Temperament, Character, and Personality Disorder in Bulimia Nervosa
作者:
CYNTHIA BULIK,
PATRICK SULLIVAN,
PETER JOYCE,
FRANCES CARTER,
期刊:
The Journal of Nervous and Mental Disease
(OVID Available online 1995)
卷期:
Volume 183,
issue 9
页码: 593-598
ISSN:0022-3018
年代: 1995
出版商: OVID
数据来源: OVID
摘要:
In a sample of 76 women participating in a clinical treatment trial for bulimia nervosa, we examined the clinical differences between subjects with and without concurrent personality disorders and the ability of “self-directedness” (a character scale of Cloninger's Temperament and Character Inventory) to predict the presence of personality disorder. Sixty-three percent of the sample had at least one personality disorder diagnosis. Fifty-one percent of personality disorders were in cluster C, 41% were in cluster B, and 33% were in cluster A. The presence of personality disorder was associated with greater depressive symptoms, worse global functioning, laxative use, greater body dissatisfaction, higher harm avoidance, and lower self-directedness. As hypothesized, low self-directedness scores were associated with a markedly increased probability of a personality disorder.
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