in either direction. The Structured Inventory for Anorexic and Bulimic Eating Disorders for Self-Report was used to examine the occurrence of EDs in euthymic/subsyndromal individuals with BD (n = 86) and healthy controls (n = 86) matched for age and sex. Furthermore, we explored EDSSs with the subscales “general psychopathology and social integration,” “bulimic symptoms,” “body image and slimness ideal,” “sexuality and body weight,” “counteract,” and “atypical binge.” Higher rates of all EDSSs were reported in BD. Younger individuals with BD showed higher expression in “bulimic symptoms,” “body image and slimness ideal,” and “atypical binge” subscales. No participants fulfilled ED diagnosis. The findings show a link between EDSS and BD. Clinicians should pay attention to a multimodal intervention, considering risk factors, investigating eating habits and ED associated behaviors. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.