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Temperament and Character Inventory (TCI) in adolescents with anorexia nervosa

Published online by Cambridge University Press:  24 June 2014

Filip Rybakowski ,
Agnieszka Slopien ,
Marzena Zakrzewska ,
Elzbieta Hornowska  and
Andrzej Rajewski
Filip Rybakowski*
Affiliation:
Department of Child and Adolescent Psychiatry, University of Medical Sciences
Agnieszka Slopien
Affiliation:
Department of Child and Adolescent Psychiatry, University of Medical Sciences
Marzena Zakrzewska
Affiliation:
Department of Basic Psychological Research, University of Adam Mickiewicz, Poznan, Poland
Elzbieta Hornowska
Affiliation:
Department of Basic Psychological Research, University of Adam Mickiewicz, Poznan, Poland
Andrzej Rajewski
Affiliation:
Department of Child and Adolescent Psychiatry, University of Medical Sciences
*
Filip Rybakowski MD PhD, Department of Child and Adolescent Psychiatry, University of Medical Sciences, Poznan, Ul. Szpitalna 27/33; 60–572 Poznan, Poland. Tel: + 48 61 8491355; Fax: + 48 61 8480392; E-mail: filrybak@polbox.com
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Abstract

Background:

Female patients with anorexia nervosa differ significantly from the control women in various dimensions of personality.

Objective:

To investigate the personality dimensions measured with the Temperament and Character Inventory (TCI) in adolescent patients with restrictive-type and bulimic/purging-type anorexia nervosa (ANR and ANB, respectively), and contrast them with the results of control females.

Methods:

Sixty-one patients with anorexia nervosa (36 ANR and 25 ANB) and 60 controls were tested with the TCI. A concomitant assessment of depression, body mass index and age was made to evaluate the possible correlation with personality dimensions.

Results:

Adolescent ANR patients scored higher in persistence, harm avoidance and cooperativeness, and lower in novelty seeking and self-transcendence than control women. ANB patients scored in the middle between ANR and control females, but differences did not reach the significance level with either group, except for the self-transcendence dimension where they scored significantly higher than those with ANR.

Conclusions:

The deviations in temperamental profile of adolescent ANR are similar to those reported in adult patients. The ANB adolescent patients with anorexia nervosa show less prominent deviations from the personality of control women. With regard to the character dimension of cooperativeness, adolescents with ANR scored higher than controls, in contrast to the observations in adult patients. This may reflect the effect of illness on the development of character.

Keywords

adolescenceanorexia nervosabulimicpurging typeanorexia nervosarestrictive typepersonalityTemperament and Character Inventory
Type
Original Article
Information
Acta Neuropsychiatrica , Volume 16 , Issue 3 , June 2004 , pp. 169 - 174
Copyright
Copyright © 2004 Blackwell Munksgaard

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References

Sohlberg, S, Strober, M. Personality in anorexia nervosa: an update and a theoretical integration. Acta Psychiatr Scand Suppl 1994;378: 1–15.CrossRefGoogle Scholar
Herzog, DB, Keller, MB, Lavori, PW, Kenny, GM, Sacks, NR. The prevalence of personality disorders in 210 women with eating disorders. J Clin Psychiatry 1992;53: 147–152.Google ScholarPubMed
Wonderlich, SA, Swift, WJ, Slotnick, HB. DSM-III-R personality disorders in eating disorders subtypes. Int J Eat Disord 1990;9: 607–616. 3.0.CO;2-0>CrossRefGoogle Scholar
Podar, I, Hannus, A, Allik, J. Personality and affectivity characteristics associated with eating disorders: a comparison of eating disordered, weight-preoccupied, and normal samples. J Pers Assess 1999;73: 133–147.CrossRefGoogle ScholarPubMed
Diaz-Marsa, M, Carrasco, JL, Saiz, J. A study of temperament and personality in anorexia and bulimia nervosa. J Personal Disord 2000;14: 352–359.CrossRefGoogle ScholarPubMed
Pryor, T, Wiederman, MW. Measurement of nonclinical personality characteristics of women with anorexia nervosa or bulimia nervosa. J Pers Assess 1996;67: 414–421.CrossRefGoogle ScholarPubMed
Pryor, T, Wiederman, MW. Personality features and expressed concerns of adolescents with eating disorders. Adolescence 1998;33: 291–300.Google ScholarPubMed
Cloninger, CR. A systematic method for clinical description and classification of personality variants. A proposal. Arch Gen Psychiatry 1987;44: 573–588.CrossRefGoogle ScholarPubMed
Cloninger, CR, Przybeck, TR, Svrakic, DM. The tridimensional personailty questionaire: US normative data. Psychol Rep 1991;69: 10147–10157. CrossRefGoogle Scholar
Cloninger, CR, Svrakic, DM, Przybeck, TR. A psychobiological model of temperament and character. Arch Gen Psychiatry 1993;50: 975–990.CrossRefGoogle ScholarPubMed
Brewerton, TD, Hand, LD, Bishop, ER. The tridimensional personality questionaire in eating disorder patients. Int J Eat Disord 1993;14: 213–218.3.0.CO;2-P>CrossRefGoogle Scholar
Kelifield, EI, Sunday, SR, Hurt, S, Halmi, KA. The effects of depression and treatment on the Tridimensional Personality Questionaire. Biol Psychiatry 1994; 36: 68–70.CrossRefGoogle Scholar
Bulik, CM, Sullivan, PF, Weltzin, TE, Kaye, WH. Temperament in eating disorders. Int J Eat Disord 1995;17: 251–261.3.0.CO;2-V>CrossRefGoogle ScholarPubMed
Bulik, CM, Sullivan, PF, Fear, JL, Pickering, A. Outcome of anorexia nervosa: eating attitudes, personality, and parental bonding. Int J Eat Disord 2000; 28: 139–147.3.0.CO;2-G>CrossRefGoogle ScholarPubMed
Klump, KL, Bulik, CM, Pollice, Cet al. Temperament and character in women with anorexia nervosa. J Nerv Ment Dis 2000;188: 559–567.CrossRefGoogle ScholarPubMed
Fassino, S, Abbate-Daga, G, Amianto, F, Leombruni, P, Boggio, S, Rovera, GG. Temperament and character profile of eating disorders. A controlled study with Temperament and Character Inventory. Int J Eat Disord 2002;32: 412–425.CrossRefGoogle ScholarPubMed
Akiskal, HS, Hirschfeld, RM, Yerevanian, BI. The relationship of personality to affective disorders. Arch Gen Psychiatry 1983;40: 801–810.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th edn. DSM-IV. Washington DC: APS, 1994. Google Scholar
World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders. Geneva: WHO, 1992. Google Scholar
Zakrzewska, M, Samochowiec, J, Rybakowski, F, Hauser, J, Pelka-Wysiecka, J. Polish version of Temperament and Character Inventory (TCI): the analysis of reliability. Psychiatr Pol 2001;35: 455–465.Google ScholarPubMed
Beck, AT. Depression Inventory. Philadelphia: Philadelphia Center for Cognitive Therapy, 1978. Google Scholar
SPSS. Statistical Package for Social Sciences, Version 10.0. Chicago: SPSS Inc., 2000.Google Scholar
Kaye, Wh. Anorexia nervosa, obsessional behavior, and serotonin. Psychopharmacol Bull 1997;33: 335–344.Google ScholarPubMed
Grice, DE, Halmi, KA, Fichter, MMet al. Evidence for a susceptibility gene for anorexia nervosa on chromosome 1. Am J Hum Genet 2002;70: 787–792.CrossRefGoogle ScholarPubMed
Johnson, JG, Cohen, P, Kasen, S, Skodol, AE, Hamagami, F, Brook, JS. Age-related change in personality disorder trait levels between early adolescence and adulthood: a community-based longitudinal investigation. Acta Psychiatr Scand 2000;102: 265–275.CrossRefGoogle ScholarPubMed
Kotler, LA, Cohen, P, Davies, M, Pine, DS, Walsh, BT. Longitudinal relationship between childhood, adolescent and adult eating disorders. J Am Acad Child Adolesc Psychiatry 2001;40: 1434–1440.CrossRefGoogle ScholarPubMed
Kleifield, EI, Sunday, S, Hurt, S, Halmi, KA. The Tridimensional Personality Questionnaire: an exploration of personality traits in eating disorders. J Psychiatr Res 1994;28: 413–423.CrossRefGoogle ScholarPubMed
Steinhausen, HC. The outcome of anorexia nervosa in the 20th century. Am J Psychiatry 2002;159: 1284–1293.CrossRefGoogle Scholar