Personality disorder cognitions in the eating disorders.
The eating disorders are frequently found to be comorbid with Axis II cluster B and C personality disorders. It is important to identify the personality-level cognitions that typify these disorders. This study of a clinical group examines the personality disorder cognitions in the eating disorders. The cognitions that were most relevant to the eating disorder pathology were those relating to avoidant and obsessive-compulsive personality disorder. Other personality disorder cognitions were associated with comorbid psychopathology in largely clinically meaningful ways. These findings extend our understanding of the comorbidity of eating disorders and personality pathology, suggesting that some cases need to be assessed and formulated with such cognitions in mind. Treatment strategies are required that address both the eating and the personality pathology, while considering the impact of these cognitions on the therapeutic relationship.
Connan
Frances
F
Vincent Square Eating Disorders Clinic, Central and North West London NHS Foundation Trust, Osbert Street, London, UK.
Dhokia
Reena
R
Haslam
Michelle
M
Mordant
Niccie
N
Morgan
Guy
G
Pandya
Chinmay
C
Waller
Glenn
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D003071:Cognition; D015897:Comorbidity; D001068:Feeding and Eating Disorders / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000453:epidemiology / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D006113:United Kingdom / Q000453:epidemiology; D055815:Young Adult