Personality in men with eating disorders

Program for Eating Disorders, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada.
Journal of Psychosomatic Research (Impact Factor: 2.74). 10/2004; 57(3):273-8. DOI: 10.1016/j.jpsychores.2004.02.011
Source: PubMed


This study compares personality variables of men with eating disorders to women with eating disorders.
Data were obtained from an international study of the genetics of eating disorders. Forty-two male participants were age-band matched at 1:2 ratio to females from the same study. Personality features were compared between males and females controlling for diagnostic subgroup.
Males with eating disorders appear to be slightly less at risk for perfectionism, harm avoidance, reward dependence, and cooperativeness than females. Few differences were found when diagnostic subgroup was considered.
Observed differences in personality variables may help explain the difference in incidence and prevalence of eating disorders in men and women.

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Available from: Walter H Kaye
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    • "anxiety are inconclusive (Bramon-Bosch et al. 2000; Woodside et al. 2004; Strober et al. 2006). The fi ndings from the present study are consistent with a fractionable model of non-social cognitive and social emotional risk to EDs (Steinglass et al. 2011; Harrison et al. 2012). "
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    ABSTRACT: Objectives. Females are more likely to develop an eating disorder (ED) than males. Studies of affected men may therefore inform models of risk and resilience to EDs. The aim of this study was to examine putative neurocognitive intermediate phenotypes of EDs in affected males. Methods. Cognitive flexibility, central coherence (global/detail processing), complex emotion recognition and social-threat sensitivity were investigated in men with EDs and healthy men. Measures of distress, perfectionism, and obsessive compulsivity were collected. Results. Men with EDs were more cognitively inflexible across tasks and had more difficulty integrating global information than healthy men. Unexpectedly, there were no group differences on a visuospatial task of detail processing or on social-emotional processing tasks. Men with EDs had higher scores on measures of distress, perfectionism and obsessive compulsivity than healthy men. Conclusions. Men with EDs share some of the intermediate cognitive phenotype present in women with EDs. Like their female counterparts, males with EDs show an inflexible, fragmented cognitive style. However, relative to healthy men, men with EDs do not have superior detail processing abilities, poor emotion recognition or increased sensitivity to social-threat. It is possible that gender differences in social-threat processing contribute to the female preponderance of EDs.
    Full-text · Article · Jan 2013 · The World Journal of Biological Psychiatry
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    • "The few studies assessing personality in men with ED have shown inconsistent findings. Although some studies revealed lower levels of harm avoidance, reward dependence, cooperativeness and higher scores on novelty seeking in male paticipants than female paticipants with AN (Fassino, Daga, Pierò, Leombruni, & Rovera, 2001; Woodside et al., 2004), other studies indicated a higher level of perfectionism and interpersonal distrust in male paticipants (Behar et al., 2002; Joiner et al., 2000). Taken together, there is evidence that there are gender-specific differences in eating disorder participants in terms of eating disorder symptomatology, general psychopathology and personality. "
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    ABSTRACT: To determine if male and female eating disorders differ in clinics, psychopathology and personality traits when compared with a healthy group. Sixty male and 60 female eating disorder individuals (16% anorexia nervosa, 42% bulimia nervosa and 42% eating disorder not otherwise specified), matched for age and diagnostic, were compared with 120 healthy-eating participants (60 male and 60 female participants). All were diagnosed according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Assessment measures included Eating Disorder Inventory--2, Symptom Checklist--Revised and Temperament and Character Inventory--Revised, as well as other clinical and psychopathological indices. Male eating disorder participants reported significant lower laxative abuse (p = 0.020) and significant higher vomiting episodes (p = 0.019) than female eating disorder participants. Differences on drive for thinness, body dissatisfaction and some Symptom Checklist--Revised scales were found across genders in eating disorder participants. Male eating disorder participants scored significantly lower than female participants with eating disorders on harm avoidance, reward dependence and cooperativeness. Although eating disorder clinical features were similar across genders, male eating disorder participants had less body image concern and general psychopathology than female eating disorder participants.
    Full-text · Article · Jan 2012 · European Eating Disorders Review
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    • "Furthermore, studies have indicated that there are many personality and clinical similarities between men with eating disorders and women with eating disorders.40 Also, few differences were found in rates of comorbidity between men and women with eating disorders, with the exception of expected gender-specific differences in the rates of alcoholism and depression.41 "
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    ABSTRACT: A retrospective chart review was undertaken in a private clinic to examine the clinical outcomes for patients with an eating disorder comorbid with depression or bipolar illness who underwent a referenced electroencephalographic (EEG) database analysis to help guide medication selection. We examined 33 charts for patients with the primary psychiatric diagnosis of an eating disorder and comorbid major depressive disorder or bipolar disorder who underwent a quantitative EEG database assessment to provide additional information for choices of medication. The current analysis includes data from 22 subjects who accepted treatments based on information from the referenced-EEG medication database. Hamilton Depression Rating Scale, Clinical Global Impression-Severity, Clinical Global Impression-Improvement, and hospitalization data were examined for these patients. Patients whose EEG data was used for clinical treatment reported significant decreases in associated depressive symptoms (HDRS scores), overall severity of illness (Clinical Global Impression-Severity), and overall clinical global improvement (Clinical Global Impression- Improvement). This cohort also reported fewer inpatient, residential, and partial hospitalization program days following referenced-EEG compared with the two-year period prior to treatment. These findings are consistent with previously reported data for patients with eating disorders and suggest the need for future studies using EEG data correlated with those from other patients with similar quantitative EEG features.
    Full-text · Article · Sep 2011 · Neuropsychiatric Disease and Treatment
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