Personality characteristics of women before and after recovery from an eating disorder

Kelly L. Klump, Michael Strober, Cynthia M. Bulik, Laura Thornton, Craig Johnson, Bernie Devlin, Manfred M. Fichter, Katherine A. Halmi, Allan S. Kaplan, D. Blake Woodside, Scott Crow, James Mitchell, Alessandro Rotondo, Pamela K. Kell, Wade H. Berrettini, Katherine Plotnicov, Christine Pollice, Lisa R. Lilenfeld, Walter H. Kaye

Research output: Contribution to journalArticlepeer-review

147 Scopus citations

Abstract

Background. Previous studies of personality characteristics in women with eating disorders primarily have focused on women who are acutely ill. This study compares personality characteristics among women who are ill with eating disorders, recovered from eating disorders, and those without eating or other Axis I disorder pathology. Method. Female participants were assessed for personality characteristics using the Temperament and Character Inventory (TCI): 122 with anorexia nervosa (AN; 77 ill, 45 recovered), 279 with bulimia nervosa (BN; 194 ill, 85 recovered), 267 with lifetime histories of both anorexia and bulimia nervosa (AN+BN; 194 ill, 73 recovered), 63 with eating disorder not otherwise specified (EDNOS; 31 ill, 32 recovered), and 507 without eating or Axis I disorder pathology. Results. Women ill with all types of eating disorders exhibited several TCI score differences from control women, particularly in the areas of novelty-seeking, harm avoidance, self-directedness, and cooperativeness. Interestingly, women recovered from eating disorders reported higher levels of harm avoidance and lower self-directedness and cooperativeness scores than did normal control women. Conclusions. Women with eating disorders in both the ill and recovered state show higher levels of harm avoidance and lower self-directedness and cooperativeness scores than normal control women. Although findings suggest that disturbances may be trait-related and contribute to the disorders' pathogenesis, additional research with more representative community controls, rather than our pre-screened, normal controls, is needed to confirm these impressions.

Original languageEnglish (US)
Pages (from-to)1407-1418
Number of pages12
JournalPsychological medicine
Volume34
Issue number8
DOIs
StatePublished - Nov 2004

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