PMID- 23983043 OWN - NLM STAT- MEDLINE DCOM- 20140416 LR - 20220331 IS - 1098-108X (Electronic) IS - 0276-3478 (Linking) VI - 46 IP - 8 DP - 2013 Dec TI - Eating disorders in a large clinical sample of men and women with personality disorders. PG - 801-9 LID - 10.1002/eat.22176 [doi] AB - OBJECTIVE: We assessed and compared the prevalence of anorexia nervosa (AN), bulimia nervosa (BN), and eating disorder not otherwise specified (EDNOS) across six Axis II groups (borderline, obsessive-compulsive, avoidant, dependent, paranoid, and personality disorder NOS) and patients with major depressive disorder (MDD) without personality disorders (PD). METHOD: The sample included 3,266 consecutive and first admissions to 16 different treatment units in the Norwegian Network of Psychotherapeutic Day Hospitals between 1993 and 2009. All patients were interviewed with the SCID-II for DSM-III-R (prior to 1996) or DSM-IV (from 1996) and the MINI for Axis I disorders in accordance with the LEAD (longitudinal, expert, all-data) standard. RESULTS: The prevalence of any ED in the PD sample was approximately 17% for women and 3% for men. A lower rate of ED (5%) was found for patients with MDD without PD. A significantly higher proportion of patients with borderline personality disorder were diagnosed with BN or EDNOS. The rate of AN was significantly elevated in female patients with obsessive-compulsive personality disorder. Men demonstrated significantly less diagnostic co-occurrence and no significant differential variation across PD groups or MDD. DISCUSSION: Data which included a psychiatric comparison group showed less co-occurrence and non-significant variation across PD groups for men, but demonstrated a meaningful and specific pattern of comorbidity between ED and PD for women. There was an elevated risk of ED among female patients with PD, most pronounced for borderline. An almost five-fold higher rate of AN was found among women with obsessive-compulsive PD. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Reas, Deborah L AU - Reas DL AD - Regional Eating Disorders Service, Division of Mental Health and Addiction, Oslo University Hospital, Norway. FAU - Ro, Oyvind AU - Ro O FAU - Karterud, Sigmund AU - Karterud S FAU - Hummelen, Benjamin AU - Hummelen B FAU - Pedersen, Geir AU - Pedersen G LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study DEP - 20130828 PL - United States TA - Int J Eat Disord JT - The International journal of eating disorders JID - 8111226 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Chi-Square Distribution MH - Comorbidity MH - Depressive Disorder, Major/diagnosis/*epidemiology MH - Diagnostic and Statistical Manual of Mental Disorders MH - Feeding and Eating Disorders/classification/diagnosis/*epidemiology MH - Female MH - Hospitalization/*statistics & numerical data/trends MH - Hospitals, Psychiatric MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Norway/epidemiology MH - Personality Disorders/classification/diagnosis/*epidemiology MH - Prevalence MH - Sex Factors MH - Social Class MH - Young Adult OTO - NOTNLM OT - comorbidity OT - eating disorders OT - personality disorders EDAT- 2013/08/29 06:00 MHDA- 2014/04/17 06:00 CRDT- 2013/08/29 06:00 PHST- 2013/07/16 00:00 [accepted] PHST- 2013/08/29 06:00 [entrez] PHST- 2013/08/29 06:00 [pubmed] PHST- 2014/04/17 06:00 [medline] AID - 10.1002/eat.22176 [doi] PST - ppublish SO - Int J Eat Disord. 2013 Dec;46(8):801-9. doi: 10.1002/eat.22176. Epub 2013 Aug 28.