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Prevalence of Personality Disorders and Their Clinical Correlates in Outpatient Adolescents With Anorexia Nervosa

Bibliographic Data

ID19301554
AuthorsSantino Gaudio (0000-0001-7165-881X, Bambino Gesù Children's Hospital, corresponding author), Vincenzo Di Ciommo (0000-0003-4964-5224)
Year2011
Volume73
Issue9
Pages769-774
Publication date2011-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/psy.0b013e318235b9b5
PMID22042882
OpenAlexW2335144654
LanguageEN
Citations received1
References cited34

OBJECTIVE: To evaluate personality disorder (PD) comorbidity and its clinical correlates in a sample of adolescents with anorexia nervosa (AN) and to compare them with similar studies on adults. METHODS: One hundred one female AN outpatients (16-18 years old)-57 with AN restrictive type and 44 with AN binge-purging type-and 71 age-matched, healthy, female participants were assessed using the Structured Clinical Interview for DSM-IV Axis II Disorders. Five selected clinical variables of AN severity were also assessed. RESULTS: Overall, 24.8% of AN outpatients had one or more PD compared with 4.2% of the control participants (p < .001). PDs most frequently found in AN outpatients were avoidant, borderline, and obsessive-compulsive. Associations were found between AN binge-purging type and borderline PD and between AN restrictive type and obsessive-compulsive PD. AN outpatients with a PD had an earlier age of onset of AN (mean [standard deviation {SD}] = 15.4 [1.2] versus 16.1 [0.9], p = .002), lower lifetime lowest BMI (mean [SD] = 14.8 [1.5] versus 15.6 [1.3], p = .01), and more hospital admissions for AN (mean [SD] = 1.4 [0.9] versus 0.3 [0.6], p < .001) compared with those without PDs. CONCLUSIONS: Associations were found between AN and PDs in adolescents similar to those found in adults. The presence of a PD is associated with a greater severity of AN. PD assessment of adolescent AN patients may permit a more accurate diagnosis and better treatment planning

Age of onset · Anorexia nervosa · Borderline personality disorder · Comorbidity · Disease · Eating disorders · Outpatient clinic · Personality · Personality disorders · Psychiatry · Child Nutrition and Feeding Issues · Clinical Psychology · Eating Disorders and Behaviors · Internal Medicine · Medicine · Obsessive-Compulsive Spectrum Disorders · Psychology

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  • The Eating Attitudes Test

    Open Access•David M Garner, Paul E Garfinkel•Psychological Medicine•1979

  • The Eating Attitudes Test

    Open Access•David M Garner, Marion P Olmsted et al.•Psychological Medicine•1982

  • Adolescent storm and stress, reconsidered

    Jeffrey Jensen Arnett•American Psychologist•1999

Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo

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