Abstract

MOLINA-RUIZ, Rosa M. et al. Personality in patients with eating disorders depending on the presence/absence of comorbidity with borderline personality disorder. Rev. Mex. de trastor. aliment [online]. 2019, vol.10, n.1, pp.109-120. ISSN 2007-1523.  https://doi.org/10.22201/fesi.20071523e.2019.1.494.

Studies on comorbidity between eating disorders (ED) and personality disorders yield rates of 20-80%, a condition that makes difficult the diagnosis and complicates prognosis, especially regarding their comorbidity with borderline personality disorder (BPD). The objective of this study was to assess whether pathological personality alterations make it possible to distinguish not only between different types of ED, but also in terms of their comorbidity with BPD. Participants included 29 patients with ED, 10 with comorbid ED with BPD (EDc), 27 with BPD and 22 healthy controls, who completed the Millon Multiaxial Clinical Inventory (MCMI-II), and two other measures, one on impulsivity and other aimed at assess symptoms of bulimia nervosa (BN). The ED group was characterized by greater compulsivity, mainly in the subgroup with anorexia nervosa vs. BPD and EDc groups; however, these last two groups shared many features that show emotional instability, although less that the subgroup with BN. These findings support a continuum of severity in terms of compulsivity-impulsivity, with important etiopathogenic, diagnostic and psychotherapeutic implications.

Keywords : Personality; Eating disorders; Borderline personality disorder; Compulsivity; Impulsiveness.

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