A study of temperament and personality in anorexia and bulimia nervosa.
Abstract
Although temperament and personality traits could influence the development and course of eating disorders, only a few studies examined the similarities and differences in personality between anorexia and bulimia nervosa. We compared 72 patients with DSM-IV eating disorders and 30 healthy controls. Dimensions of personality and personality disorders were evaluated with the Eysenck's EPQ, Cloninger's TCI, and the SCID-II questionnaires. The rates of impulsivity and clinical features were evaluated using specific rating scales. A comorbid personality disorder was found in 61.8% of patients with eating disorder. Avoidant personality disorder appeared was relatively common in anorexia nervosa restricting type; borderline personality disorder was most frequent in bulimia nervosa and the binge eating-purging type of anorexia nervosa. From a dimensional perspective, anorexic patients presented high scores in the dimension of persistence. Higher harm avoidance and impulsivity was found in bulimic patients. The overall eating disorders group presented high scores in neuroticism and low scores in self-directedness. Eating disorder patients have heterogeneous features of temperament and personality traits. Cluster C personality disorders seem more common in anorexia nervosa restricting type and impulsive personality features are associated with bulimic symptoms. Impulsivity seems to be a key aspect of temperament of bulimic patients, whereas anorexic symptoms are linked to persistent temperament traits.
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Suicidality was more common among adolescents with bulimia nervosa compared with those with anorexia nervosa.
“Likewise, suicidality was more common among adolescents with BN compared with those with AN, corroborating findings from previous community surveys43 and some clinical studies.12–14”
From Prevalence and Correlates of Eating Disorders in Adolescents: Results From the National Comorbidity Survey Replication Adolescent Supplement (2011) · cites this paper as [43]
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Cuzzocrea, F., Costa, S., Larcan, R., & Toffle, M. E. (2015) · SpringerPlus · doi:10.1186/s40064-015-1372-1 · Cited by 11 · see citing works
- Authors
- Díaz-Marsá, M., Luis, J., & Sáiz, J.
- ORCID
- Luis, José
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2000-12
- Volume
- 14
- Issue
- 4
- Pages
- 352-359
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2116306808
- Cited by
- 181
- References
- 3
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 6 · 2022: 7 · 2021: 1 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 6 · 2016: 7 · 2015: 8 · 2014: 10 · 2013: 9 · 2012: 8
- FWCI
- 6.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- 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
- anorexia nervosa, bulimia nervosa, temperament, personality traits, eating disorders, personality disorders, impulsivity, harm avoidance, persistence, neuroticism, self-direction, avoidant personality disorder, borderline personality disorder, cluster C personality disorders
- MeSH terms
- Adult, Anorexia Nervosa, Bulimia, Female, Humans, Personality Disorders, Surveys and Questionnaires, Severity of Illness Index, Temperament
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