Bulimia nervosa with co-morbid avoidant personality disorder: behavioural characteristics and serotonergic function

@article{Bruce2004BulimiaNW,
  title={Bulimia nervosa with co-morbid avoidant personality disorder: behavioural characteristics and serotonergic function},
  author={Kenneth R. Bruce and Howard Steiger and Naomi Koerner and Mimi Israel and S. N. Young},
  journal={Psychological Medicine},
  year={2004},
  volume={34},
  pages={113 - 124}
}
Background. Separate lines of research link lowered serotonin tone to interpersonal submissiveness and bulimia nervosa (BN). We explored the impact of co-morbid avoidant personality disorder (APD), as a proxy for submissiveness, on behavioural inhibition and serotonin function in women with BN. Method. Participants included women with BN with co-morbid APD (BNA+, N=13); women with BN but without APD (BNA−, N=23), and control women with neither BN nor APD (N=23). The women were assessed for… 
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This model helps account for heterogeneous traits seen in the bulimic population, for disproportionate representation of individuals displaying pathological personality traits and exposure to severe environmental stressors, and for interindividual variations as to treatment response.
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TLDR
5-HT biomarkers and associated methods could be used to tailor treatment in BN although as yet, most tests described are unpractical for bedside use.
Psychiatric, behavioral, and attitudinal correlates of avoidant and obsessive-compulsive personality pathology in patients with binge-eating disorder.
TLDR
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The role of interpersonal personality traits and reassurance seeking in eating disorder symptoms and depressive symptoms among women with bulimia nervosa.
TLDR
The results demonstrate the importance of reassurance seeking in psychopathology among women with BN who display personality features characterized by social avoidance, and strengthen the association between social avoidance and global ED psychopathology and depressive symptoms.
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