Skip to main content
SpringerLink
Log in

The Management of Eating Disorders Where There Is a Comorbid Personality Disorder

  • Chapter
  • First Online:
Book cover Multidisciplinary Management of Eating Disorders

  • 1118 Accesses

Abstract

  • What is the prevalence of eating disorders with comorbid personality disorders, and how do they overlap?

  • Should we in fact diagnose the presence of personality disorder at all?

  • Which personality disorders are most commonly associated with eating disorders?

  • How are personality disorders diagnosed in the context of eating disorders?

  • Are there any disorders which could be confused with personality disorders?

  • What are the best treatment options for patients with an eating disorder with a comorbid personality disorder and where can they best access care?

‘You never really understand a person until you consider things from his point of view.’

Harper Lee

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Coid J, Yang M, Tyrer P, Roberts A, Ullrich S. Prevalence and correlates of personality disorder in Great Britain. Br J Psychiatry. 2006;188(5):423–31.

    Article  Google Scholar 

  2. 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(5):147–52.

    PubMed  CAS  Google Scholar 

  3. Wildes JE, Ringham RM, Marcus MD. Emotion avoidance in patients with anorexia nervosa: initial test of a functional model Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center. Int J Eat Disord. 2010;43(5):398–404. https://doi.org/10.1002/eat.20730.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Lightstone J. Dissociation and compulsive eating. J Trauma Dissociation. 2004;5(4):17–32.

    Article  Google Scholar 

  5. Sansone RA, Sansone LA. Personality pathology and its influences on eating disorders. Innov Clin Neurosci. 2011;8(3):14–8.

    PubMed  PubMed Central  Google Scholar 

  6. Chen EY, McCloskey MS, Michelson S, Gordon KH, Coccaro E. Characterizing eating disorders in a personality disorders sample. Psychiatry Res. 2011;185:427–32.

    Article  PubMed  Google Scholar 

  7. Ehlers A, Clark DM, Hackmann A, McManus F, Fennell M. Cognitive therapy for post-traumatic stress disorder: development and evaluation. Behav Res Ther. 2005;43:413–31.

    Article  PubMed  Google Scholar 

  8. Shapiro F, Maxfield L. Eye Movement Desensitization and Reprocessing (EMDR): information processing in the treatment of trauma. Psychother Pract. 2002;58(8):933–46.

    Google Scholar 

  9. Davidson K, Norrie J, Tyrer P, Gumley A, Tata P, Murray H, Palmer S. The effectiveness of cognitive behaviour therapy for borderline personality disorder: results from the borderline personality disorder study of cognitive therapy (BOSCOT) trial. J Pers Disord. 2006;20(5):450–65. https://doi.org/10.1521/pedi.2006.20.5.450.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Lynch TR, Gray KLH, Hempel RJ, Titley M, Chen EY, O’Mahen HA. Radically open-dialectical behaviour therapy for adult anorexia nervosa: feasibility and outcomes from an inpatient program. BMC Psychiatry. 2013;13:293.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Cuijpers P, Donker T, Weissman MM, Ravitz P, Cristea IA. Interpersonal psychotherapy for mental health problems: a comprehensive meta-analysis. Am J Psychiatry. 2016;173(7):680–7.

    Article  PubMed  Google Scholar 

  12. Bateman A, Fonagy P. Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. Am J Psychiatry. 2009;166:1355–64.

    Article  PubMed  Google Scholar 

Further Reading

  • WHO. ICD-10: the World Health Organisation’s International classification of diseases and related health problems. 10th ed. Geneva: WHO; 2010.

    Google Scholar 

  • American Psychiatric Association. DSM-5: the American Psychiatric Associations diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.

    Book  Google Scholar 

  • The World Health Organization. The international personality disorder examination. Alcohol, drug abuse, and mental health administration international pilot study of personality disorders. Geneva: WHO.

    Google Scholar 

  • Loranger AW, Sartorius N, Andreoli A, Berger P, Buchheim P, Channabasavanna SM, Coid B, Dahl A, Diekstra RFW, Ferguson B, Jacobsberg LB, Mombour W, Pull C, Ono Y, Regier DA. Arch Gen Psychiatry. 1994;51(3):215–24.

    Article  CAS  PubMed  Google Scholar 

  • Linehan MM. DBT skills training manual. 2nd ed. New York, NY: Guilford Press; 2014.

    Google Scholar 

  • Goss K. The compassionate mind approach to beating overeating: Series editor, Paul Gilbert. Compassion focused therapy. London: Robinson; 2011.

    Google Scholar 

  • Attwood T, Grandin T. Asperger’s and girls. Arlington, TX: Future horizons; 2006.

    Google Scholar 

  • Legislation.gov.uk. 2010. Equality act. http://www.legislation.gov.uk/ukpga/2010/15/contents. Accessed 11 Jan 2015.

  • National autistic Society, Northern Ireland; the Department for employment and learning; the equality commission for Northern Ireland; employers for disability Northern Ireland. Employing people with autism: a brief guide for employers. http://www.disabilityaction.org/fs/doc/publications/employing-people-with-autism-a-brief-guide-for-employers-external-publication.pdf

  • NICE National Institute for Health and Care Excellence Obsessive-compulsive disorder and body dysmorphic disorder: treatment. Clinical guideline [CG31]

    Google Scholar 

  • Shafran R, Egan S, Wade T. Overcoming perfectionism (Overcoming Books). London: Robinson; 2010.

    Google Scholar 

  • Baker D, Keramidas N. Time capsule. American psychological Society. A description of the findings of Ancel Keys. Psychol Hung. 2013;44(9):66.

    Google Scholar 

  • Bogdashina O. Sensory perceptual issues in autism and Asperger syndrome. New York, NY: Jessica Kingsley publishers; 2003.

    Google Scholar 

  • Gilbert P, Irons C. Compassion-focused therapy. In: Dryden W, Reeves A, editors. The handbook of individual therapy. 6th ed. Thousand Oaks, CA: Sage Publications; 2013. p. 301–28.

    Google Scholar 

Download references

Andrea Brown

is a Consultant Psychiatrist specialising in eating disorders at the Retreat in York, where co-morbid personality disorders are also treated.

Author information

Authors and Affiliations

  1. The Retreat, York, UK

    Andrea Brown

Authors
  1. Andrea Brown
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Andrea Brown .

Editor information

Editors and Affiliations

  1. Royal Cornhill Hospital, Aberdeen, United Kingdom

    Jane Morris

  2. Aberdeen Royal Infirmary, Aberdeen, United Kingdom

    Alastair McKinlay

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Brown, A. (2018). The Management of Eating Disorders Where There Is a Comorbid Personality Disorder. In: Morris, J., McKinlay, A. (eds) Multidisciplinary Management of Eating Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-64131-7_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-64131-7_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64130-0

  • Online ISBN: 978-3-319-64131-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation