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BACKGROUND: Eating disorders display several psychiatric comorbidities. The aim of this study was to describe these comorbidities in a group of adolescent patients with Anorexia Nervosa or ED- NOS (Eating Disorder not otherwise specified); in detail, we have evaluated the comorbidity both with a clinical interview (categorical comorbidities) and with a self-report interview (dimensional comorbidities) in order to compare the two profiles. METHODS: The study was carried out at the child and adolescent psychiatry division (eating disorder service for developmental age) of the University of Campania "Luigi Vanvitelli" (ex Second University of Naples). Data were collected retrospectively from chart review, routinely gathered during the clinical assessment. RESULTS: 72 subjects constituted the sample, 62 (86,1%) were female and 10 (13,9%) male. The most frequent categorical comorbidities were Social Anxiety disorder (38 SS; 52,8%), Depression disorder (30 SS; 41,7%) and generalized anxiety disorder (14 SS; 19,4%). The mean scores at dimensional questionnaires were 15,5 (SD 10,7) for the depression (Children Depression Inventory) and 34,8 (SD 28,3) for social anxiety (Liebowitz Social Anxiety Scale). CONCLUSIONS: The analysis of the data showed that social anxiety and depression were the most common categorical comorbidities in young patients with Eating Disorders. However, comparing the data from the clinical interview with those of the self-interviews revealed that patients well recognize social anxiety symptoms, but tended to deny depressive ones.

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