DSM-III personality diagnosis in bulimia

Andrew P. Levin · Steven E. Hyler

117 citations0/0 files storedComprehensive Psychiatry

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Eating Disorders and Behaviors Personality Traits and Psychology Personality Disorders and Psychopathology

Abstract

The authors report the results of a systematic examination of DSM-III personality disorder in 24 normal-weight subjects with bulimia. Using a self-report personality questionnaire as a guide to a comprehensive personality interview, two psychiatrists reached a consensus personality diagnosis. The majority of subjects met criteria for one or more DSM-III personality disorders. Fifteen of 24 subjects showed pathology in the Histrionic/Borderline spectrum and seven showed predominant Compulsive/Avoidant pathology. These findings did not correlate to RDC diagnosis or eating behavior. The authors conclude that individuals with bulimia are heterogeneous with regards to their Axis II diagnoses and that these differences may have implications for treatment response.

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References

1971Measuring nominal scale agreement among many raters.1978A Diagnostic Interview 1979Bulimia nervosa: an ominous variant of anorexia nervosa 1980The Heterogeneity of Anorexia Nervosa 1983Assessing personality: effects of the depressive state on trait measurement 1980Bulimia 1983Neuroendocrine abnormalities in bulimia 1982The reliability of axis II of DSM-III

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1988Personality disorders in anorexic patients 1990Borderline versus other personality disorders in the eating disorders: Clinical description 1990Sexual Traumata Among Eating-Disordered, Psychiatric, and Normal Female Groups 1987Natural History of Borderline Patients Treated by Intensive Hospitalization 1994Childhood sexual, physical, and psychological abuse and their relationship to comorbid psychopathology in bulimia nervosa 1986DSM-III personality disorder in agoraphobia

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