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Psychiatric, behavioral, and attitudinal correlates of avoidant and obsessive-compulsive personality pathology in patients with binge-eating disorder.
Compr Psychiatry. 2010 Sep-Oct; 51(5):531-7.CP

Abstract

OBJECTIVE

We examined correlates of avoidant and obsessive-compulsive personality pathology--with respect to psychiatric comorbidity, eating disorder psychopathology, and associated psychologic factors--in patients with binge-eating disorder (BED).

METHOD

Three hundred forty-seven treatment-seeking patients who met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), research criteria for BED were reliably assessed with semistructured interviews to evaluate DSM-IV Axis I disorders, personality disorders, and behavioral and attitudinal features of eating disorder psychopathology.

RESULTS

Fifteen percent of subjects had avoidant personality disorder features, 12% had obsessive-compulsive personality disorder features, 8% had features of both disorders, and 66% had features of neither. These groups differed significantly in the frequencies of depressive and anxiety disorders, as well as on measures of psychologic functioning (negative/depressive affect and self-esteem) and eating disorder attitudes (shape and weight concerns). There were no group differences on measures of eating behaviors. The avoidant and obsessive-compulsive groups had more psychiatric comorbidity than the group without these personality features but less than the combined group. The group without these features scored significantly lower than all other groups on negative/depressive affect and significantly higher than the avoidant and combined groups on self-esteem. The combined group had the greatest severity on shape and weight concerns.

CONCLUSIONS

Avoidant and obsessive-compulsive personality features are common in patients with BED. Among BED patients, these forms of personality psychopathology--separately and in combination--are associated with clinically meaningful diagnostic, psychologic, and attitudinal differences. These findings have implications for the psychopathologic relationship between BED and personality psychopathology and may also have implications for assessment and treatment.

Authors+Show Affiliations

Department of Psychiatry, University of California, San Francisco, CA 94143, USA. beckerdf@sutterhealth.orgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

20728012

Citation

Becker, Daniel F., et al. "Psychiatric, Behavioral, and Attitudinal Correlates of Avoidant and Obsessive-compulsive Personality Pathology in Patients With Binge-eating Disorder." Comprehensive Psychiatry, vol. 51, no. 5, 2010, pp. 531-7.
Becker DF, Masheb RM, White MA, et al. Psychiatric, behavioral, and attitudinal correlates of avoidant and obsessive-compulsive personality pathology in patients with binge-eating disorder. Compr Psychiatry. 2010;51(5):531-7.
Becker, D. F., Masheb, R. M., White, M. A., & Grilo, C. M. (2010). Psychiatric, behavioral, and attitudinal correlates of avoidant and obsessive-compulsive personality pathology in patients with binge-eating disorder. Comprehensive Psychiatry, 51(5), 531-7. https://doi.org/10.1016/j.comppsych.2009.11.005
Becker DF, et al. Psychiatric, Behavioral, and Attitudinal Correlates of Avoidant and Obsessive-compulsive Personality Pathology in Patients With Binge-eating Disorder. Compr Psychiatry. 2010 Sep-Oct;51(5):531-7. PubMed PMID: 20728012.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychiatric, behavioral, and attitudinal correlates of avoidant and obsessive-compulsive personality pathology in patients with binge-eating disorder. AU - Becker,Daniel F, AU - Masheb,Robin M, AU - White,Marney A, AU - Grilo,Carlos M, Y1 - 2010/01/08/ PY - 2009/08/30/received PY - 2009/11/07/revised PY - 2009/11/18/accepted PY - 2010/8/24/entrez PY - 2010/8/24/pubmed PY - 2010/12/16/medline SP - 531 EP - 7 JF - Comprehensive psychiatry JO - Compr Psychiatry VL - 51 IS - 5 N2 - OBJECTIVE: We examined correlates of avoidant and obsessive-compulsive personality pathology--with respect to psychiatric comorbidity, eating disorder psychopathology, and associated psychologic factors--in patients with binge-eating disorder (BED). METHOD: Three hundred forty-seven treatment-seeking patients who met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), research criteria for BED were reliably assessed with semistructured interviews to evaluate DSM-IV Axis I disorders, personality disorders, and behavioral and attitudinal features of eating disorder psychopathology. RESULTS: Fifteen percent of subjects had avoidant personality disorder features, 12% had obsessive-compulsive personality disorder features, 8% had features of both disorders, and 66% had features of neither. These groups differed significantly in the frequencies of depressive and anxiety disorders, as well as on measures of psychologic functioning (negative/depressive affect and self-esteem) and eating disorder attitudes (shape and weight concerns). There were no group differences on measures of eating behaviors. The avoidant and obsessive-compulsive groups had more psychiatric comorbidity than the group without these personality features but less than the combined group. The group without these features scored significantly lower than all other groups on negative/depressive affect and significantly higher than the avoidant and combined groups on self-esteem. The combined group had the greatest severity on shape and weight concerns. CONCLUSIONS: Avoidant and obsessive-compulsive personality features are common in patients with BED. Among BED patients, these forms of personality psychopathology--separately and in combination--are associated with clinically meaningful diagnostic, psychologic, and attitudinal differences. These findings have implications for the psychopathologic relationship between BED and personality psychopathology and may also have implications for assessment and treatment. SN - 1532-8384 UR - https://www.unboundmedicine.com/medline/citation/20728012/Psychiatric_behavioral_and_attitudinal_correlates_of_avoidant_and_obsessive_compulsive_personality_pathology_in_patients_with_binge_eating_disorder_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010-440X(09)00137-0 DB - PRIME DP - Unbound Medicine ER -