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Anorexia nervosa 6 years after onset: Part I. Personality disorders

Gillberg, I Carina; Råstam, Maria LU and Gillberg, Christohper (1995) In Comprehensive Psychiatry 36(1). p.61-69
Abstract
Fifty-one adolescent-onset anorexia nervosa (AN) cases recruited after community screening were compared with 51 age-, sex-, and school-matched cases with regard to personality disorders and autism-spectrum disorders (ASD)/empathy disorders at age 21 years. All 102 cases had originally been examined at a mean age of 16 years, slightly over a year after the reported onset of the eating disorder. Structured Clinical Interview for DSM-III-R (SCID) interviews were performed by a psychiatrist blind to the original eating disorder diagnosis. Most of the former AN cases were recovered with respect to weight, but the outcome in social areas was restricted. Personality disorders coded on axis II in the DSM-III-R and empathy disorders were much more... (More)
Fifty-one adolescent-onset anorexia nervosa (AN) cases recruited after community screening were compared with 51 age-, sex-, and school-matched cases with regard to personality disorders and autism-spectrum disorders (ASD)/empathy disorders at age 21 years. All 102 cases had originally been examined at a mean age of 16 years, slightly over a year after the reported onset of the eating disorder. Structured Clinical Interview for DSM-III-R (SCID) interviews were performed by a psychiatrist blind to the original eating disorder diagnosis. Most of the former AN cases were recovered with respect to weight, but the outcome in social areas was restricted. Personality disorders coded on axis II in the DSM-III-R and empathy disorders were much more common in the AN group than in the comparison (COMP) group. Obsessive-compulsive (OCD) and avoidant personality disorders were particularly common. Obsessive-compulsive behaviors showed a high degree of stability over time and were unrelated to weight problems. Together with empathy disorder, they tended to predict outcome better than the eating disorder as such. It is concluded that in some cases, AN may be seen to reflect but one axis I diagnosis occurring in the life of an individual with a chronic personality disorder. (Less)
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author
publishing date
type
Contribution to journal
publication status
published
subject
in
Comprehensive Psychiatry
volume
36
issue
1
pages
61 - 69
publisher
Elsevier
external identifiers
  • Scopus:0028891355
ISSN
0010-440X
DOI
10.1016/S0010-440X(95)90100-A
language
English
LU publication?
no
id
baea26d2-e111-4fa0-8f69-5c1c65860d75 (old id 2373871)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/7705090
http://www.sciencedirect.com/science/article/pii/0010440X9590100A
date added to LUP
2013-05-07 15:24:01
date last changed
2017-01-01 07:58:25
@article{baea26d2-e111-4fa0-8f69-5c1c65860d75,
  abstract     = {Fifty-one adolescent-onset anorexia nervosa (AN) cases recruited after community screening were compared with 51 age-, sex-, and school-matched cases with regard to personality disorders and autism-spectrum disorders (ASD)/empathy disorders at age 21 years. All 102 cases had originally been examined at a mean age of 16 years, slightly over a year after the reported onset of the eating disorder. Structured Clinical Interview for DSM-III-R (SCID) interviews were performed by a psychiatrist blind to the original eating disorder diagnosis. Most of the former AN cases were recovered with respect to weight, but the outcome in social areas was restricted. Personality disorders coded on axis II in the DSM-III-R and empathy disorders were much more common in the AN group than in the comparison (COMP) group. Obsessive-compulsive (OCD) and avoidant personality disorders were particularly common. Obsessive-compulsive behaviors showed a high degree of stability over time and were unrelated to weight problems. Together with empathy disorder, they tended to predict outcome better than the eating disorder as such. It is concluded that in some cases, AN may be seen to reflect but one axis I diagnosis occurring in the life of an individual with a chronic personality disorder.},
  author       = {Gillberg, I Carina and Råstam, Maria and Gillberg, Christohper},
  issn         = {0010-440X},
  language     = {eng},
  number       = {1},
  pages        = {61--69},
  publisher    = {Elsevier},
  series       = {Comprehensive Psychiatry},
  title        = {Anorexia nervosa 6 years after onset: Part I. Personality disorders},
  url          = {http://dx.doi.org/10.1016/S0010-440X(95)90100-A},
  volume       = {36},
  year         = {1995},
}