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.

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 28-item General Health Questionnaire (GHQ-28), 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 Inventory (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.

Diagnostic accuracy of DSM-5 borderline personality disorder criteria: Toward an optimized criteria set

2021 ◽  
Vol 279 ◽  
pp. 203-207
Author(s):  
J. Christopher Fowler ◽  
Marianne Carlson ◽  
William H. Orme ◽  
Jon G. Allen ◽  
John M. Oldham ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Diagnostic Accuracy ◽  
Borderline Personality ◽  
Dsm 5

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.

Complex PTSD – a better description for borderline personality disorder?

2017 ◽  
Vol 25 (4) ◽  
pp. 333-335 ◽  
Author(s):  
Jayashri Kulkarni
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Diagnostic Category ◽  
Borderline Personality ◽  
Complex Posttraumatic Stress Disorder ◽  
Dsm 5 ◽  
Trauma Informed

Objective: To consider the use of the diagnostic category ‘complex posttraumatic stress disorder’ (c-PTSD) as detailed in the forthcoming ICD-11 classification system as a less stigmatising, more clinically useful term, instead of the current DSM-5 defined condition of ‘borderline personality disorder’ (BPD). Conclusions: Trauma, in its broadest definition, plays a key role in the development of both c-PTSD and BPD. Given this current lack of differentiation between these conditions, and the high stigma faced by people with BPD, it seems reasonable to consider using the diagnostic term ‘complex posttraumatic stress disorder’ to decrease stigma and provide a trauma-informed approach for BPD patients.

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