DSM-III-R personality disorders in eating-disorder subtypes

Abstract

The authors interviewed 46 eating‐disordered individuals with the Structured Clinical Interview for DSM‐III‐R Personality Disorders (SCID‐II) to assess the prevalence of personality disorders in four eating disorder subtypes. The findings suggest that eating disorder subtypes vary in prevalence of concurrent personality disorder diagnoses. Obsessive‐compulsive personality disorder was common in restricting anorexics, but not bulimic anorexics. Normal‐weight bulimia was associated with histrionic personality disorder. Regardless of eating‐disorder subtype, self‐reported depression was highest in individuals meeting criteria for borderline and dependent personality disorder.

Eating disorders during the adolescence: Personality characteristics associated with anorexia and bulimia nervosa.

“…Millon found that those individuals scoring high in unruliness usually show the typical appearance, temperament and behavior of the antisocial PD of the DSM. Studies generally report the cluster B of DSM as the most frequent in the case of BN, including the antisocial personality, this being less prevalent than the borderline type (30,31).…”

“…Another study reported that obsessive personality is one of the most common features among AN patients (mainly restrictive type) (31). These previous results would confirm our findings, having obtained a significant difference in the conforming (obsessive) and borderline profiles.…”

“…Regarding the histrionic profile, our results seem to disagree with others which have found an increased frequency of PD of cluster B (histrionic) in BN (6) or those studies which have pointed out that histrionic personality is more characteristic of BN (31). Therefore, previous research seems to emphasize that the histrionic personality is more related to BN, whereas in our sample of AN, this type of personality is the third in order of prevalence, followed by conforming and egotistic.…”

Trastornos de personalidad en pacientes aquejados de anorexia y bulimia nerviosa : un estudio piloto

“…La conclusión más relevante es que el 72% de la muestra total de pacientes con anorexia y bulimia nerviosa (es decir, 2 de cada 3) presentan, al menos, un trastorno de personalidad. Este resultado es comparable a los obtenidos por diferentes autores, como Wonderlich et al (1990), Norman et al (1993) y Grilo et al (1996. Este hecho supone un reto en la práctica clínica, ya que, como citan Díaz et al (1999), la presencia de un trastorno de la personalidad junto a una anorexia o una bulimia complica el tratamiento y el pronóstico de este cuadro clínico.…”

Trastornos de personalidad en pacientes con desórdenes de la conducta alimentaria

“…Las investigaciones que incluyen muestras mixtas de sujetos anoréxicos y bulímicos obtuvieron tasas de prevalencia de trastornos de personalidad de un 27% (Herzog, Sacks, Yeh & Lavori, 1992) a un 93% (Kennedy, McVey & Katz, 1990). La prevalencia reportada en anoréxicas restrictivas y bulímicas oscilan en tasas bajas de un 23% (Herzog, Keller, Lavori, Kenny & Sacks, 1992) a tasas elevadas de un 80% (Wonderlich et al, 1990) y 93% (Piran, Lerner, Garfinkel, Kennedy & Brouillete, 1988), mientras que los porcentajes en bulimia nerviosa varían entre un 21% y un 85% Ames-Frankel et al,1992;Fahy, Eisler & Russell, 1993;Fahy, 1991;Rossiter, Agras, Telch & Schneider, 1993;Zanarini et al, 1990;Yates, Sieleni, Reich & Brass, 1989;Gartner, Marcus, Halmi & Loranger, 1989;Schmidt & Telch, 1990;Levin & Hyler, 1986;Wonderlich, Swift, Slotnick & Goodman, 1990;Powers et al, 1988). Esta variabilidad se observa también cuando se especifican los grupos o trastornos de personalidad específicos: por ejemplo, el trastorno de personalidad borderline ha sido identificado entre un 2% a un 47% de los bulímicos, entre un 0% a un 21% de los anoréxicos restrictivos y entre un 12% a un 55% de los anoréxicos bulímicos.…”