Temperament and character in eating disorders: ten years of studies.
Abstract
In recent years a number of studies of personality have been performed in subjects with Eating Disorders (EDs) to investigate the clinical differences between controls and ED patients and among EDs subtypes, and its role in the development and course of symptoms. The Tridimensional Personality Questionnaire (TPQ) and the Temperament and Character Inventory (TCI) have been widely used at this purpose, allowing the description of specific temperament and character profiles for EDs. High Harm Avoidance (HA) and low Self-Directedness (SD) are shared by all EDs. Slight differences on some facets have been found among ED subgroups. Nevertheless, HA is influenced by mood and both high HA and low SD are personality traits shared by many mental disorders, whose specificity is rather low. Restrictor anorectics are characterized by high Persistence (P) and a relatively higher SD, and bulimics by higher Novelty Seeking (NS) and the lowest SD, while binge/purging and purging anorectics share some traits with anorexia and some with bulimia. Though current data justify the discrimination among anorexia subtypes, they are not in contrast with the thesis of a continuum in ED personality traits. Since some personality traits display a prognostic value with regard to therapy and clinical outcome, further studies are needed on treatments and prognostic factors in EDs. Moreover, studies attempting to define the neurobiological and genetic correlates of temperament should be supported by clinical pharmacological trials.
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All types of eating disorder patients have lower self-directedness scores than healthy controls.
“Furthermore, all types of ED-patients were found to have lower scores in self-directedness than healthy controls (Fassino et al., 2004).”
From “Food Addiction” in patients with eating disorders is associated with negative urgency and difficulties to focus on long-term goals (2016) · cites this paper as Fassino et al., 2004
Cites
A psychobiological model of temperament and character
Cloninger, C. R. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820240059008 · Cited by 5,458 · see citing works
Comprehensive Textbook of Psychiatry
Freedman, A. M., & Kaplan, H. I. (1967) · The American Journal of the Medical Sciences · doi:10.1097/00000441-196712000-00052 · Cited by 3,825 · see citing works
A Systematic Method for Clinical Description and Classification of Personality Variants: A Proposal
Cloninger, C. R. (1987) · Archives of General Psychiatry · doi:10.1001/archpsyc.1987.01800180093014 · Cited by 3,678 · see citing works
The temperament and character inventory (TCI) : a guide to its development and use
Cloninger, C. R. (1994) · Medical Entomology and Zoology · Cited by 2,319 · see citing works
Kaplan & Sadock's Comprehensive Textbook of Psychiatry
Sadock, B. J., & Sadock, V. A. (2000) · Cited by 1,523 · see citing works
Kaplan and Sadock's Comprehensive Text Book of Psychiatry
Saldanha, D. (2005) · Medical Journal Armed Forces India · doi:10.1016/s0377-1237(05)80189-3 · Cited by 1,164 · see citing works
Distributed Disturbances in Brain Structure and Function in Schizophrenia
Lewis, D. A. (2000) · American Journal of Psychiatry · doi:10.1176/ajp.157.1.1 · Cited by 971 · see citing works
Švrakić, D. M. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820240075009 · Cited by 767 · see citing works
Temperament and character inventory (TCI) and depression
Hansenne, M., Reggers, J., Pinto, E., Kjiri, K., Ajamier, A., & Ansseau, M. (1999) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(98)00036-3 · Cited by 285 · see citing works
Killen, J. D., Taylor, C. B., Hammer, L. D., Litt, I. F., Wilson, D. M., Rich, T., Hayward, C., Simmonds, B., KRAEMER, H. C., & Varady, A. N. (1993) · International Journal of Eating Disorders · doi:10.1002/1098-108x(199305)13:4 · Cited by 245 · see citing works
Fassino, S., Abbate‐Daga, G., Amianto, F., Leombruni, P., Boggio, S., & Rovera, G. G. (2002) · International Journal of Eating Disorders · doi:10.1002/eat.10099 · Cited by 224 · see citing works
Temperament and Character in Women with Anorexia Nervosa
Klump, K. L., Bulik, C. M., Pollice, C., Halmi, K. A., Fichter, M. M., Berrettini, W. H., Devlin, B., Strober, M. A., Kaplan, A. S., Woodside, D. B., et al. (2000) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200009000-00001 · Cited by 212 · see citing works
A study of temperament and personality in anorexia and bulimia nervosa.
Díaz-Marsá, M., Luis, J., & Sáiz, J. (2000) · Journal of Personality Disorders · doi:10.1521/pedi.2000.14.4.352 · Cited by 181 · see citing works
Personality Dimensions in Eating Disorders and Their Relevance for Subtyping
Casper, R. C., Hedeker, D., & McClough, J. F. (1992) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199209000-00008 · Cited by 168 · see citing works
Predictors of 1-year treatment outcome in bulimia nervosa
Bulik, C. M., Sullivan, P. F., Joyce, P. R., Carter, F. A., & McIntosh, V. V. W. (1998) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(98)90062-1 · Cited by 156 · see citing works
Bulik, C. M., Sullivan, P. F., & Joyce, P. R. (1999) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1999.tb10910.x · Cited by 151 · see citing works
Temperament dimensions explain the comorbidity of psychiatric disorders
Battaglia, M., Przybeck, T. R., Bellodi, L., & Cloninger, C. R. (1996) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(96)90008-5 · Cited by 146 · see citing works
Mulder, R., Joyce, P. R., Sullivan, P. F., Bulik, C. M., & Carter, F. A. (1999) · Psychological Medicine · doi:10.1017/s0033291799008533 · Cited by 130 · see citing works
Mood states and personality traits
Švrakić, D. M., Przybeck, T. R., & Cloninger, C. R. (1992) · Journal of Affective Disorders · doi:10.1016/0165-0327(92)90106-g · Cited by 127 · see citing works
Anger and personality in eating disorders
Fassino, S., Daga, G. A., Pierò, A., Leombruni, P., & Rovera, G. G. (2001) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00280-x · Cited by 120 · see citing works
Self-citationBell, C. C., Bulik, C. M., Clayton, P., et al. (2000) · PubMed · Cited by 119 · see citing works
Kleifield, E. I., Sunday, S. R., Hurt, S. W., & Halmi, K. A. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90001-9 · Cited by 108 · see citing works
Why the high rate of dropout from individualized cognitive-behavior therapy for bulimia nervosa?
Steel, Z., Jones, J. M., Adcock, S., Clancy, R., Bridgford-West, L., & Austin, J. (2000) · International Journal of Eating Disorders · doi:10.1002/1098-108x(200009)28:2 · Cited by 86 · see citing works
Sato, T., Hirano, S., Narita, T., Kusunoki, K., Kato, J., Goto, M., Sakado, K., & Uehara, T. (1999) · Journal of Affective Disorders · doi:10.1016/s0165-0327(99)00047-6 · Cited by 83 · see citing works
Low novelty‐seeking differentiates obsessive‐compulsive disorder from major depression
Kusunoki, K., Sato, T., Taga, C., Yoshida, Y., Komori, K., Narita, T., Hirano, S., Iwata, N., & Ozaki, N. (2000) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2000.101005403.x · Cited by 78 · see citing works
Dropout from Brief Psychotherapy in Anorexia nervosa
Fassino, S., Daga, G. A., Pierò, A., & Rovera, G. G. (2002) · Psychotherapy and Psychosomatics · doi:10.1159/000063645 · Cited by 76 · see citing works
Self-citationTridimensional personality questionnaire and serotonin in bulimia nervosa
Waller, D. A., Gullion, C. M., Petty, F., Hardy, B. W., Murdock, M. V., & Rush, A. J. (1993) · Psychiatry Research · doi:10.1016/0165-1781(93)90108-s · Cited by 66 · see citing works
Hansson, L. I., Eklund, M., & Bengtsson‐Tops, A. (2001) · Quality of Life Research · doi:10.1023/a:1016790230228 · Cited by 65 · see citing works
Anderson, C. B., Joyce, P. R., Carter, F. A., McIntosh, V. V. W., & Bulik, C. M. (2002) · Comprehensive Psychiatry · doi:10.1053/comp.2002.32359 · Cited by 63 · see citing works
Factor validity of the temperament and character inventory in patients with major depression
Sato, T., Narita, T., Hirano, S., Kusunoki, K., Goto, M., Sakado, K., & Uehara, T. (2001) · Comprehensive Psychiatry · doi:10.1053/comp.2001.24587 · Cited by 60 · see citing works
Psychopathology and personality of young women who experience food cravings
Gendall, K. A., Sullivan, P. F., Joyce, P. R., Fear, J. L., & Bulik, C. M. (1997) · Addictive Behaviors · doi:10.1016/s0306-4603(96)00060-3 · Cited by 58 · see citing works
Anorectic family dynamics: Temperament and character data
Fassino, S., Švrakić, D. M., Daga, G. A., Leombruni, P., Amianto, F., Stanic, S., & Rovera, G. G. (2002) · Comprehensive Psychiatry · doi:10.1053/comp.2002.30806 · Cited by 55 · see citing works
Self-citationMulder, R., & Joyce, P. R. (1994) · Psychological Reports · doi:10.2466/pr0.1994.75.3.1315 · Cited by 55 · see citing works
Handbook of medical psychiatry
Moore, D. P., & Jefferson, J. W. (1996) · Medical Entomology and Zoology · Cited by 52 · see citing works
Outcome Predictors in Anorectic Patients after 6 Months of Multimodal Treatment
Fassino, S., Daga, G. A., Amianto, F., Leombruni, P., Fornas, B., Garzaro, L., DʼAmbrosio, G., & Rovera, G. G. (2001) · Psychotherapy and Psychosomatics · doi:10.1159/000056254 · Cited by 42 · see citing works
Self-citationCurrent Perspectives on the Eating Disorders: II. Treatment, Outcome, and Research Directions
Yates, A. (1990) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199001000-00001 · Cited by 37 · see citing works
Kleifield, E. I., Sunday, S. R., Hurt, S. W., et al. (1993) · Comprehensive Psychiatry · doi:10.1016/0010-440x(93)90006-p · Cited by 36 · see citing works
Characteristics of Bulimic Women with and Without Alcohol Abuse
Bulik, C. M., Sullivan, P. F., McKee, M., Weltzin, T. E., & Kaye, W. H. (1994) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952999409106787 · Cited by 35 · see citing works
Fassino, S., Daga, G. A., Leombruni, P., et al. (2001) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200111000-00009 · Cited by 34 · see citing works
Self-citationPrognostic Factors in Outpatient Psychotherapy of Bulimia
Herzog, T. R., Hartmann, A., Sandholz, A., & Stammer, H. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000288530 · Cited by 31 · see citing works
Nonresponder anorectic patients after 6 months of multimodal treatment: predictors of outcome
Fassino, S., Daga, G. A., Amianto, F., Leombruni, P., Garzaro, L., & Rovera, G. G. (2001) · European Psychiatry · doi:10.1016/s0924-9338(01)00608-3 · Cited by 30 · see citing works
Self-citationDecreased platelet monoamine oxidase activity in female anorexia nervosa
Díaz‐Marsá, M., Carrasco, J. L., Hollander, E., César, J. M., & Sáiz‐Ruiz, J. (2000) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2000.101003226.x · Cited by 29 · see citing works
Fassino, S., Amianto, F., Daga, G. A., Leombruni, P., Garzaro, L., Levi, M., & Rovera, G. G. (2003) · Comprehensive Psychiatry · doi:10.1053/comp.2003.50007 · Cited by 25 · see citing works
Self-citationMizushima, H., Ono, Y., & Asai, M. (1998) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1998.tb10072.x · Cited by 19 · see citing works
Premenstrual dysphoric disorder and eating disorders
Verri, A. P., Nappi, R. E., Vallero, E., Galli, C., Sances, G., & Martignoni, E. (1997) · Cephalalgia · doi:10.1177/0333102497017s2008 · Cited by 16 · see citing works
Decreased platelet monoamine oxidase activity in female anorexia nervosa
Diaz-Marsa, M., Carrasco, J. L., Hollander, E., et al. (2000) · Acta Psychiatrica Scandinavica · doi:10.1046/j.0902-4441.2000.ap90062.x · Cited by 13 · see citing works
Generality in the errors of estimation of body image
Hundleby, J. D., & Bourgouin, N. C. (1993) · International Journal of Eating Disorders · doi:10.1002/1098-108x(199301)13:1 · Cited by 11 · see citing works
Classification of Schizophrenia and Related Psychotic Disorders
Sharma, T., & Bajaj, P. (2003) · CRC Press eBooks · doi:10.3109/9780203912485-11 · Cited by 5 · see citing works
[A study of personality in eating disorders].
Marsá, M. D., Jl, C., Aliño, J. J. L.-I., & Saiz, J. (1998) · PubMed · Cited by 4 · see citing works
Deep (1995) · doi:10.1002/1098-108x(199504)17:3
Cochrane (1993) · doi:10.1002/1098-108x(199309)14:2
Evaluation of a computer-mediated eating disorder intervention program
Winzelberg, A. J., Taylor, C. B., Sharpe, T., Eldredge, K. L., Dev, P., & Constantinou, P. S. (1998) · International Journal of Eating Disorders · doi:10.1002/(sici)1098-108x(199812)24:4
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Wolz, I., Hilker, I., Granero, R., Jiménez-Murcia, S., Gearhardt, A. N., Dieguez, C., Casanueva, F. F., Crujeiras, A. B., Menchón, J. M., & Fernández-Aranda, F. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00061 · Cited by 70 · see citing works
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- Authors
- Fassino, S., Amianto, F., Gramaglia, C., Facchini, F., & Abbate Daga, G.
- Affiliations
- University of Turin (IT)
- Corresponding author
- Fassino, S.
- ORCID
- Amianto, F.
- Venue
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity
- Published
- 2004-06
- Volume
- 9
- Issue
- 2
- Pages
- 81-90
- ISSN
- 1124-4909 (ISSN-L)
- 1590-1262
- OpenAlex
- W2018081447
- Cited by
- 125
- References
- 52
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 5 · 2022: 9 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 2 · 2016: 6 · 2015: 7 · 2014: 10 · 2013: 9 · 2012: 11
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- eating disorders, temperament, personality traits, harm avoidance, self-direction, persistence, novelty seeking, anorexia nervosa subtypes, bulimia nervosa, Tridimensional Personality Questionnaire, Temperament and Character Inventory, prognosis
- MeSH terms
- Feeding and Eating Disorders, Character, Exploratory Behavior, Female, Humans, Male, Personality Disorders, Personality Inventory, Predictive Value of Tests, Surveys and Questionnaires, Temperament
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