title: Body image disturbance in patients with borderline personality disorder: impact of eating disorders and perceived childhood sexual abuse.
abstract: Body image disturbances occur in women with borderline personality disorder (BPD). Systematic research on these characteristics in well-defined BPD groups is lacking. It is unknown, if the disturbances are related to eating disorders and childhood sexual abuse (CSA), which frequently co-occur in patients with BPD. In the present study, cognitive-affective and behavioral components of body image for 89 female patients with BPD (49 with lifetime eating disorders) and 41 healthy participants were assessed via Body Image Avoidance Questionnaire (BIAQ) and Multidimensional Body-Self Relations Questionnaire (MBSRQ). Within the BPD group, 43 patients reported a history of CSA. Compared to healthy controls, BPD patients reported significantly more negative scores in the BIAQ and the MBSRQ. Both a history of CSA and a comorbid eating disorder were independently associated with an even more negative body image. Results suggest a disturbance of cognitive-affective and behavioral components of body image in female BPD patients.
authors: Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Germany. dyer@uni-mannheim.de
authors: Anne
authors: A
authors: Dyer
authors: Elisabeth
authors: E
authors: Borgmann
authors: Robert E
authors: RE
authors: Feldmann
authors: Nikolaus
authors: N
authors: Kleindienst
authors: Kathlen
authors: K
authors: Priebe
authors: Martin
authors: M
authors: Bohus
authors: Silja
authors: S
authors: Vocks
mesh_terms: D000328:Adult; D000339:Affect; D001828:Body Image / Q000523:psychology*; D001883:Borderline Personality Disorder / Q000453:epidemiology* / Q000523:psychology*; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D003071:Cognition; D015897:Comorbidity; D001068:Feeding and Eating Disorders / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires