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Studies on comorbidity between eating disorders (ED) and personality disorders yield rates of 20-80%, a condition that makes difficult the diagnosis and complicates prognosis, especially regarding their comorbidity with borderline personality disorder (BPD). The objective of this study was to assess whether pathological personality alterations make it possible to distinguish not only between different types of ED, but also in terms of their comorbidity with BPD. Participants included 29 patients with ED, 10 with comorbid ED with BPD (EDc), 27 with BPD and 22 healthy controls, who completed the Millon Multiaxial Clinical Inventory (MCMI-II), and two other measures, one on impulsivity and other aimed at assess symptoms of bulimia nervosa (BN). The ED group was characterized by greater compulsivity, mainly in the subgroup with anorexia nervosa vs . BPD and EDc groups; however, these last two groups shared many features that show emotional instability, although less that the subgroup with BN. These findings support a continuum of severity in terms of compulsivity-impulsivity, with important etiopathogenic, diagnostic and psychotherapeutic implications. Resumen  Los estudios sobre comorbilidad entre los trastornos de la conducta alimentaria (TCA) y los trastornos de la personalidad reportan tasas del 20-80%, condicion que dificulta el diagnostico y ensombrece el pronostico, especialmente respecto a su comorbilidad con el trastorno limite de la personalidad (TLP). El objetivo de este estudio fue valorar si las alteraciones patologicas de la personalidad permiten distinguir no solo entre distintos tipos de TCA, sino ademas en funcion de su comorbilidad con el TLP. Participaron 29 pacientes con TCA, 10 con TCA comorbido con TLP [TCAc], 27 con TLP y 22 controles sanas, quienes completaron el Inventario Clinico Multiaxial de Millon (MCMI-II) y otras dos medidas, una sobre impulsividad y otra dirigida a evaluar sintomas de bulimia nerviosa (BN). El grupo TCA se caracterizo por mayor compulsividad, principalmente en el caso del subgrupo con anorexia nerviosa vs. los grupos TLP y TCAc; no obstante, estos dos ultimos compartieron un amplio numero de rasgos indicativos de inestabilidad emocional, y tambien –aunque en menor medida− con el subgrupo con BN. Los hallazgos apoyan un continuum de gravedad en funcion de la compulsividad-impulsividad, con importantes implicaciones etiopatogenicas, diagnosticas y psicoterapeuticas.

revista mexicana de trastornos alimentarios

Personality in patients with eating disorders depending on the presence/absence of comorbidity with borderline personality disorder / Personalidad en pacientes con trastorno alimentario en función de la presencia/ausencia de comorbilidad con trastorno límite de la personalidad