RESUMO
Most previous investigations of the relationship between personality and disordered eating have been cross-sectional and have utilised relatively homogeneous samples. The current study sought to prospectively explore two specific putative personality risk factors for disordered eating in an ethnically diverse sample of women (n = 58). During the initial and 2-year follow-up assessments, semi-structured diagnostic interviews were administered. Analyses revealed that borderline personality disorder symptoms, as well as an interaction between obsessive-compulsive personality disorder symptoms and race, significantly predicted disordered eating over a 2-year period. Obsessive-compulsive personality pathology was most strongly predictive of disordered eating for the African American women, specifically. These data supported both borderline and obsessive-compulsive personality pathology as predictors of the development of eating disorder symptoms among women over a 2-year period in college. In addition, race may be an important consideration in understanding the role of personality in the aetiology of disordered eating.
Assuntos
Transtorno da Personalidade Borderline , Transtorno da Personalidade Compulsiva , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Adulto , Etnicidade , Transtornos da Alimentação e da Ingestão de Alimentos/etnologia , Feminino , Humanos , Entrevista Psicológica , Estudos Prospectivos , Fatores de Risco , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: To determine the relationship among binge severity, personality psychopathology, and body mass index (BMI) among individuals with binge eating disorder (BED). METHOD: Participants were 50 individuals from the community who responded to advertisements for a medication treatment study of compulsive overeating and met BED criteria. Participants completed the Eating Disorder Examination and the Structured Clinical Interview for DSM-IV Personality Disorders. RESULTS: Binge eating severity was significantly and positively correlated with BMI and personality disorder symptomatology. The frequency of binge eating episodes, but not binge size, was associated with greater levels of personality psychopathology. BMI and personality psychopathology were unrelated. Twelve percent of the participants met full criteria for avoidant personality disorder (APD) and 10% met full criteria for obsessive-compulsive personality disorder (OCPD). DISCUSSION: Findings suggest that eating pathology, rather than weight, is related to personality psychopathology. APD and OCPD traits may be of particular relevance when considering treatment interventions for individuals with BED.
