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Compr Psychiatry. 2014 Jul;55(5):1130-6. doi: 10.1016/j.comppsych.2014.02.009. Epub 2014 Mar 2.

The role of temperament and character in the outcome of depressive mood in eating disorders.

Author information

  • 1Eating Disorders Unit, Department of Psychiatry, General Hospital of Ciudad Real, C/Obispo Torija s/n, 13005-Ciudad Real, Spain.
  • 2Eating Disorders Unit, Department of Psychiatry, General Hospital of Ciudad Real, C/Obispo Torija s/n, 13005-Ciudad Real, Spain. Electronic address: lbeato@terra.com.
  • 3Department of Psychiatry, Faculty of Medicine, University of Valencia, Avda Blasco Ibañez nº 15, 46010-Valencia, Spain.
  • 4Department of Psychiatry, Faculty of Medicine, University of Extremadura, Avda. De Elbas s/n, 06017-Badajoz, Spain.

Abstract

OBJECTIVES:

The aims were to see which temperament and character dimensions were associated with depression, mainly with its outcome at two-year follow up in eating disorders (EDs).

METHODS:

Participants (N=151) were 44 Anorexia nervosa (AN), 55 Bulimia nervosa (BN) and 52 Eating disorders not otherwise specified (EDNOS) patients. The Beck Depression Inventory (BDI), State and Trait Anxiety Inventory (STAI), Rosenberg Self Esteem Questionnaire (RSE), Eating Disorder Inventory (EDI-2) and Temperament and Character Inventory (TCI) were administered.

RESULTS:

Depression at the beginning (t0) was severe in 22% of the cases. Harm Avoidance and Novelty Seeking had an effect on depressed mood at t0, mediated by Ineffectiveness. Responsibility (SD1) was associated with scores on the BDI at two-year follow up (β=-0.37, 95% CI -2.6, -0.6, p<0.01).

CONCLUSION:

The evaluation of personality dimension in EDs has therapeutic and prognostic implications: To enhance self-efficacy and self-directness is crucial for good clinical outcome.

Copyright © 2014 Elsevier Inc. All rights reserved.

PMID:
24666713
[PubMed - indexed for MEDLINE]
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