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Clinical correlates of personality disorder in bulimia nervosa
Author(s) -
Yates William R.,
Sieleni Bruce,
Bowers Wayne A.
Publication year - 1989
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/1098-108x(198907)8:4<473::aid-eat2260080411>3.0.co;2-u
Subject(s) - psychology , bulimia nervosa , personality , clinical psychology , psychiatry , personality disorders , distress , eating disorder inventory , anorexia nervosa , borderline personality disorder , eating disorders , social psychology
Thirty women of normal weight with a DSM‐III‐R diagnosis of bulimia nervosa who were involved in a drug treatment study were divided into two groups. The division into groups was based on criteria for personality disorder (personality disorder, PD, n = 14; no personality disorder, NPD, n = 16). The groups were assessed on cognitive, psychological, psychiatric, and physiological measures. Compared with the NPD group, the PD group was significantly more likely to have a history of major depression and suicide attempts. The PD group had higher lifetime maximum and minimum body mass indices. Eating Disorder inventory (EDI) total score was significantly higher (more severe) among the PD group. EDI subscales Drive for Thinness, Body Dissatisfaction, Ineffectiveness, and Personal Distress were significantly elevated for the PD group. These findings support cognitive, psychological, psychiatric, and physiological differences between bulimics with and without personality disorder.