Impact of Borderline Personality Disorder on Eating Disorders

2009 ◽  
Author(s):  
D. D. Ben-Porath ◽  
L. Wisniewski ◽  
M. Warren
Keyword(s):  
Eating Disorders ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality

Sexual Abuse and Eating Disorders

1993 ◽  
Vol 162 (6) ◽  
pp. 771-775 ◽  
Author(s):  
Glenn Waller
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychological Factors ◽  
Case Series ◽  
Causal Link ◽  
Borderline Personality ◽  
Psychological Factor ◽  
Eating Psychopathology

Sexual abuse appears to be causally linked to eating disorders, particularly those involving bulimic features. However, the psychological factors that mediate between these two phenomena are not understood. Recent findings suggest that borderline personality disorder may explain some of the association. The present research investigates the potential links between reported sexual abuse, borderline personality disorder, and eating psychopathology in a case series of 100 women with eating disorders. The results suggest that borderline personality disorder is a psychological factor that explains a small part of the causal link between sexual abuse and bulimic behaviour - especially frequency of bingeing. However, other factors are likely to be involved, and further research is suggested to investigate these.

Eating Disorders in Borderline Personality Disorder

2017 ◽  
Author(s):  
Eunice Chen
Keyword(s):  
Eating Disorders ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
History Of Childhood ◽  
Control Behavior ◽  
Dialectical Tension ◽  
History Of ◽  
Shared Risk ◽  
The Brain

Eating disorders (EDs) often arise from a complex interplay of biological, psychological, and social processes in which there is a dialectical tension between the overabundance of food and an obsession with thinness. The DSM-5 recognizes three specific types of EDs that are common in borderline personality disorder (BPD): anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). The impulsive, self-destructive tendencies of those with BPD may also make them particularly vulnerable to developing an ED. Recent advances in neuroscience have resulted in great understanding of the brain mechanisms and processes that control behavior associated with EDs and BPD. Research has supported the idea that the co-occurrence of both disorders may be caused by an inability to tolerate and skillfully manage negative or unpleasant emotions. Other possible commonalities between EDs and BPD involve shared risk factors, such as a history of childhood trauma.

scholarly journals Eating disorders among patients with borderline personality disorder: understanding the prevalence and psychopathology

2020 ◽  
Author(s):  
Mohsen Khosravi
Keyword(s):  
Eating Disorders ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Eating Attitudes ◽  
Borderline Personality ◽  
Anxiety And Depression ◽  
Dsm 5 ◽  
Feeding And Eating Disorders ◽  
Eat 26 ◽  
Tas 20

Abstract Background: Treatment protocols can be bolstered and etiological and maintenance factors can be recognized more easily by a superior understanding of emotions and emotion regulation in the comorbidity of borderline personality disorder (BPD) and feeding and eating disorders (FEDs). Therefore, the present study aimed at investigating the prevalence and psychopathology of FEDs in patients with BPD.Methods: In this cross-sectional study, 220 participants were examined in three groups, namely BPD (n = 38), BPD+FEDs (n = 72), and the healthy control (n = 110), from August 2018 to November 2019. The participants were selected by systematic random sampling among the patients who referred to Baharan psychiatric hospital in Zahedan, Iran, with the sampling interval of 3. The subjects were evaluated by borderline personality inventory (BPI), structured clinical interview for DSM-5 personality disorders (SCID-5-PD), structured clinical interviews for DSM-5: research version (SCID-5-RV), the 26-item eating attitudes test (EAT-26), 20-item Toronto alexithymia scale (TAS-20), Beck anxiety disorder (BAI), and Beck depression inventory-II (BDI-II). Results: The results showed a 65.4% (n = 72) prevalence of FEDs in patients with BPD. Also, the highest and lowest prevalence rates were reported for “other specified feeding and eating disorders” (51.3%) and “bulimia nervosa” (6.9%), respectively. Although the highest mean score of TAS-20 was related to anorexia nervosa, there was no significant difference between the scores of various types of FEDs. The mediation analysis showed that anxiety and depression would play a mediating role in the relationship between alexithymia and eating-disordered behaviors. Conclusions: The results have suggested that alexithymia, anxiety, and depression should receive clinical attention as potential therapeutic targets in the comorbidity of BPD and FEDs. The clinical implications of the research have been conducted to date, and directions for future research have been discussed.

Dialectical Behavior Therapy and Emotion-Focused Therapies for Eating Disorders

2017 ◽  
Author(s):  
Eunice Chen ◽  
Angelina Yiu ◽  
Debra Safer
Keyword(s):  
Eating Disorders ◽  
Emotion Regulation ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Research Evidence ◽  
Preliminary Evidence ◽  
Borderline Personality ◽  
Further Development

This chapter provides a description and review of the research evidence for the adaptation of dialectical behavior therapy (DBT) and emotion-focused therapies for eating disorders (EDs). First, the chapter briefly describes the standard DBT program as originally developed for women with borderline personality disorder (BPD) and the evidence for standard DBT with BPD. Second, the rationale for the adaptation of DBT for EDs is given and preliminary evidence for DBT and other emotion-focused treatments is described. Finally, the Stanford DBT program for EDs is outlined. Given the promise of alternative treatments for eating disorders, further development, adaptation, and testing of transdiagnostic emotion regulation treatments is warranted.

Eating Disorders and Borderline Personality Disorder

2017 ◽  
pp. 95-111
Author(s):  
Lucene Wisniewski ◽  
Leslie K. Anderson
Keyword(s):  
Eating Disorders ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Clinical Picture ◽  
Eating Pathology ◽  
Borderline Personality ◽  
Affect Dysregulation ◽  
Destructive Behaviors

Individuals with eating disorders (EDs) tend to have elevated rates of comorbid borderline personality disorder (BPD). A number of studies have found that individuals with both ED and BPD present with a more complicated clinical picture compared to individuals with ED alone, both in terms of eating pathology and in terms of more severe problems with depression, anxiety, impulse control, and affect dysregulation. Therapists are often faced with clinical dilemmas with regard to limiting therapy-interfering behaviors and attending to health-threatening or self-destructive behaviors without reinforcing them while ensuring that these behaviors do not supersede the therapeutic focus on ED symptoms, potentially reinforcing self-destructive behaviors. This chapter offers guidelines for responding to therapy-interfering behaviors in this population from the perspective of dialectical behavior therapy, with a case example to illustrate these principles.

scholarly journals Differences in self-compassion and shame-proneness in patients with borderline personality disorder, eating disorders, alcohol-addiction and in healthy controls: Is the narrative self at fault for everything?

2021 ◽  
Author(s):  
Jan Benda ◽  
Daniel Kořínek ◽  
Antonín Vyhnánek ◽  
Tatiana Nemlahová
Keyword(s):  
Eating Disorders ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Alcohol Addiction ◽  
Healthy Controls ◽  
Disorder Eating ◽  
Self Compassion ◽  
Shame Proneness ◽  
Wide Range

Objectives: The lack of self-compassion and shame-proneness may both be associated with a wide range of mental disorders. The aim of this study was to compare the levels of compassionate self-responding and shame-proneness in samples of patients with borderline personality disorder, eating disorders, alcohol-addiction and in healthy controls.Methods: All three clinical groups and healthy controls were administered scales measuring self-compassion (SCS) and shame-proneness (TOSCA-3S). Differences in compassionate self-responding and shame-proneness were analyzed and effect sizes were calculated.Results: All three clinical groups were found to have significantly lower compassionate self-responding and significantly higher shame-proneness than healthy controls. The magnitudes of difference in compassionate self-responding and shame-proneness, between all clinical groups and healthy controls, were moderate to large.Conclusions: We hypothesize, that implicit belief in self as a permanent entity together with the lack of self-compassion leads to increased shame-proneness, which causes various psychopathological symptoms. We assume, that clients suffering from all these disorders may benefit from treatments or particular interventions that facilitate the development of self-compassion or shame management.

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