Comparison of personality risk factors in bulimia nervosa and pathological gambling.
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Objective The objective of the study was to assess the predictive value of personality profiles to classify individuals with bulimia nervosa (BN), pathological gambling (PG), and a nonpsychiatric comparison group while controlling for sex.Methods The sample comprised 270 BN (241 women, 29 men), 429 PG (42 women, 387 men), and 96 comparison (nonpsychiatric) subjects (35 women, 61 men). All patients were consecutively admitted to our Psychiatry Department and were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria. We administered the Temperament and Character Inventory-Revised as well as other clinical indices. Multinomial and binary logistic regression models adjusted for age and stratified by sex were used to assess the predictive value of personality in relation to group status.Results In comparison to controls, high Novelty Seeking (P < .001) was specifically associated with a diagnosis of PG. Independently of sex, low Self-Directedness was associated with both BN (P < .001) and PG (P < .001). Some sex-specific differences were also observed; namely, women with BN and PG displayed higher Harm Avoidance and Cooperativeness than control women, whereas men with PG reported higher Reward Dependence and Persistence than control men.Conclusions Our results suggested that, whereas there are some shared personality traits between BN and PG when compared with healthy controls, there are also some sex- and diagnostic-specific personality traits that weigh against the consideration of BN as an impulse control disorder.
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Lower self-directedness seems to identify individuals more vulnerable to develop addictive behavior patterns.
“and seems to identify individuals more vulnerable to develop addictive behavior patterns (Alvarez-Moya et al., 2007; Schneider et al., 2015).”
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 Alvarez-Moya et al., 2007
Lower self-directedness is a characteristic trait in individuals with substance-related and non-substance-related addictive disorders.
“Lower self-directedness has been found to be a characteristic trait both in individuals with substance related and non-substance related addictive disorders”
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 Alvarez-Moya et al., 2007
In ED patients, low self-directedness is a characteristic trait.
“In ED patients, low self-directedness is also a characteristic trait (Fassino et al., 2002; Cassin and Von Ranson, 2005; Alvarez-Moya et al., 2007)”
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 Alvarez-Moya et al., 2007
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- Authors
- Álvarez-Moya, E. M., Jiménez-Murcia, S., Granero, R., Vallejo, J., Krug, I., Bulik, C. M., & Fernández-Aranda, F.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Bellvitge University Hospital (ES)
- University of North Carolina at Chapel Hill (US)
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 2007-09
- Volume
- 48
- Issue
- 5
- Pages
- 452-457
- ISSN
- 0010-440X (ISSN-L)
- OpenAlex
- W2158500169
- Cited by
- 81
- References
- 49
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 2 · 2016: 7 · 2015: 6 · 2014: 9 · 2013: 5 · 2012: 12
- FWCI
- 4.30
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Comprehensive Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- UNC Libraries
- Funders
- Ministerio de Economía y Competitividad
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- bulimia nervosa, gambling addiction, personality traits, Temperament and Character Inventory-Revised, novelty seeking, self-direction, harm avoidance, reward dependence, sex differences, impulse control disorders, diagnostic classification
- MeSH terms
- Adult, Cross-Sectional Studies, Female, Gambling, Humans, Disruptive, Impulse Control, and Conduct Disorders, Male, Personality Disorders, Personality Inventory, Predictive Value of Tests, Psychometrics, Surveys and Questionnaires, Risk Factors, Diagnostic and Statistical Manual of Mental Disorders, Bulimia Nervosa
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