“…One case report (Pinhas, Geist, & Katzman, 1996) described an adolescent with AN and TTM who also engaged in a pattern of rigid exercise. In contrast, Tyler et al (2002) reported that TTM is uncommonly endorsed in AN using qualitative methodologies. In BN, Engel et al (2005) reported that those scoring high on impulsive and compulsive features exhibited the greatest degree of personality pathology, alcohol and substance use, depressive symptoms, eating disorder symptoms, and impairment.…”