Using a measure of the DSM-5 alternative model of personality disorder traits to define personality types in people seeking eating disorder treatment: a pilot study.
{"title":"Using a measure of the DSM-5 alternative model of personality disorder traits to define personality types in people seeking eating disorder treatment: a pilot study.","authors":"Tanya Gilmartin, Caroline Gurvich, Gemma Sharp","doi":"10.1186/s40337-025-01413-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>There has been increasing research focus on the relationship between eating disorders and personality types and traits separately. In this pilot study, we present a mixed methods approach to classify individuals with an eating disorder as Overcontrol (OC; anxiousand perfectionistic), Undercontrol (UC; emotionally dysregulated) or resilient (without personality pathology). We then explore the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, Alternative Model of Personality Disorder trait profiles associated with OC and UC presentations.</p><p><strong>Methods: </strong>Twenty individuals (12 women, 2 men, 6 gender-diverse) seeking treatment for eating disorders were classified as OC, UC or resilient based on a structured clinical interview and clinician rating scales supplemented by self-report measures of depression, anxiety and stress. Group differences in DSM-5 alternative model personality traits and eating pathology were examined.</p><p><strong>Results: </strong>Twelve individuals were classified as OC, six as resilient, and two as UC. The OC group scored higher than the resilient group on the following DSM-5 alternative model of personality disorder traits: Anhedonia, Depressivity, Emotional Lability, Submissiveness and Separation Insecurity with large effect sizes (Cohen's d = .0.80-1.84).</p><p><strong>Conclusions: </strong>Our research suggests the importance of assessing the public and private nature of problem behaviour within clinical assessment. In addition, our results indicated potential benefit of further research focused on understanding personality types in the context of DSM-5 pathological personality traits.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"227"},"PeriodicalIF":4.5000,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12532889/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40337-025-01413-9","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: There has been increasing research focus on the relationship between eating disorders and personality types and traits separately. In this pilot study, we present a mixed methods approach to classify individuals with an eating disorder as Overcontrol (OC; anxiousand perfectionistic), Undercontrol (UC; emotionally dysregulated) or resilient (without personality pathology). We then explore the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, Alternative Model of Personality Disorder trait profiles associated with OC and UC presentations.
Methods: Twenty individuals (12 women, 2 men, 6 gender-diverse) seeking treatment for eating disorders were classified as OC, UC or resilient based on a structured clinical interview and clinician rating scales supplemented by self-report measures of depression, anxiety and stress. Group differences in DSM-5 alternative model personality traits and eating pathology were examined.
Results: Twelve individuals were classified as OC, six as resilient, and two as UC. The OC group scored higher than the resilient group on the following DSM-5 alternative model of personality disorder traits: Anhedonia, Depressivity, Emotional Lability, Submissiveness and Separation Insecurity with large effect sizes (Cohen's d = .0.80-1.84).
Conclusions: Our research suggests the importance of assessing the public and private nature of problem behaviour within clinical assessment. In addition, our results indicated potential benefit of further research focused on understanding personality types in the context of DSM-5 pathological personality traits.
背景：越来越多的研究分别关注饮食失调与人格类型和特征之间的关系。在这项初步研究中，我们提出了一种混合方法，将饮食失调患者分为过度控制（OC；焦虑和完美主义），控制不足（UC；情绪失调）或弹性（无人格病理）。然后，我们研究了精神障碍诊断与统计手册，第五版，与OC和UC相关的人格障碍特征概况的替代模型。方法：根据结构化的临床访谈和临床医生评定量表以及抑郁、焦虑和压力的自我报告测量，将20名寻求饮食失调治疗的患者（12名女性，2名男性，6名性别不同的患者）分类为OC、UC或弹性。比较DSM-5备选型人格特征和饮食病理的组间差异。结果：12人被分类为OC， 6人被分类为弹性，2人被分类为UC。在以下人格障碍的DSM-5替代模型上：快感缺失、抑郁、情绪不稳定、顺从和分离不安全感得分高于弹性组，且效应量大（Cohen’s d = 0.80-1.84）。结论：我们的研究表明在临床评估中评估问题行为的公共和私人性质的重要性。此外，我们的研究结果表明，在DSM-5病理人格特征的背景下，进一步研究人格类型的潜在益处。
期刊介绍：
Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice.
The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
