Prevalence of Eating Disorders in People With Borderline Personality Disorder: A Systematic Review and Meta-Analysis

IF 2.7 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-09-27 DOI:10.1002/cpp.70150

Théo Paudex, Francky Teddy Endomba, Nathalie Forestier, Achille Pierandrei, Jean-Christophe Chauvet-Gélinier, Jean-Michel Pinoit

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引用次数: 0

Abstract

Objective

The aim of the study was to estimate the prevalence of eating disorders (EDs) across the borderline personality disorder (BPD) population.

Method

After protocol registration (number = CRD42023415721), we systematically searched PubMed/MEDLINE, PsycINFO and Web of Science for articles that allowed the assessment of the proportion of at least one ED in a sample of patients with BPD. Risk of bias was estimated using the Joanna Briggs Institute (JBI) checklist for studies reporting prevalence data, and we used a random-effects meta-analytic model. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) statement.

Results

A total of 34 articles were included, with 20 reports (N = 4107) related to EDs without distinction, and 20 (n = 3901), 20 (n = 4369), seven (n = 766), and six (n = 1773) reports related to anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and eating disorder not otherwise specified (EDNOS), respectively. The overall frequency of EDs in BPD was estimated to be 29.7% (95% CI = [21.6%, 38.4%]), while the frequencies of AN, BN, BED, and EDNOS were estimated to be 9.98% (95% CI = [5.6%, 15.3%]), 16.3% (95% CI = [12.1%, 21.1%]), 16.3% (95% CI = [6%, 30%]) and 18.8% (95% CI = [10.6%, 28.6%]), respectively. The overall risk of bias was moderate, there was no publication bias, and the certainty levels of our evidence were low.

Discussion

This meta-analytic review highlights the high frequency of EDs in BPD. It could serve as a basis for exploring the determinants of these comorbidities.

Conclusions

Through this systematic review and meta-analysis, we found a high prevalence of EDs and their subtypes in patients with BPD.

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边缘型人格障碍患者饮食失调的患病率：系统回顾和荟萃分析

目的研究边缘型人格障碍（BPD）人群中饮食失调（EDs）的患病率。方法在方案注册（编号= CRD42023415721）后，我们系统地检索PubMed/MEDLINE、PsycINFO和Web of Science，查找允许评估BPD患者样本中至少一种ED比例的文章。使用乔安娜布里格斯研究所（JBI）报告患病率数据的研究清单估计偏倚风险，我们使用随机效应荟萃分析模型。我们使用了系统评价和荟萃分析首选报告项目（PRISMA 2020）声明。结果共纳入34篇文献，其中与EDs相关的文献20篇（N = 4107），与神经性厌食症（AN）、神经性贪食症（BN）、暴食症（BED）和非特异性饮食失调（EDNOS）相关的文献分别为20篇（N = 3901）、20篇（N = 4369）、7篇（N = 766）和6篇（N = 1773）。BPD中ed的总发生率估计为29.7% (95% CI =[21.6%, 38.4%])，而AN、BN、BED和EDNOS的发生率估计分别为9.98% （95% CI =[5.6%, 15.3%]）、16.3% （95% CI =[12.1%, 21.1%]）、16.3% （95% CI =[6%, 30%]）和18.8% （95% CI =[10.6%, 28.6%]）。偏倚的总体风险为中等，无发表偏倚，证据的确定性水平较低。本荟萃分析综述强调了BPD中ed的高频率。它可以作为探索这些合并症的决定因素的基础。通过系统回顾和荟萃分析，我们发现BPD患者中ed及其亚型的患病率很高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.