The comorbidity of eating disorders and personality disorders: A metaanalytic review of studies published between 1983 and 1998

@article{Rosenvinge2000TheCO,
  title={The comorbidity of eating disorders and personality disorders: A metaanalytic review of studies published between 1983 and 1998},
  author={Jan H. Rosenvinge and Monica Martinussen and Erlend {\O}stensen},
  journal={Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity},
  year={2000},
  volume={5},
  pages={52-61}
}
Comorbid personality disorders in eating disordered patients may seriously affect the treatment and course of their illness. Several studies show such a comorbidity, though with inconsistent findings. Qualitative reviews attribute this to methodological shortcomings, but the qualitative method may itself create new shortcomings. To circumvent this, the present, more extensive review applies a meta-analytic approach. Using the databases MEDLINE and PSYCHLIT, the 28 articles published between… 
The comorbidity of personality disorders in eating disorders: a meta-analysis
TLDR
Both ED diagnoses had a similar comorbidity profile with a high prevalence of borderline and avoidant PDs and Moderator analyses conducted for any ED and any PD yielded significant differences for diagnostic systems with respect to EDs.
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TLDR
The findings provided support to several of the proposed changes in the forthcoming DSM-5 and further comorbidity studies are needed in view of the substantial changes in how PDs will be diagnosed in theDSM-5.
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The present review focused on the personality profiles of patients with eating disorders. Studies using the Structured Clinical Interview for DSM-III-R Personality Disorder showed high rates of
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A meta-analysis found personality disorders are common in mood disorders and moderator analyses showed higher comorbidity when diagnoses were based on questionnaires versus clinical interviews, DSM-III-R versus DSM-IV, more women were included or the duration of the disorder was longer.
Personality Disorders in Eating Disorder Not Otherwise Specified and Binge Eating Disorder: A Meta-analysis of Comorbidity Studies
TLDR
The variance statistic for any PD comorbidity was wide for EDNOS and narrow for BED, thus partly supporting BED as a distinct eating disorder category and EDNos as a potentially more severe condition than BED.
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TLDR
The literature supports the recommendation that clinicians should apply well-validated, symptom-focused therapies for the EDs; in addition, clinicians may wish to incorporate trait-focused interventions in patients in whom personality pathology contributes to suboptimal response.
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TLDR
The meta-analysis documented that self-report instruments greatly overestimate the prevalence of every PD, and consistent differences that emerge between ED groups are high constraint and persistence and low novelty seeking in AN and high impulsivity, sensation seeking, novelty seeking, and traits associated with borderline PD in BN.
Difficulties in the Assessment of Personality Traits and Disorders in Eating-Disordered Individuals
TLDR
Although there is substantial support for the clinical view that personality variables are linked to anorexia nervosa and bulimia nervosa, the identification of stable traits and Axis II disorders in individual patients should be deferred until after the initial phase of treatment.
Eating disorders in a large clinical sample of men and women with personality disorders.
TLDR
There was an elevated risk of ED among female patients with PD, most pronounced for borderline, and an almost five-fold higher rate of AN was found among women with obsessive-compulsive PD.
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