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Personality characteristics of women before and after recovery from an eating disorder

Published online by Cambridge University Press:  04 November 2004

KELLY L. KLUMP ,
MICHAEL STROBER ,
CYNTHIA M. BULIK ,
LAURA THORNTON ,
CRAIG JOHNSON ,
BERNIE DEVLIN ,
MANFRED M. FICHTER ,
KATHERINE A. HALMI ,
ALLAN S. KAPLAN  and
D. BLAKE WOODSIDE
...Show all authors
KELLY L. KLUMP
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
MICHAEL STROBER
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
CYNTHIA M. BULIK
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
LAURA THORNTON
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
CRAIG JOHNSON
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
BERNIE DEVLIN
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
MANFRED M. FICHTER
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
KATHERINE A. HALMI
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
ALLAN S. KAPLAN
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
D. BLAKE WOODSIDE
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
SCOTT CROW
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
JAMES MITCHELL
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
ALESSANDRO ROTONDO
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
PAMELA K. KEEL
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
WADE H. BERRETTINI
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
KATHERINE PLOTNICOV
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
CHRISTINE POLLICE
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
LISA R. LILENFELD
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
WALTER H. KAYE
Affiliation:
Department of Psychology, Michigan State University, East Lansing, MI; Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, CA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Laureate Psychiatric Clinic and Hospital, Tulsa, OK; Klinik Roseneck, Hospital for Behavioral Medicine (affiliated with the University of Munich), Prien, Germany; New York Presbyterian Hospital, Weill Medical College of Cornell University, White Plains, NY; Department of Psychiatry, Toronto General Hospital, Toronto, Ontario, Canada; Program for Eating Disorders; Department of Psychiatry, University of Minnesota, Minneapolis, MN; Neuropsychiatric Research Institute, Fargo, ND; Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy; Department of Psychology, University of Iowa, Iowa City, IA; Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA; Department of Psychology, Georgia State University, Atlanta, GA
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Abstract

Background. Previous studies of personality characteristics in women with eating disorders primarily have focused on women who are acutely ill. This study compares personality characteristics among women who are ill with eating disorders, recovered from eating disorders, and those without eating or other Axis I disorder pathology.

Method. Female participants were assessed for personality characteristics using the Temperament and Character Inventory (TCI): 122 with anorexia nervosa (AN; 77 ill, 45 recovered), 279 with bulimia nervosa (BN; 194 ill, 85 recovered), 267 with lifetime histories of both anorexia and bulimia nervosa (AN+BN; 194 ill, 73 recovered), 63 with eating disorder not otherwise specified (EDNOS; 31 ill, 32 recovered), and 507 without eating or Axis I disorder pathology.

Results. Women ill with all types of eating disorders exhibited several TCI score differences from control women, particularly in the areas of novelty-seeking, harm avoidance, self-directedness, and cooperativeness. Interestingly, women recovered from eating disorders reported higher levels of harm avoidance and lower self-directedness and cooperativeness scores than did normal control women.

Conclusions. Women with eating disorders in both the ill and recovered state show higher levels of harm avoidance and lower self-directedness and cooperativeness scores than normal control women. Although findings suggest that disturbances may be trait-related and contribute to the disorders' pathogenesis, additional research with more representative community controls, rather than our pre-screened, normal controls, is needed to confirm these impressions.

Type
Research Article
Information
Psychological Medicine , Volume 34 , Issue 8 , November 2004 , pp. 1407 - 1418
Copyright
© 2004 Cambridge University Press

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