Cited by 195Eating Disorders and BehaviorsPersonality Disorders and PsychopathologyPersonality Traits and Psychology

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Personality characteristics of women before and after recovery from an eating disorder

KLUMP, KELLY L., STROBER, MICHAEL, BULIK, CYNTHIA M., THORNTON, LAURA, JOHNSON, CRAIG, DEVLIN, BERNIE, FICHTER, MANFRED M., HALMI, KATHERINE A., KAPLAN, ALLAN S., BLAKE WOODSIDE, D., CROW, SCOTT, MITCHELL, JAMES, ROTONDO, ALESSANDRO, KEEL, PAMELA K., BERRETTINI, WADE H., PLOTNICOV, KATHERINE, POLLICE, CHRISTINE, LILENFELD, LISA R., KAYE, WALTER H.·2004·Psychological Medicine

DOI 10.1017/s0033291704002442

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Abstract

Background. Previous studies of personality characteristics in women with eating disorders primarily have focused on women who are acutely ill. This study compares personality characteristics among women who are ill with eating disorders, recovered from eating disorders, and those without eating or other Axis I disorder pathology. Method. Female participants were assessed for personality characteristics using the Temperament and Character Inventory (TCI): 122 with anorexia nervosa (AN; 77 ill, 45 recovered), 279 with bulimia nervosa (BN; 194 ill, 85 recovered), 267 with lifetime histories of both anorexia and bulimia nervosa (AN+BN; 194 ill, 73 recovered), 63 with eating disorder not otherwise specified (EDNOS; 31 ill, 32 recovered), and 507 without eating or Axis I disorder pathology. Results. Women ill with all types of eating disorders exhibited several TCI score differences from control women, particularly in the areas of novelty-seeking, harm avoidance, self-directedness, and cooperativeness. Interestingly, women recovered from eating disorders reported higher levels of harm avoidance and lower self-directedness and cooperativeness scores than did normal control women. Conclusions. Women with eating disorders in both the ill and recovered state show higher levels of harm avoidance and lower self-directedness and cooperativeness scores than normal control women. Although findings suggest that disturbances may be trait-related and contribute to the disorders' pathogenesis, additional research with more representative community controls, rather than our pre-screened, normal controls, is needed to confirm these impressions.

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Claes, L., Kiekens, G., & Luyckx, K. (2024) · Springer eBooks · doi:10.1007/978-3-031-46096-8_25
Temperament-Informed Treatment for Anorexia Nervosa
Wierenga, C. E., Peck, S. K., & Hill, L. (2025) · Oxford University Press eBooks · doi:10.1093/9780197675212.003.0020
Stratifying Eating Disorders with Clustering: From Diagnosis to Phenotypic DiversityPreprint
Zanola, A., Tshimanga, L. F., Meregalli, V., Favaro, A., Atzori, M., & Collantoni, E. (2025) · medRxiv · doi:10.1101/2025.08.25.25334344
Defining Recovery and Relapse in Bulimia Nervosa: A Systematic Review of the Literature
Gardini, V., Pagli, F., & Tomba, E. (2025) · European Eating Disorders Review · doi:10.1002/erv.70033
Personality and Eating Disorders: A Longitudinal Study on a Non-Clinical Sample of Adolescents
De, E. F., & Blas, L. D. (2014) · OpenstarTs (Univeristy of Trieste https://www.units.it/)
Domain-General Affect: Neural Mechanisms and Clinical Implications
Winecoff, A. (2014) · DukeSpace (Duke University)
Additional file 1 of “It’s like building a new person”: lived experience perspectives on eating disorder recovery processes
LaMarre, A., Hellner, M., Silverstein, S., Baker, J. H., Urban, B., Yourell, J., Wolfe, H., Perry, T. R., & Steinberg, D. (2024) · Figshare · doi:10.6084/m9.figshare.26746238
Adverse Childhood Experiences and Anorexia Nervosa: Mediating Mechanisms and Risk by Adversity Patterns
Sakurai, H., Ishikawa, S., Okubo, R., Mitsui, N., Miyano, F., Kako, Y., Takanobu, K., Fujii, Y., Asakura, S., Umegaki, Y., et al. (2026) · European Eating Disorders Review · doi:10.1002/erv.70101
DISORDERED EATING AND SUBSTANCE USE: A MULTIVARIATE LONGITUDINAL TWIN DESIGH
Baker, J. H. (2009) · VCU Scholars Compass (Virginia Commonwealth University) · doi:10.25772/wyw6-hx02

Authors: KLUMP, K. L., STROBER, M., BULIK, C. M., THORNTON, L., JOHNSON, C., DEVLIN, B., FICHTER, M. M., HALMI, K. A., KAPLAN, A. S., BLAKE WOODSIDE, D., CROW, S., MITCHELL, J., ROTONDO, A., KEEL, P. K., BERRETTINI, W. H., PLOTNICOV, K., POLLICE, C., LILENFELD, L. R., & KAYE, W. H.
Affiliations: Michigan State University (US)
University of North Carolina at Chapel Hill (US)
ORCID: KLUMP, KELLY L.
STROBER, MICHAEL
BULIK, CYNTHIA M.
THORNTON, LAURA
DEVLIN, BERNIE
FICHTER, MANFRED M.
HALMI, KATHERINE A.
KAPLAN, ALLAN S.
CROW, SCOTT
KEEL, PAMELA K.
LILENFELD, LISA R.
KAYE, WALTER H.
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 2004-11
Volume: 34
Issue: 8
Pages: 1407-1418
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s0033291704002442
OpenAlex: W2143789355
Cited by: 194
References: 50
Citations by year: 2026: 1 · 2025: 3 · 2024: 5 · 2023: 5 · 2022: 8 · 2021: 4 · 2020: 8 · 2019: 6 · 2018: 5 · 2017: 6 · 2016: 10 · 2015: 12 · 2014: 13 · 2013: 15 · 2012: 14
FWCI: 9.60
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified, 3 d)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: Louis and Harold Price Foundation
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, personality traits, anorexia nervosa, bulimia nervosa, eating disorder not otherwise specified, eating disorder recovery, harm avoidance, self-direction, cooperativeness, novelty seeking, Temperament and Character Inventory, women
MeSH terms: Adult, Anorexia Nervosa, Bulimia, Exploratory Behavior, Female, Humans, Personality, Personality Inventory, Case-Control Studies, Self-Injurious Behavior, Treatment Outcome

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Personality characteristics of women before and after recovery from an eating disorder

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