scispace - formally typeset
Search or ask a question
DOI

Personality Traits and Disorders Associated with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder

27 Apr 2004-pp 233-256
TL;DR: In 1689, Thomas Morton reported two cases of anorexia nervosa (AN): one involving a “sad and anxious” girl who “poured over books,” another involving a young boy prone to “studying too hard” as mentioned in this paper.
Abstract: In 1689, Thomas Morton reported two cases of anorexia nervosa (AN): one involving a “sad and anxious” girl who “poured over books,” another involving a young boy prone to “studying too hard” (1). With these reports, Morton not only introduced AN to the medical literature; he introduced the concept that AN frequently co-occurs with perfectionistic or compulsive personality traits. Likewise, 19th century observations on bulimia nervosa (BN) documented instability of mood and behavior (2). All of this says that there is a history behind the association between eating disorders (EDs) and problematic personality tendencies.
Citations
More filters
Journal ArticleDOI
TL;DR: It is argued that dimensional perspectives involving careful attention to comorbid personality traits and symptoms are needed to accommodate existing heterogeneities within the population suffering from bulimia and to characterize the etiologic roles of familial-developmental, neurobiological, and genetic variables (and of interactions among these variables) in bulimic syndromes.
Abstract: Objectives:To review the main phenomenological variants observed among bulimia spectrum syndromes and the factors believed to act etiologically for them and also to generate an etiologic model that...

96 citations


Cites background from "Personality Traits and Disorders As..."

  • ...However, bulimic syndromes often show unique additional associations with panic disorder, dramatic-erratic personality disorders, and alcohol and substance dependence, as well as with traits of novelty seeking, impulsivity, and affective instability.(10,11) In other words, bulimic syndromes often coincide with a generalized flavour of disinhibition or dysregulation....

    [...]

  • ...Not surprisingly, dysregulated individuals reportedly display more comorbid psychopathology (for example, depression, self-mutilation, or drug abuse), developmental disturbance (for example, child abuse or attachment problems), and probably, poorer treatment outcome.(10)...

    [...]

Journal ArticleDOI
TL;DR: The higher levels of stress reaction in the bulimia nervosa sample and harm avoidance in the binge eating disorder sample after controlling for depression indicate that these personality dimensions are potentially important in the etiology, maintenance, and treatment of these eating disorders.

56 citations


Additional excerpts

  • ...Finally, because this investigation is correlational and not longitudinal, no direction of causality can be inferred: whether these personality dimensions are etiologic or maintenance factors, by-products of the eating disorder or of “maladjustment” [51], or some combination is unclear and needs further study using repeated measure designs....

    [...]

Dissertation
01 Jan 2010
TL;DR: In this paper, a Doctoral Thesis was submitted in partial fulfilment of the requirements for the award of Doctor of Philosophy of Loughborough University.This thesis is indefinitely restricted.
Abstract: This thesis is indefinitely restricted. A Doctoral Thesis. Submitted in partial fulfilment of the requirements for the award of Doctor of Philosophy of Loughborough University.

47 citations


Cites background from "Personality Traits and Disorders As..."

  • ...Instead of such a focus upon the ways in which particular corporeal orientations/(particular bodies) are Chapter Two: Exploring social constructions of the ‘thin/fat’ body 18 ascribed with certain meanings, values and potential, and how these may be nurtured and endorsed within the daily school context, within which many young people spend many hours of their lives (Evans, Rich, Allwood & Davies, 2008a: 387), the majority of the literature on disordered eating has worked to define a variety of ‘characteristics, personality traits and clinical features’ thought to identify the typical patient to be diagnosed as ‘eating disordered’ (e.g. Perkins, Klump, Iacono & Mcgue, 2005; Steiger & Bruce, 2004)....

    [...]

  • ...…387), the majority of the literature on disordered eating has worked to define a variety of ‘characteristics, personality traits and clinical features’ thought to identify the typical patient to be diagnosed as ‘eating disordered’ (e.g. Perkins, Klump, Iacono & Mcgue, 2005; Steiger & Bruce, 2004)....

    [...]

Journal ArticleDOI
TL;DR: El EAT-26 modificado y abreviado es un instrumento multidimensional, con excelentes valores de confiabilidad y sensibilidad, y con un adecuado valor of especificidad, apropiado para el cribado de posible TCA en población of riesgo y útil en atención primaria para su detección temprana.
Abstract: Resumen Objetivo Evaluar la validez y la utilidad diagnostica de la escala EAT-26 para la evaluacion del riesgo de trastornos de conducta alimentaria (TCA) en poblacion femenina. Diseno Estudio observacional de validacion de pruebas. Emplazamiento Realizado en la ciudad de Medellin en nivel de atencion comunitaria de consulta psiquiatrica mixta (publica y privada). Participantes Veinticinco mujeres con edades entre 15 y 25 anos que cumplieran criterios DSM-IV-TR para anorexia y bulimia nerviosa y 111 controles sin TCA. Mediciones principales La muestra de casos fue por conveniencia y en controles, aleatoria simple. Se comparo el «criterio de oro» (entrevista estructurada por psiquiatra para determinar el cumplimiento o no de criterios de inclusion de caso de TCA) con el EAT-26, y al instrumento se le hizo validacion cultural y semantica, validacion factorial, evaluacion de confiabilidad, asi como determinacion del mejor punto de corte por medio de la curva ROC. Resultados En EAT-26 subyacen 4 dominios: bulimia, dieta, preocupacion por la comida y control oral. El alfa de Cronbach fue de 92,1%, y el mejor valor de corte, el de 11 y mas puntos (sensibilidad del 100% y especificidad del 85,6%). Conclusion El EAT-26 modificado y abreviado es un instrumento multidimensional, con excelentes valores de confiabilidad y sensibilidad, y con un adecuado valor de especificidad, apropiado para el cribado de posible TCA en poblacion de riesgo y util en atencion primaria para su deteccion temprana en mujeres jovenes.

32 citations

Journal ArticleDOI
TL;DR: Patients with anorexia nervosa in low EE families do better in treatment than those patients belonging to high EE families and regardless of the EE status of the patient.
Abstract: The current study examined expressed emotion (EE) among families of adolescents with anorexia nervosa (AN) participating in a treatment study. EE ratings were made from 110 adolescents toward their parents and from parents toward their children using videotaped family interviews. Participants were 92% female and 75% Caucasian with a mean age of 14.41 years. Four family profiles were created (low patient EE/low parent EE, high patient EE/high parent EE, low patient EE/high parent EE, high patient EE/low parent EE). Family EE profile was not related to full remission at end of treatment. Groups were then combined according to EE level of parent. The low parent group (defined as low on criticism, hostility, and emotional overinvolvement) had significantly lower scores on a measure of eating disorder psychopathology than the high parent group at the end of treatment. Patients with AN in low EE families do better in treatment than those patients belonging to high EE families. These findings are true regardless of the EE status of the patient.

22 citations


Cites background from "Personality Traits and Disorders As..."

  • ...…to negative emotionality (Kaye, Fudge, & Paulus, 2009), whereas BN has been associated with more heterogeneity in personality, including both affective instability and impulsivity as well as perfectionism, obsessionality, and compulsivity (Steiger & Bruce, 2004; Wonderlich et al., 2005)....

    [...]