F. MURATORI, S. CALDERONI, L. PICCHI, S. MAESTRO, V. VIGLIONE, R. CARISSIMO - Vol. 9, September 2003, Issue 3
Testo Immagini Bibliografia Summary Indice
Disturbi di personalità e disturbi
del comportamento alimentare in adolescenza
Personality disorders in eating disorders during adolescence
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.