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Childhood obsessive-compulsive personality traits in adult women with eating disorders: defining a broader eating disorder phenotype.
Am J Psychiatry 2003; 160(2):242-7AJ

Abstract

OBJECTIVE

The authors retrospectively examined a spectrum of childhood traits that reflect obsessive-compulsive personality in adult women with eating disorders and assessed the predictive value of the traits for the development of eating disorders.

METHOD

In a case-control design, 44 women with anorexia nervosa, 28 women with bulimia nervosa, and 28 healthy female comparison subjects were assessed with an interview instrument that asked them to recall whether they had experienced various types of childhood behavior suggesting traits associated with obsessive-compulsive personality. The subjects also completed a self-report inventory of obsessive-compulsive disorder (OCD) symptoms.

RESULTS

Childhood obsessive-compulsive personality traits showed a high predictive value for development of eating disorders, with the estimated odds ratio for eating disorders increasing by a factor of 6.9 for every additional trait present. Subjects with eating disorders who reported perfectionism and rigidity in childhood had significantly higher rates of obsessive-compulsive personality disorder and OCD comorbidity later in life, compared with eating disorder subjects who did not report those traits.

CONCLUSIONS

Childhood traits reflecting obsessive-compulsive personality appear to be important risk factors for the development of eating disorders and may represent markers of a broader phenotype for a specific subgroup of patients with anorexia nervosa.

Authors+Show Affiliations

Institute of Psychiatry, King College London, De Crespigny Park. marija.brecelj@guest.arnes.siNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12562569

Citation

Anderluh, Marija Brecelj, et al. "Childhood Obsessive-compulsive Personality Traits in Adult Women With Eating Disorders: Defining a Broader Eating Disorder Phenotype." The American Journal of Psychiatry, vol. 160, no. 2, 2003, pp. 242-7.
Anderluh MB, Tchanturia K, Rabe-Hesketh S, et al. Childhood obsessive-compulsive personality traits in adult women with eating disorders: defining a broader eating disorder phenotype. Am J Psychiatry. 2003;160(2):242-7.
Anderluh, M. B., Tchanturia, K., Rabe-Hesketh, S., & Treasure, J. (2003). Childhood obsessive-compulsive personality traits in adult women with eating disorders: defining a broader eating disorder phenotype. The American Journal of Psychiatry, 160(2), pp. 242-7.
Anderluh MB, et al. Childhood Obsessive-compulsive Personality Traits in Adult Women With Eating Disorders: Defining a Broader Eating Disorder Phenotype. Am J Psychiatry. 2003;160(2):242-7. PubMed PMID: 12562569.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Childhood obsessive-compulsive personality traits in adult women with eating disorders: defining a broader eating disorder phenotype. AU - Anderluh,Marija Brecelj, AU - Tchanturia,Kate, AU - Rabe-Hesketh,Sophia, AU - Treasure,Janet, PY - 2003/2/4/pubmed PY - 2003/3/5/medline PY - 2003/2/4/entrez SP - 242 EP - 7 JF - The American journal of psychiatry JO - Am J Psychiatry VL - 160 IS - 2 N2 - OBJECTIVE: The authors retrospectively examined a spectrum of childhood traits that reflect obsessive-compulsive personality in adult women with eating disorders and assessed the predictive value of the traits for the development of eating disorders. METHOD: In a case-control design, 44 women with anorexia nervosa, 28 women with bulimia nervosa, and 28 healthy female comparison subjects were assessed with an interview instrument that asked them to recall whether they had experienced various types of childhood behavior suggesting traits associated with obsessive-compulsive personality. The subjects also completed a self-report inventory of obsessive-compulsive disorder (OCD) symptoms. RESULTS: Childhood obsessive-compulsive personality traits showed a high predictive value for development of eating disorders, with the estimated odds ratio for eating disorders increasing by a factor of 6.9 for every additional trait present. Subjects with eating disorders who reported perfectionism and rigidity in childhood had significantly higher rates of obsessive-compulsive personality disorder and OCD comorbidity later in life, compared with eating disorder subjects who did not report those traits. CONCLUSIONS: Childhood traits reflecting obsessive-compulsive personality appear to be important risk factors for the development of eating disorders and may represent markers of a broader phenotype for a specific subgroup of patients with anorexia nervosa. SN - 0002-953X UR - https://www.unboundmedicine.com/medline/citation/12562569/Childhood_obsessive_compulsive_personality_traits_in_adult_women_with_eating_disorders:_defining_a_broader_eating_disorder_phenotype_ L2 - https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.160.2.242?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -