PERSONALITY-DISORDER AND TREATMENT RESPONSE IN BULIMIA-NERVOSA

被引:41
作者
FAHY, TA [1 ]
EISLER, I [1 ]
RUSSELL, GFM [1 ]
机构
[1] KINGS COLL HOSP,LONDON SE5 8AZ,ENGLAND
关键词
D O I
10.1192/bjp.162.6.765
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Thirty-nine female out-patients with bulimia nervosa were assessed for personality disorders using the PAS. All subjects then entered a therapeutic trial, comprising eight weeks of cognitive-behavioural therapy with follow-up after eight weeks and at one year. Thirty-nine per cent of the patients were diagnosed as having personality disorders. Patients with personality disorders were more depressed and had a lower BMI than those without. They also had a significantly poorer response to treatment, but the difference between groups did not reach significance when mood and BMI were controlled for. Personality disorder alone does not predict a poor response to treatment, but comorbidity with depression and low weight increases the likelihood of a poor response; these patients are unlikely to respond to brief psychotherapeutic interventions.
引用
收藏
页码:765 / 770
页数:6
相关论文
共 35 条
[31]  
607::AID-EAT2260090603&gt
[32]  
3.0.CO
[33]  
2-0
[34]  
World Health Organization, 1992, ICD10 CLASS MENT BEH
[35]   SCREENING FOR AXIS-II PERSONALITY-DISORDERS IN WOMEN WITH BULIMIC EATING DISORDERS [J].
YAGER, J ;
LANDSVERK, J ;
EDELSTEIN, CK ;
HYLER, SE .
PSYCHOSOMATICS, 1989, 30 (03) :255-262