Dec 21, 2007

Personality subtypes in adolescents with eating disorders: validation of a classification approach

Journal of Child Psychology and Psychiatry, and Allied Disciplines
Heather Thompson-BrennerDrew Westen

Abstract

Research has identified three personality subtypes in adults with eating disorders (EDs): a high-functioning, an undercontrolled, and an overcontrolled group. The current study investigated whether similar personality prototypes exist in adolescents with EDs, and whether these personality prototypes show relationships to external correlates indicative of diagnostic validity. Experienced clinicians from an adolescent practice-research network provided data on ED symptoms, DSM-IV comorbidity, personality pathology, and family and developmental history for 120 adolescent patients with EDs. Consistent with the findings from the adult literature, three types of personality pathology emerged in adolescents: High-functioning/Perfectionistic, Emotionally Dysregulated, and Avoidant/Depressed. The High-functioning prototype showed negative associations with comorbidity and positive associations with treatment response. The Emotionally Dysregulated prototype was specifically associated with externalizing Axis I and Cluster B Axis II disorders, poor school functioning, and adverse events in childhood. The Avoidant/Depressed prototype showed specific associations with internalizing Axis I and Clusters A Axis II disorders, poor peer relation...Continue Reading

  • References32
  • Citations22

References

  • References32
  • Citations22

Citations

Mentioned in this Paper

Personality Assessment
Depressed - Symptom
Adverse Event
Factor Analysis, Statistical
Late Onset Disorders
Eating Disorders
Comorbidity
Personality Disorders
Narcissistic Personality Disorder
Disorder of the Optic Nerve

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