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Eating disorders in a large clinical sample of men and women with personality disorders.
Int J Eat Disord. 2013 Dec; 46(8):801-9.IJ

Abstract

OBJECTIVE

We assessed and compared the prevalence of anorexia nervosa (AN), bulimia nervosa (BN), and eating disorder not otherwise specified (EDNOS) across six Axis II groups (borderline, obsessive-compulsive, avoidant, dependent, paranoid, and personality disorder NOS) and patients with major depressive disorder (MDD) without personality disorders (PD).

METHOD

The sample included 3,266 consecutive and first admissions to 16 different treatment units in the Norwegian Network of Psychotherapeutic Day Hospitals between 1993 and 2009. All patients were interviewed with the SCID-II for DSM-III-R (prior to 1996) or DSM-IV (from 1996) and the MINI for Axis I disorders in accordance with the LEAD (longitudinal, expert, all-data) standard.

RESULTS

The prevalence of any ED in the PD sample was approximately 17% for women and 3% for men. A lower rate of ED (5%) was found for patients with MDD without PD. A significantly higher proportion of patients with borderline personality disorder were diagnosed with BN or EDNOS. The rate of AN was significantly elevated in female patients with obsessive-compulsive personality disorder. Men demonstrated significantly less diagnostic co-occurrence and no significant differential variation across PD groups or MDD.

DISCUSSION

Data which included a psychiatric comparison group showed less co-occurrence and non-significant variation across PD groups for men, but demonstrated a meaningful and specific pattern of comorbidity between ED and PD for women. There was an elevated risk of ED among female patients with PD, most pronounced for borderline. An almost five-fold higher rate of AN was found among women with obsessive-compulsive PD.

Authors+Show Affiliations

Regional Eating Disorders Service, Division of Mental Health and Addiction, Oslo University Hospital, Norway.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study

Language

eng

PubMed ID

23983043

Citation

Reas, Deborah L., et al. "Eating Disorders in a Large Clinical Sample of Men and Women With Personality Disorders." The International Journal of Eating Disorders, vol. 46, no. 8, 2013, pp. 801-9.
Reas DL, Rø Ø, Karterud S, et al. Eating disorders in a large clinical sample of men and women with personality disorders. Int J Eat Disord. 2013;46(8):801-9.
Reas, D. L., Rø, Ø., Karterud, S., Hummelen, B., & Pedersen, G. (2013). Eating disorders in a large clinical sample of men and women with personality disorders. The International Journal of Eating Disorders, 46(8), 801-9. https://doi.org/10.1002/eat.22176
Reas DL, et al. Eating Disorders in a Large Clinical Sample of Men and Women With Personality Disorders. Int J Eat Disord. 2013;46(8):801-9. PubMed PMID: 23983043.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eating disorders in a large clinical sample of men and women with personality disorders. AU - Reas,Deborah L, AU - Rø,Øyvind, AU - Karterud,Sigmund, AU - Hummelen,Benjamin, AU - Pedersen,Geir, Y1 - 2013/08/28/ PY - 2013/07/16/accepted PY - 2013/8/29/entrez PY - 2013/8/29/pubmed PY - 2014/4/17/medline KW - comorbidity KW - eating disorders KW - personality disorders SP - 801 EP - 9 JF - The International journal of eating disorders JO - Int J Eat Disord VL - 46 IS - 8 N2 - OBJECTIVE: We assessed and compared the prevalence of anorexia nervosa (AN), bulimia nervosa (BN), and eating disorder not otherwise specified (EDNOS) across six Axis II groups (borderline, obsessive-compulsive, avoidant, dependent, paranoid, and personality disorder NOS) and patients with major depressive disorder (MDD) without personality disorders (PD). METHOD: The sample included 3,266 consecutive and first admissions to 16 different treatment units in the Norwegian Network of Psychotherapeutic Day Hospitals between 1993 and 2009. All patients were interviewed with the SCID-II for DSM-III-R (prior to 1996) or DSM-IV (from 1996) and the MINI for Axis I disorders in accordance with the LEAD (longitudinal, expert, all-data) standard. RESULTS: The prevalence of any ED in the PD sample was approximately 17% for women and 3% for men. A lower rate of ED (5%) was found for patients with MDD without PD. A significantly higher proportion of patients with borderline personality disorder were diagnosed with BN or EDNOS. The rate of AN was significantly elevated in female patients with obsessive-compulsive personality disorder. Men demonstrated significantly less diagnostic co-occurrence and no significant differential variation across PD groups or MDD. DISCUSSION: Data which included a psychiatric comparison group showed less co-occurrence and non-significant variation across PD groups for men, but demonstrated a meaningful and specific pattern of comorbidity between ED and PD for women. There was an elevated risk of ED among female patients with PD, most pronounced for borderline. An almost five-fold higher rate of AN was found among women with obsessive-compulsive PD. SN - 1098-108X UR - https://www.unboundmedicine.com/medline/citation/23983043/Eating_disorders_in_a_large_clinical_sample_of_men_and_women_with_personality_disorders_ L2 - https://doi.org/10.1002/eat.22176 DB - PRIME DP - Unbound Medicine ER -