TY - JOUR
T1 - Impulsivity and personality variables in adolescents with eating disorders
AU - Boisseau, Christina Lynn
AU - Thompson-Brenner, Heather
AU - Eddy, Kamryn T.
AU - Satir, Dana A.
PY - 2009/4
Y1 - 2009/4
N2 - Impulsivity among individuals with eating disorders (EDs) is associated with severe comorbidities and poor treatment outcome. However, research investigating the construct of impulsivity in EDs is limited. The objectives of the present study were to characterize multiple dimensions of impulsivity in adolescents with EDs; determine if differences in impulsivity were associated with ED diagnosis and/or broader personality traits; and explore the relationship between impulsivity and etiologically significant variables. Experienced clinicians from a practice-research network provided data on ED symptoms, impulsive characteristics, personality pathology, The Diagnostic and Statistical Manual of Mental Disorders comorbidity, and family and developmental history for 120 adolescent patients with EDs. Three distinct types of impulsivity were identified: general, acting out, and aggressive/destructive. The impulsivity types showed specific relationships to ED diagnosis, broader personality factors, individual histories of adverse (traumatic) events, and family histories of externalizing disorders, supporting the importance of taking, assessing, and addressing impulsivity in ED research and treatment.
AB - Impulsivity among individuals with eating disorders (EDs) is associated with severe comorbidities and poor treatment outcome. However, research investigating the construct of impulsivity in EDs is limited. The objectives of the present study were to characterize multiple dimensions of impulsivity in adolescents with EDs; determine if differences in impulsivity were associated with ED diagnosis and/or broader personality traits; and explore the relationship between impulsivity and etiologically significant variables. Experienced clinicians from a practice-research network provided data on ED symptoms, impulsive characteristics, personality pathology, The Diagnostic and Statistical Manual of Mental Disorders comorbidity, and family and developmental history for 120 adolescent patients with EDs. Three distinct types of impulsivity were identified: general, acting out, and aggressive/destructive. The impulsivity types showed specific relationships to ED diagnosis, broader personality factors, individual histories of adverse (traumatic) events, and family histories of externalizing disorders, supporting the importance of taking, assessing, and addressing impulsivity in ED research and treatment.
KW - Adolescence
KW - Eating disorder
KW - Impulsivity
KW - Personality
KW - Subtype
UR - http://www.scopus.com/inward/record.url?scp=65549132011&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=65549132011&partnerID=8YFLogxK
U2 - 10.1097/NMD.0b013e31819d96c0
DO - 10.1097/NMD.0b013e31819d96c0
M3 - Article
C2 - 19363381
AN - SCOPUS:65549132011
SN - 0022-3018
VL - 197
SP - 251
EP - 259
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
IS - 4
ER -