Current Obesity Reports

, Volume 3, Issue 1, pp 120–126 | Cite as

Personality Traits in Obesity Associated with Binge Eating and/or Night Eating

  • Riccardo Dalle Grave
  • Simona Calugi
  • Marwan El Ghoch
  • Rebecca Marzocchi
  • Giulio Marchesini
Psychological Issues (M Hetherington and V Drapeau, Section Editors)


Specific personality traits, as assessed by the Temperament and Character Inventory (TCI), have been identified in individuals with obesity, but their association with binge and/or night eating has scarcely been reported. Indeed, our systematic search of Medline (1987 to 2013) yielded only five studies on the issue. Taken together, they suggest that personality traits do not have any significant role in determining body mass index, and therefore obesity class. However, obese individuals, in comparison with normal weight individuals, do seem to have a distinctive personality profile, characterized by low self-directedness and cooperativeness, and obese individuals with binge eating show lower self-directedness than those without. Moreover obese individuals with binge eating and/or night eating share a temperament profile characterized by high novelty-seeking and harm-avoidance, two traits also observed in other eating disorder categories and in clinical depression. Future longitudinal studies are needed to investigate the role of personality traits in the onset of binge eating and night eating in obese individuals, and to clarify their influence, if any, on treatment outcomes. Such information will enable us to determine whether the evaluation of personality traits should be included in the comprehensive assessment of obese individuals.


Obesity Binge eating disorder Night eating syndrome Personality Personality traits Eating disorders 


Compliance with Ethics Guidelines

Conflict of Interest

Riccardo Dalle Grave, Simona Calugi, Marwan El Ghoch Rebecca Marzocchi, and Giulio Marchesini declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    Kassin S. Psychology. 4th ed. USA: Prentice-Hall, Inc; 2003.Google Scholar
  2. 2.
    Sullivan S, Cloninger CR, Przybeck TR, Klein S. Personality characteristics in obesity and relationship with successful weight loss. Int J Obes. 2007;31:669–74.Google Scholar
  3. 3.••
    Dalle Grave R, Calugi S, Marchesini G, Beck-Peccoz P, Bosello O, Compare A, et al. Personality features of obese women in relation to binge eating and night eating. Psychiatry Res. 2013;207:86–91. A observational study assessing personality traits in large group of obese women seeking treatment at eight Italian medical centers and in a control population without obesity. The study found that personality traits differ between obese patients seeking treatment and controls, and the presence of disordered eating is associated with specific personality characteristics.PubMedCrossRefGoogle Scholar
  4. 4.••
    Sutin AR, Ferrucci L, Zonderman AB, Terracciano A. Personality and obesity across the adult life span. J Pers Soc Psychol. 2011;101:579–92. A longitudinal study on 1,988 participants spanning more than 50 years that examined how personality traits are associated with multiple measures of adiposity and with fluctuations in body mass index.PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Fassino S, Abbate-Daga G, Amianto F, Leombruni P, Boggio S, Rovera GG. Temperament and character profile of eating disorders: a controlled study with the Temperament and Character Inventory. Int J Eat Disord. 2002;32:412–25.PubMedCrossRefGoogle Scholar
  6. 6.
    De Panfilis C, Cero S, Torre M, Salvatore P, Dall'Aglio E, Adorni A, et al. Utility of the temperament and character inventory (TCI) in outcome prediction of laparoscopic adjustable gastric banding: preliminary report. Obes Surg. 2006;16:842–7.PubMedCrossRefGoogle Scholar
  7. 7.
    De Panfilis C, Torre M, Cero S, Salvatore P, Dall'Aglio E, Marchesi C, et al. Personality and attrition from behavioral weight-loss treatment for obesity. Gen Hosp Psychiatry. 2008;30:515–20.PubMedCrossRefGoogle Scholar
  8. 8.
    Cassin SE, von Ranson KM. Personality and eating disorders: a decade in review. Clin Psychol Rev. 2005;25:895–916.PubMedCrossRefGoogle Scholar
  9. 9.
    Bjorvell H, Aly A, Langius A, Nordstrom G. Indicators of changes in weight and eating behaviour in severely obese patients treated in a nursing behavioural program. Int J Obes Relat Metab Disord. 1994;18:521–5.PubMedGoogle Scholar
  10. 10.
    Jonsson B, Bjorvell H, Levander S, Rossner S. Personality traits predicting weight loss outcome in obese patients. Acta Psychiatr Scand. 1986;74:384–7.PubMedCrossRefGoogle Scholar
  11. 11.
    Poston 2nd WS, Ericsson M, Linder J, Nilsson T, Goodrick GK, Foreyt JP. Personality and the prediction of weight loss and relapse in the treatment of obesity. Int J Eat Disord. 1999;25:301–9.PubMedCrossRefGoogle Scholar
  12. 12.
    Kolotkin RL, Revis ES, Kirkley BG, Janick L. Binge eating in obesity: associated MMPI characteristics. J Consult Clin Psychol. 1987;55:872–6.PubMedCrossRefGoogle Scholar
  13. 13.
    Martin LF. The biopsychosocial characteristics of people seeking treatment for obesity. Obes Surg. 1999;9:235–43.PubMedCrossRefGoogle Scholar
  14. 14.
    McCrae RR, John OP. An introduction to the 5-Factor Model and its applications. J Pers. 1992;60:175–215.PubMedCrossRefGoogle Scholar
  15. 15.
    Chapman BP, Fiscella K, Duberstein P, Kawachi I, Coletta M. Can the influence of childhood socioeconomic status on men's and women's adult body mass be explained by adult socioeconomic status or personality? Findings from a national sample. Health Psychol. 2009;28:419–27.PubMedCentralPubMedCrossRefGoogle Scholar
  16. 16.
    Cloninger CR, Svrakic DM, Przybeck TR. A psychobiological model of temperament and character. Arch Gen Psychiatry. 1993;50:975–90.PubMedCrossRefGoogle Scholar
  17. 17.
    Svrakic DM, Whitehead C, Przybeck TR, Cloninger CR. Differential diagnosis of personality disorders by the seven-factor model of temperament and character. Arch Gen Psychiatry. 1993;50:991–9.PubMedCrossRefGoogle Scholar
  18. 18.
    Fassino S, Leombruni P, Piero A, Daga GA, Amianto F, Rovera G, et al. Temperament and character in obese women with and without binge eating disorder. Compr Psychiatry. 2002;43:431–7.PubMedCrossRefGoogle Scholar
  19. 19.
    Cloninger CR. A unified biosocial theory of personality and its role in the development of anxiety states. Psychiatr Dev. 1986;4:167–226.PubMedGoogle Scholar
  20. 20.
    Cloninger CR, Svrakic DM, Przybeck TR, Wetzel RD. The Temperament and Character Inventory (TCI): A Guide to its development and use. Washington University: St Louis, MO: Center for Psychobiology of Personality; 1994.Google Scholar
  21. 21.
    WHO. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. WHO technical report series 894. Geneva: World Health Organization; 2000.Google Scholar
  22. 22.
    Grucza RA, Przybeck TR, Cloninger CR. Prevalence and correlates of binge eating disorder in a community sample. Compr Psychiatry. 2007;48:124–31.PubMedCentralPubMedCrossRefGoogle Scholar
  23. 23.
    Davis C, Levitan RD, Carter J, Kaplan AS, Reid C, Curtis C, et al. Personality and eating behaviors: a case–control study of binge eating disorder. Int J Eat Disord. 2008;41:243–50.PubMedCrossRefGoogle Scholar
  24. 24.
    Cloninger CR. A systematic method for clinical description and classification of personality variants. A proposal. Arch Gen Psychiatry. 1987;44:573–88.PubMedCrossRefGoogle Scholar
  25. 25.
    Villarejo C, Fernandez-Aranda F, Jimenez-Murcia S, Penas-Lledo E, Granero R, Penelo E, et al. Lifetime obesity in patients with eating disorders: increasing prevalence, clinical and personality correlates. Eur Eat Disord Rev. 2012;20:250–4.PubMedCentralPubMedCrossRefGoogle Scholar
  26. 26.
    Gormally J, Block S, Daston S, Rardin D. The assessment of binge eating severity among obese persons. Addict Behav. 1982;7:47–55.PubMedCrossRefGoogle Scholar
  27. 27.
    Allison KC, Lundgren JD, O'Reardon JP, Martino NS, Sarwer DB, Wadden TA, et al. The Night Eating Questionnaire (NEQ): Psychometric properties of a measure of severity of the Night Eating Syndrome. Eat Behav. 2008;9:62–72.PubMedCrossRefGoogle Scholar
  28. 28.
    Wonderlich SA, Mitchell JE. Eating disorders and comorbidity: empirical, conceptual, and clinical implications. Psychopharmacol Bull. 1997;33:381–90.PubMedGoogle Scholar
  29. 29.
    Mulder RT, Joyce PR, Sullivan PF, Bulik CM, Carter FA. The relationship among three models of personality psychopathology: DSM-III-R personality disorder, TCI scores and DSQ defences. Psychol Med. 1999;29:943–51.PubMedCrossRefGoogle Scholar
  30. 30.
    Battaglia M, Przybeck TR, Bellodi L, Cloninger CR. Temperament dimensions explain the comorbidity of psychiatric disorders. Compr Psychiatry. 1996;37:292–8.PubMedCrossRefGoogle Scholar
  31. 31.
    Svrakic DM, Przybeck TR, Cloninger CR. Mood states and personality traits. J Affect Disord. 1992;24:217–26.PubMedCrossRefGoogle Scholar
  32. 32.
    Vinai P, Allison KC, Cardetti S, Carpegna G, Ferrato N, Masante D, et al. Psychopathology and treatment of night eating syndrome: a review. Eat Weight Disord. 2008;13:54–63.PubMedCrossRefGoogle Scholar
  33. 33.
    Grilo CM, Milsom VA, Morgan PT, White MA. Night eating in obese treatment-seeking Hispanic patients with and without binge eating disorder. Int J Eat Disord. 2012;45:787–91.PubMedCentralPubMedCrossRefGoogle Scholar
  34. 34.
    Dalle Grave R, Calugi S, Marchesini G. Objective and subjective binge eating in underweight eating disorders: Associated features and treatment outcome. Int J Eat Disord. 2012;45:370–6.PubMedCrossRefGoogle Scholar
  35. 35.
    Cloninger CR. The science of well-being: an integrated approach to mental health and its disorders. World Psychiatry. 2006;5:71–6.PubMedCentralPubMedGoogle Scholar
  36. 36.
    Fava GA, Rafanelli C, Grandi S, Conti S, Belluardo P. Prevention of recurrent depression with cognitive behavioral therapy: preliminary findings. Arch Gen Psychiatry. 1998;55:816–20.PubMedCrossRefGoogle Scholar
  37. 37.
    Bulik CM, Sullivan PF, Joyce PR, Carter FA. Temperament, character, and personality disorder in bulimia nervosa. J Nerv Ment Dis. 1995;183:593–8.PubMedCrossRefGoogle Scholar
  38. 38.
    Sato T, Narita T, Hirano S, Kusunoki K, Goto M, Sakado K, et al. Factor validity of the temperament and character inventory in patients with major depression. Compr Psychiatry. 2001;42:337–41.PubMedCrossRefGoogle Scholar
  39. 39.
    Cloninger CR, Svrakic DM. Personality disorders. In: Sadock BJ, Sadock VA, editors. Kaplan & Sadock’s Comprehensive textbook of psychiatry. 7th ed. Philadelphia: Lippincott, Williams & Wilkins; 1999.Google Scholar
  40. 40.•
    Araujo DM, Santos GF, Nardi AE. Binge eating disorder and depression: a systematic review. World J Biol Psychiatry. 2010;11:199–207. A systematic literature review of studies published from 1980 through 2006 showing an association between depression and binge eating disorder.PubMedCrossRefGoogle Scholar
  41. 41.
    Steiger H. Eating disorders and the serotonin connection: state, trait and developmental effects. J Psychiatry Neurosci. 2004;29:20–9.PubMedCentralPubMedGoogle Scholar
  42. 42.
    Cunningham-Williams RM, Grucza RA, Cottler LB, Womack SB, Books SJ, Przybeck TR, et al. Prevalence and predictors of pathological gambling: results from the St. Louis personality, health and lifestyle (SLPHL) study. J Psychiatr Res. 2005;39:377–90.PubMedCentralPubMedCrossRefGoogle Scholar
  43. 43.
    Conway KP, Kane RJ, Ball SA, Poling JC, Rounsaville BJ. Personality, substance of choice, and polysubstance involvement among substance dependent patients. Drug Alcohol Depend. 2003;71:65–75.PubMedCrossRefGoogle Scholar
  44. 44.
    Bulik CM, Sullivan PF, Weltzin TE, Kaye WH. Temperament in eating disorders. Int J Eat Disord. 1995;17:251–61.PubMedCrossRefGoogle Scholar
  45. 45.
    Bjorvell H, Edman G, Rossner S, Schalling D. Personality traits in a group of severely obese patients: a study of patients in two self-chosen weight reducing programs. Int J Obes. 1985;9:257–66.PubMedGoogle Scholar
  46. 46.
    Jacobs SB, Wagner MK. Obese and nonobese individuals: behavioral and personality characteristics. Addict Behav. 1984;9:223–6.PubMedCrossRefGoogle Scholar
  47. 47.
    Bulik CM, Sullivan PF, Joyce PR, Carter FA, McIntosh VV. Predictors of 1-year treatment outcome in bulimia nervosa. Compr Psychiatry. 1998;39:206–14.PubMedCrossRefGoogle Scholar
  48. 48.
    Fassino S, Abbate-Daga G, Piero A, Leombruni P, Rovera GG. Dropout from brief psychotherapy within a combination treatment in bulimia nervosa: role of personality and anger. Psychother Psychosom. 2003;72:203–10.PubMedCrossRefGoogle Scholar
  49. 49.
    Fairburn CG, Cooper Z, Shafran R. Enhanced cognitive behavior therapy for eating disorders ("CBT-E"): A overview. In: Fairburn CG, editor. Cognitive Behavior Therapy and Eating Disorders. New York: Guilford Press; 2008. p. 23–34.Google Scholar
  50. 50.
    Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall; 1986.Google Scholar
  51. 51.
    Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression: A treatment manual. New York: Guilford Press; 1979.Google Scholar
  52. 52.
    Dalle Grave R, Calugi S, Brambilla F, Abbate-Daga G, Fassino S, Marchesini G. The effect of inpatient cognitive-behavioral therapy for eating disorders on temperament and character. Behav Res Ther. 2006.Google Scholar
  53. 53.
    McHugh RK, Hearon BA, Otto MW. Cognitive behavioral therapy for substance use disorders. Psychiatr Clin North Am. 2010;33:511–25.PubMedCentralPubMedCrossRefGoogle Scholar
  54. 54.
    Linehan MM. Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford Press; 1993.Google Scholar
  55. 55.
    Fassino S, Amianto F, Gramaglia C, Facchini F, Abbate Daga G. Temperament and character in eating disorders: ten years of studies. Eat Weight Disord. 2004;9:81–90.PubMedCrossRefGoogle Scholar
  56. 56.
    National Institute of Clinical Excellence. Eating disorders. Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. Clinical Guideline 9: National Collaborating Centre for Mental Health 2004.Google Scholar
  57. 57.
    Steiger H, Gauvin L, Israel M, Kin NM, Young SN, Roussin J. Serotonin function, personality-trait variations, and childhood abuse in women with bulimia-spectrum eating disorders. J Clin Psychiatry. 2004;65:830–7.PubMedCrossRefGoogle Scholar
  58. 58.
    Anderson CB, Joyce PR, Carter FA, McIntosh VV, Bulik CM. The effect of cognitive-behavioral therapy for bulimia nervosa on temperament and character as measured by the temperament and character inventory. Compr Psychiatry. 2002;43:182–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Riccardo Dalle Grave
    • 1
  • Simona Calugi
    • 1
  • Marwan El Ghoch
    • 1
  • Rebecca Marzocchi
    • 2
  • Giulio Marchesini
    • 2
  1. 1.Department of Eating and Weight DisordersVilla Garda HospitalGardaItaly
  2. 2.Unit of Metabolic Diseases & Clinical DieteticsAlma Mater Studiorum University of BolognaBolognaItaly

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