Temperament in eating disorders.

This study examined dimensional personality and temperamental characteristics in women with eating disorders. Clinical symptoms, personality, and temperament were examined in 30 women with anorexia nervosa (AN), 32 women with bulimia nervosa with no history of anorexia nervosa (BN), and 20 women with comorbid anorexia and bulimia nervosa (AB). Temperament differed markedly across the groups on the Tridimensional Personality Questionnaire (TPQ) with AN women showing greater reward dependence, BN women scoring higher on novelty seeking subscales, and AB women showing high harm avoidance. The TPQ subscales also displayed higher classification accuracy than other personality and symptom measures. Temperamental features are distinct across eating disorder subtypes. Temperament could reflect differential vulnerabilities for the development of specific eating disorder symptom clusters.

[1]  J. Oldham,et al.  Personality disorder diagnoses in patients with bulimia nervosa: clinical correlates and changes with treatment. , 1992, The Journal of clinical psychiatry.

[2]  C. Robert Cloninger,et al.  Temperament and hypercortisolemia in depression. , 1994, The American journal of psychiatry.

[3]  R. Pihl,et al.  Factor structure and correlates of the Tridimensional Personality Questionnaire. , 1992, Journal of studies on alcohol.

[4]  R. Kessler,et al.  The genetic epidemiology of bulimia nervosa. , 1991, The American journal of psychiatry.

[5]  R. Michels,et al.  Diagnostic and Statistical Manual of Mental Disorders, 3rd ed , 1981 .

[6]  M. Strober Family-genetic studies of eating disorders. , 1991, The Journal of clinical psychiatry.

[7]  Stephen L. Brown,et al.  Correlates of Tridimensional Personality Questionnaire Scales with Selected Minnesota Multiphasic Personality Inventory Scales , 1992, Psychological reports.

[8]  C. R. Cloninger,et al.  A psychobiological model of temperament and character. , 1993, Archives of general psychiatry.

[9]  B. Sieleni,et al.  Comorbidity of bulimia nervosa and personality disorder. , 1989, The Journal of clinical psychiatry.

[10]  T. Widiger,et al.  Psychodiagnosis of axis II , 1983 .

[11]  D. Yurgelun-Todd,et al.  Is bulimia associated with borderline personality disorder? A controlled study. , 1987, The Journal of clinical psychiatry.

[12]  J. Fleiss Statistical methods for rates and proportions , 1974 .

[13]  L. Hsu,et al.  The starving hoarder and voracious spender: stealing in anorexia nervosa. , 1980, Journal of psychosomatic research.

[14]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[15]  W. Kaye,et al.  Altered cerebrospinal fluid neuropeptide Y and peptide YY immunoreactivity in anorexia and bulimia nervosa. , 1990, Archives of general psychiatry.

[16]  A. Loranger,et al.  DSM-III-R personality disorders in patients with eating disorders. , 1989, The American journal of psychiatry.

[17]  H. Moldofsky,et al.  The heterogeneity of anorexia nervosa. Bulimia as a distinct subgroup. , 1980, Archives of general psychiatry.

[18]  P W Lavori,et al.  The prevalence of personality disorders in 210 women with eating disorders. , 1992, The Journal of clinical psychiatry.

[19]  J. Derksen An exploratory study of borderline personality disorder in women with eating disorders and psychoactive substance dependent patients , 1990 .

[20]  James E Mitchell Subtyping of bulimia nervosa , 1992 .

[21]  M. Strober Personality and symptomatological features in young, nonchronic anorexia nervosa patients. , 1980, Journal of psychosomatic research.

[22]  N. Martin,et al.  Testing a model for the genetic structure of personality: a comparison of the personality systems of Cloninger and Eysenck. , 1994, Journal of personality and social psychology.

[23]  D. Yurgelun-Todd,et al.  Axis II comorbidity of normal-weight bulimia. , 1990, Comprehensive psychiatry.

[24]  C. Bulik,et al.  Drug and alcohol abuse by bulimic women and their families. , 1987, The American journal of psychiatry.

[25]  T. Widiger Utilities and fixed diagnostic rules: comments on Finn. , 1983, Journal of abnormal psychology.

[26]  Henry B. Slotnick,et al.  DSM‐III‐R personality disorders in eating‐disorder subtypes , 1990 .

[27]  P. Sullivan,et al.  Drug use in women with anorexia and bulimia nervosa , 1992 .

[28]  T. Brewerton,et al.  The Tridimensional Personality Questionnaire in eating disorder patients. , 1993, The International journal of eating disorders.

[29]  E. Eckert,et al.  Bulimia: a report of 34 cases. , 1981, The Journal of clinical psychiatry.

[30]  C. R. Cloninger,et al.  Mood states and personality traits. , 1992, Journal of affective disorders.

[31]  F. Fernandez Anxiety and the neuropsychiatry of AIDS. , 1989, The Journal of clinical psychiatry.

[32]  M. Chrétien,et al.  Reduced cerebrospinal fluid levels of immunoreactive pro-opiomelanocortin related peptides (including beta-endorphin) in anorexia nervosa. , 1987, Life sciences.

[33]  C. Robert Cloninger,et al.  Neurogenetic adaptive mechanisms in alcoholism. , 1987, Science.

[34]  Deborah C. Beidel,et al.  An analysis of social anxiety in anorexic, bulimic, social phobic, and control women , 1991 .

[35]  J. Mezzich,et al.  Developing an efficient clinical information system for a comprehensive psychiatric institute: I. Principles, design, and organization , 1981 .

[36]  W. Kaye,et al.  Abnormalities in CNS monoamine metabolism in anorexia nervosa. , 1984, Archives of general psychiatry.

[37]  D. Hedeker,et al.  Personality dimensions in eating disorders and their relevance for subtyping. , 1992, Journal of the American Academy of Child and Adolescent Psychiatry.

[38]  A. Tellegen Structures of Mood and Personality and Their Relevance to Assessing Anxiety, With an Emphasis on Self-Report , 2019, Anxiety and the Anxiety Disorders.

[39]  C. Robert Cloninger,et al.  Further contribution to the conceptual validity of the unified biosocial model of personality: US and Yugoslav data. , 1991, Comprehensive psychiatry.

[40]  P. Powers,et al.  Other psychiatric disorders among bulimic patients. , 1988, Comprehensive psychiatry.

[41]  L. Hsu The outcome of anorexia nervosa: a reappraisal , 1988, Psychological Medicine.

[42]  C. R. Cloninger,et al.  Differential diagnosis of personality disorders by the seven-factor model of temperament and character. , 1993, Archives of general psychiatry.

[43]  E. Eckert,et al.  Shoplifting in bulimia nervosa. , 1992, Comprehensive psychiatry.

[44]  G. Chrousos,et al.  Elevated cerebrospinal fluid levels of immunoreactive corticotropin-releasing hormone in anorexia nervosa: relation to state of nutrition, adrenal function, and intensity of depression. , 1987, The Journal of clinical endocrinology and metabolism.

[45]  M. Rutter,et al.  Temperament, Personality and Personality Disorder , 1987, British Journal of Psychiatry.

[46]  Dragan M. Svrakic,et al.  The Tridimensional Personality Questionnaire: U.S. Normative Data , 1991, Psychological reports.

[47]  C. Robert Cloninger,et al.  Childhood personality predicts alcohol abuse in young adults. , 1988, Alcoholism, clinical and experimental research.

[48]  G. C. George,et al.  ‘Dieters’ and ‘vomiters and purgers’ in anorexia nervosa , 1977, Psychological Medicine.

[49]  C. Bulik,et al.  Comparative psychopathology of women with bulimia nervosa and obsessive-compulsive disorder. , 1992, Comprehensive psychiatry.

[50]  C. Robert Cloninger,et al.  Temperament predicts clomipramine and desipramine response in major depression. , 1994, Journal of affective disorders.

[51]  Cloninger Cr A systematic method for clinical description and classification of personality variants: A proposal. , 1987 .