Impact of comorbid borderline personality disorder on the outcome of inpatient treatment for anorexia nervosa: a retrospective chart review

ConclusionsPatients with AN+BPD differ from patients with AN in that they show higher general and specific eating disorder psychopathology and only partially improve under specialized inpatient treatment. In particular, aspects of emotion regulation and core AN symptoms like body dissatisfaction and perfectionism need to be even more targeted in comorbid patients.
Source: Borderline Personality Disorder and Emotion Dysregulation - Category: Psychiatry Source Type: research

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ConclusionsThe 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.
Source: Journal of Eating Disorders - Category: Eating Disorders & Weight Management Source Type: research
CONCLUSION: Good mentalization is associated with recovery from eating disorder. More research on the effect of mentalization based treatment for patients with eating disorders, with or without borderline personality disorder, is recommended. PMID: 32141522 [PubMed - in process]
Source: Tijdschrift voor Psychiatrie - Category: Psychiatry Authors: Tags: Tijdschr Psychiatr Source Type: research
In Reply We thank King and Ehrlich for their thoughtful Letter critiquing our meta-analysis that examined delay discounting as a transdiagnostic process in psychiatric disorders. In our article, we proposed that delay discounting, an index of impulsive decision-making, falls on a continuum. At the aggregate level, most disorders examined (eg, major depressive disorder, bipolar disorder, schizophrenia, borderline personality disorder, binge-eating disorder, and bulimia nervosa) exhibited steeper, more impulsive, delay discounting compared with controls, whereas people with anorexia nervosa exhibited shallower, less impulsiv...
Source: JAMA Psychiatry - Category: Psychiatry Source Type: research
To the Editor Amlung and colleagues published a meta-analysis of delay discounting (DD), a behavioral measure of impulsivity and self-control, including 57 effect sizes from 43 studies across 8 psychiatric diagnostic categories. Results indicated a greater preference for smaller immediate monetary rewards (ie, more impulsive decision-making) in 6 conditions (major depression, schizophrenia, bipolar disorder, borderline personality disorder, bulimia nervosa, and binge-eating disorder) compared with controls but greater preference for larger delayed rewards (ie, more self-controlled choice) in anorexia nervosa. The findings ...
Source: JAMA Psychiatry - Category: Psychiatry Source Type: research
This study examined relationships between BPD symptoms and symptoms of bulimia nervosa (BN) and anorexia nervosa (AN), including whether the nine BPD symptoms differentially relate to BN versus AN. Participants were 208 adolescent psychiatric inpatients. BPD symptoms, measured via structured interview, correlated more strongly with self-reported BN than AN symptoms. BN and AN symptoms were greater among individuals who endorsed unstable relationships, affective instability, emptiness, identity disturbance, inappropriate anger, dissociation/paranoia, and suicidal behavior. BN, but not AN symptoms, were higher when impulsivi...
Source: Eating Disorders - Category: Eating Disorders & Weight Management Authors: Tags: Eat Disord Source Type: research
Alexandra Neyazi1†, Vanessa Buchholz1†, Alexandra Burkert1, Thomas Hillemacher1,2, Martina de Zwaan3, Wolfgang Herzog4, Kirsten Jahn1, Katrin Giel5, Stephan Herpertz6, Christian A. Buchholz1, Andreas Dinkel7, Markus Burgmer8, Almut Zeeck9, Stefan Bleich1, Stephan Zipfel5† and Helge Frieling1*† 1Molecular Neuroscience Laboratory, Department of Psychiatry, Social Psychiatry, and Psychotherapy, Hannover Medical School (MHH), Hannover, Germany 2Department of Psychiatry and Psychotherapy, Paracelsus Medizinische Privatuniversität Nürnberg, Nuremberg, Germany 3Department of Psychos...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
As a relatively new and still poorly recognized concept, few people come to therapy identifying as suffering from Complex Post Traumatic Stress Disorder (C-PTSD). As a rule, a diagnosis of C-PTSD comes only after the process of self-discovery in therapy has begun. When people suffering from C-PTSD are referred to a therapist, or decide to seek help for themselves, it is usually because they are seeking help for one of its symptoms, including dissociative episodes, problems forming relationships, and alcohol or substance abuse. One of the more common issues that leads to the discovery of C-PTSD is the presence of an eating ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Anorexia Binge Eating Bulimia Eating Disorders Loneliness Psychology PTSD Trauma Treatment affect regulation Bingeing Body Image C-PTSD Child Abuse child neglect Childhood Trauma complex posttraumatic stress di Source Type: news
In this study the specificity of TSF in participants with anorexia nervosa (AN) and TAbF in participants with BPD was examined. 63 patients completed questionnaires assessing the manifestation of trait-TAbF and trait-TSF, as well as relevant psychopathology. Nonparametric conditional inference trees were used to test for cognitive disorder-specificity.
Source: Psychiatry Research - Category: Psychiatry Authors: Source Type: research
Authors: Kountza M, Garyfallos G, Ploumpidis D, Varsou E, Gkiouzepas I Abstract OBJECTIVE: The current study had two objectives: (1) to access the psychiatric comorbidity in axis I and axis II (according to DSM-IV) of anorexia nervosa in a sample of 60 anorexic patients; (2) to compare the features of the psychiatric comorbidity between the two groups of French and Greek anorexic patients who participated in the study, as well as to compare some psychological and behavioral aspects of their anorectic psychopathology. METHOD: Sixty anorexic patients, thirty French and thirty Greek, aged between 18 and 60 years, ...
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
AbstractBackgroundThere is little effective psychopharmacological treatment for individuals with eating disorders who struggle with pervasive, severe affective and behavioral dysregulation.MethodsThis pilot open series evaluated lamotrigine, a mood stabilizer, in the treatment of patients with eating disorders who did not respond adequately to antidepressant medications. Nine women with anorexia nervosa- or bulimia nervosa-spectrum eating disorders in partial hospital or intensive outpatient dialectical behavior therapy (DBT)-based eating disorder treatment took lamotrigine for 147  ± 79 days (mean fi...
Source: Borderline Personality Disorder and Emotion Dysregulation - Category: Psychiatry Source Type: research
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