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Cited by 206Eating Disorders and BehaviorsPersonality Disorders and PsychopathologyPersonality Traits and Psychology

Personality traits among currently eating disordered, recovered and never ill first-degree female relatives of bulimic and control women

LILENFELD, L. R. R., STEIN, D., BULIK, C. M., STROBER, M., PLOTNICOV, K., POLLICE, C., RAO, R., MERIKANGAS, K. R. +2 more·2000·Psychological Medicine
DOI 10.1017/s0033291799002792
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Abstract

Background. A combined family study and recovered study design was utilized to examine several hypothesized relationships between personality and bulimia nervosa (BN). Methods. We studied 47 women with a lifetime history of DSM-III-R BN (31 currently ill and 16 recovered), 44 matched control women (CW) with no history of an eating disorder (ED), and their first-degree female relatives (N = 89 and N = 100, respectively), some of whom had current or previous EDs. Results. BN probands' relatives with no ED history had significantly elevated levels of perfectionism, ineffectiveness, and interpersonal distrust compared to CW probands' relatives with no ED history. In contrast, diminished interoceptive awareness, heightened stress reactivity and perfectionistic doubting of actions were found among the previously eating disordered relatives of bulimic probands compared to their never ill relatives. Finally, a sense of alienation and emotional responsivity to the environment were elevated among currently ill compared to recovered bulimic probands. Conclusions. The fact that perfectionism, ineffectiveness and interpersonal distrust are transmitted independently of an ED in relatives suggests that they may be of potential aetiological relevance for BN. In contrast, diminished interoceptive awareness, heightened stress reactivity and perfectionistic doubting of actions are more likely consequent to, or exacerbated by, previously having experienced the illness. Finally, a sense of alienation and emotional responsivity to the environment are more likely to be associated with currently having BN.

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  • Women recovered from anorexia nervosa score higher than co-twin controls and healthy control women on trait anxiety measures.

    “Women recovered from AN also score higher than co-twin controls and healthy control women on trait anxiety measures (Keski-Rahkonen et al., 2007, Lilenfeld et al., 2000).”

    From Factors associated with recovery from anorexia nervosa (2013) · cites this paper as Lilenfeld et al., 2000

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Authors
LILENFELD, L. R. R., STEIN, D., BULIK, C. M., STROBER, M., PLOTNICOV, K., POLLICE, C., RAO, R., MERIKANGAS, K. R., NAGY, L., & KAYE, W. H.
Affiliations
University of California, Los Angeles (US)
ORCID
Venue
Psychological Medicine
Publisher
Cambridge University Press (CUP)
Published
2000-11
Volume
30
Issue
6
Pages
1399-1410
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
DOI
10.1017/s0033291799002792
OpenAlex
W2136926276
Cited by
206
References
53
Citations by year
2026: 1 · 2025: 2 · 2023: 2 · 2022: 5 · 2021: 3 · 2020: 2 · 2019: 9 · 2018: 5 · 2017: 8 · 2016: 6 · 2015: 6 · 2014: 8 · 2013: 12 · 2012: 12
FWCI
11.60
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified, 15 d)
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01aa008983-03)
  • National Institute on Alcohol Abuse and Alcoholism (5 R01 AA 08983-02)
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
bulimia nervosa, eating disorders, personality traits, first-degree relatives, family studies, recovered patients, perfectionism, interoceptive awareness, stress reactivity, interpersonal distrust, alienation, emotional responsiveness, etiology
MeSH terms
Adolescent, Adult, Analysis of Variance, Feeding and Eating Disorders, Bulimia, Family, Female, Humans, Personality, Personality Inventory, Psychiatric Status Rating Scales, Temperament, Case-Control Studies, Genetic Predisposition to Disease

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