Objective: To assess the prevalence and the distribution of Personality Disorders (PD) in adolescents with Eating Disorders (ED). Method: A sample of 27 adolescents (mean age: 14.9), diagnosed for an eating disorder according to DSM-IV criteria, was evaluated through the SCID II. Clinical subgroups were compared through the Chi-square test. Results: 74.1% of the sample met the criteria for at least one PD diagnosis. Multiple diagnoses were found in 44.4%, mostly in the bulimic subgroup. For all subtypes, cluster C was the most frequent PD. In restricting and full syndromes, the most frequently assigned Axis II diagnosis was Obsessive-Compulsive PD. In binge-eating forms, the prevalent diagnosis was Depressive PD, often associated with cluster B PD. 25. 9% received no Axis II diagnosis, this result being correlated with EAT-40 scores below 30 (p <0.05). Conclusions: Our results suggest the hypothesis of the pre-existence of DP with respect to ED. Three clinical groups are identified: 1) subjects with cluster B and C PD (29.6%); 2) subjects with only cluster C PD (25.9%); 3) subjects with no PD diagnoses (25.9%); this distinction may have useful implications for treatment and prognosis.
|Translated title of the contribution||Personality disorders in eating disorders during adolescence|
|Number of pages||8|
|Journal||Italian Journal of Psychopathology|
|Publication status||Published - Sep 2003|
ASJC Scopus subject areas
- Psychiatry and Mental health