The Tridimensional Personality Questionnaire: An exploration of personality traits in eating disorders

Cornell University Medical College, Westchester Division, White Plains, New York 10605.
Journal of Psychiatric Research (Impact Factor: 3.96). 09/1994; 28(5):413-23. DOI: 10.1016/0022-3956(94)90001-9
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The Tridimensional Personality Questionnaire (TPQ) was tested in four subgroups of eating-disorder patients: anorectic-restrictors (AN-R), anorectic-bulimics (AN-B), normal weight bulimics (BN), and bulimics with a past history of anorexia (B-AN). Normal controls and patients were matched for gender and age. All subjects completed the Beck Depression Inventory (BDI) in addition to the TPQ. AN-Rs scored lower on the Novelty Seeking scale than the bulimic groups and controls, and the two normal weight bulimic groups had higher Novelty Seeking scores than the controls. On the Harm Avoidance scale, all eating disorder groups scored significantly higher than the control group. In addition, the AN-Rs scored lower than the AN-Bs and B-ANs. The Harm Avoidance scale and depression scores were positively correlated while the Reward Dependence scale and depression scores were negatively correlated. Differences between diagnostic groups on the Novelty Seeking and Persistence scales remained clearly significant when depression was partialled out. These results are discussed in terms of the Tridimensional Personality Questionnaire as a stable measure of traits with eating disorder subjects.

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    • "between restricting anorexia nervosa (AN-R) patients and those who binge-eat or purge (AN-BP) have found that AN-R is associated with lower novelty seeking, higher harm avoidance, and more rigid and obsessional behavior as compared with patients with AN-BP (Halmi, Kleifield, Braun, & Sunday, 1999; Kleifield, Sunday, Hurt, & Halmi, 1994). Compared with AN-R patients, those who binge-eat or purge have been found to experience more lability of mood, to be more impulsive, and are more likely to have substance abuse problems (DaCosta & Halmi, 1992). "
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    ABSTRACT: The aim of this study was to examine the impact of childhood sexual abuse (CSA) on clinical characteristics and premature termination of treatment in anorexia nervosa (AN). The participants were 77 consecutive patients with AN admitted to an inpatient eating disorders unit. The patients were assessed in terms of eating disorder symptoms, general psychopathology, and CSA history at admission to hospital. Thirty-seven patients (48%) reported a history of CSA before the onset of the eating disorder. Individuals with a history of CSA reported significantly greater psychiatric comorbidity, including higher levels of depression and anxiety, lower self-esteem, more interpersonal problems, and more severe obsessive-compulsive symptoms. Patients with the binge-purge subtype of AN (AN-BP) were significantly more likely to report a history of CSA prior to the onset of the eating disorder as compared with patients with the restricting subtype (AN-R) of the illness (65% of the AN-BP patients vs. 37% of the AN-R patients; p<.02). Contrary to our predictions, abused patients were not significantly more likely to dropout of treatment overall. However, patients of the binge-purge subtype (AN-BP) with a history of CSA were significantly more likely to terminate treatment prematurely as compared with the other patients. Consistent with previous findings, the present results indicate that the prevalence of CSA is high among individuals seeking inpatient treatment for AN. A history of CSA was associated with greater psychiatric disturbance overall and a higher rate of dropout for patients of the binge-purge subtype.
    Child Abuse & Neglect 04/2006; 30(3):257-69. DOI:10.1016/j.chiabu.2005.09.004 · 2.47 Impact Factor
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    • "For women, greater cognitive control of food intake was associated with lower novelty seeking. This finding agrees with accounts of low novelty seeking in women with restricting anorexia nervosa (Kleifield et al., 1994). Furthermore, susceptibility to hunger in women was associated with lower self-directedness, a finding consistent with previous accounts of a relationship between healthier eating and self-efficacy (Campbell et al., 1999; Havas et al., 1998). "
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    ABSTRACT: Large portions of the population of the United States of America fail to follow dietary recommendations. Psychological factors may contribute to non-adherence. Establish the associations between heritable personality styles, attitudes towards food, and habitual eating behavior. Variables were assessed by questionnaire in a population-based sample of 629 subjects. Associations were established using correlation and regression analysis, taking gender, demographic, lifestyle and other factors into account. Differences in personality style were reflected in diet. For example, hostility and anxiety-proneness was associated with greater likelihood to continue eating when satiated, while sociability and low impulsivity correlated with greater monitoring and control of dietary intake and body weight. Immaturity, aloofness, self-consciousness and self-gratification were associated with greater susceptibility to hunger and lack of persistence with increased snack and alcohol consumption. These associations differed for the sexes and were stronger for attitudes towards food than actual eating behavior. Taking other factors into account reduced the number of significant associations between diet and personality, particularly for habitual eating behavior. Associations exist between personality and diet. However, the strength of these associations is influenced by demographic, lifestyle and other factors. These findings have implications for future studies and efforts aimed at changing unhealthy dietary habits.
    Appetite 04/2006; 46(2):177-88. DOI:10.1016/j.appet.2005.12.004 · 2.69 Impact Factor
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    • "sistence, and when this is the case, the risk of developing the binging subtype of anorexia nervosa increases. As a group, restrictive anorexics differ from all other ED patients: they have high levels of persistence (ambition, overachieving, perfectionism) and show decreased novelty seeking (Kleifield et al., 1994). A literature search revealed only four studies using the NEO-PI to assess the relationship between personality traits and (subclinical or clinical) ED. "
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    ABSTRACT: Although there is a high comorbidity of eating disorder and self-injurious behavior (SIB), no systematic research has focused on personality trait differences in patients with and without SIB. In this study, a Dutch adaptation of the NEO-FFI (Costa & McCrae, 1985, 1992) was completed by 178 female, eating-disordered (ED) patients of whom 46.5% showed at least 1 form of SIB (e.g., cutting, burning, hair pulling). A subsample of 41 patients also completed the NEO-PI-R. Compared to patients without SIB, ED patients with SIB scored significantly higher on the Neuroticism scale and significantly lower on the Extraversion scale; on subtraits (facet scores) they appeared to be more anxious, more willing to please and less cheerful, efficient and ambitious. Personality traits were not associated with frequency or form of SIB or subtype of ED (except for impulsiveness). We also did not find a significant interaction effect between ED subtype and presence/absence of SIB.
    Journal of Personality Disorders 09/2004; 18(4):399-404. DOI:10.1521/pedi.18.4.399.40346 · 2.31 Impact Factor
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