Personality differences and psychological variables related to the risk of eating disorders
Abstract
Certain psychological variables and personality are considered as predisposing or influential factors for the subsequent development of eating disorders. Also the implementation of some risk behaviors, such as binge eating, vomiting or excessive physical exercise for weight loss. The objective of the study was to compare the differences in personality and relevant psychological variables related to eating disorders, in women and men, based on compliance with specific criteria to help identify individuals with potential eating disorders. Participants were 604 university students. The Eating Disorder Inventory-3 (EDI-3) and referral form (EDI-3 RF), and the Five-Factor Inventory (NEO-FFI) were used. The results showed that up to 58.5% of women and 49.5% of men met remission criteria. In both women and men, there are differences between groups with criteria and those who do not, mainly in neuroticism, drive for thinness, bulimia, body dissatisfaction and asceticism. The scores in the neuroticism factor and in the great majority of psychological scales are also higher in the subjects that accomplish the highest number of criteria.
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Altamirano, M. B., Vizmanos, B., & Unikel, C. (2011). Continuo de conductas alimentarias de riesgo en adolescentes de México. Revista Panamericana de Salud Pública, 30(5), 401-407.
Álvarez-Malé, M. L., Castaño, I. B., & Majem, L. S. (2015). Prevalencia de los trastornos de la conducta alimentaria en adolescentes de Gran Canaria. Nutrición Hospitalaria, 3(5), 2283-2288. doi: 10.3305/nh.2015.31.5.8583
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders - DSM-5. Washington, D.C: American Psychiatric Association.
Arcelus, J., Haslam, M., Farrow, C., & Meyer, C. (2013). The role of interpersonal functioning in the maintenance of eating psychopathology: A systematic review and testable model. Clinical Psychology Review, 33(1), 156-167. doi: 10.1016/j.cpr.2012.10.009
Bardone-Cone, A. M., Abramson, L. Y., Vohs, K. D., Heatherton, T. F., & Joiner, T. E. (2006). Predicting bulimic symptoms: An interactive model of self-efficacy, perfectionism, and perceived weight status. Behaviour Research and Therapy, 44, 27–42. doi: 10.1016/j.brat.2004.09.009
Beato, L., Rodríguez, T., Belmonte, A., & Martínez, C. (2004). Risk factors for eating disorders in adolescents. A Spanish community-based longitudinal study. European Child and Adolescent Psychiatry, 13(5), 287-294. doi: 10.1007/s00787-004-0407-x
Behar, R., Gramegna, G., & Arancibia, M. (2014). Perfeccionismo e insatisfacción corporal en los trastornos de la conducta alimentaria. Revista Chilena de Neuro-Psiquiatría, 52(2), 103-114. doi: 10.4067/S0717-92272014000200006
Berengüí, R., Castejón, M., & Torregrosa, M. S. (2016). Insatisfacción corporal, conductas de riesgo para trastornos de la conducta alimentaria en universitarios. Revista Mexicana de Trastornos Alimentarios, 7 (1), 1-8. doi: 10.1016/j.rmta.2016.02.004
Borda, M., Avargues, M. L., López, A. M., Torres, I., del Rio, C., & Pérez, M. A. (2011). Personality traits and eating disorders: Mediating effects of self-esteem and perfectionism. International Journal of Clinical and Health Psychology, 11, 205-227.
Bruch, H. (1962). Perceptual and conceptual disturbances in anorexia nervosa. Psychosomatic Medicine, 24, 187-194.
Bulik, C. M., Sullivan, P. F., Tozzi, F., Furberg, H., Lichtenstein, P., & Pedersen, N. L. (2006). Prevalence, heritability, and prospective risk factors for anorexia nervosa. Archives of General Psychiatry, 63(3), 305-312. doi: 10.1001/archpsyc.63.3.305
Bully, P., Elosua, P., & López Jáuregui, A. (1). Body dissatisfaction in adolescence. Changes in a decade. Anales De Psicología / Annals of Psychology, 28(1), 196-202.
Calado, M. (2011). Incidencia y Prevalencia de los Trastornos de la Conducta Alimentaria en España: Hacia el DSM-V. Sociedad Iberoamericana de Información Científica, 13(4), 4-9.
Caramillo, E. M., Khan, K. M., Collier, A. D., & Echevarria, D. J. (2015). Modeling PTSD in the zebrafish: Are we there yet? Behavioural Brain Research, 276, 151-160. doi: 10.1016/j.bbr.2014.05.005
Cassin, S. E., & von Ranson, K. M. (2005). Personality and eating disorders: A decade in review. Clinical Psiychology Review, 25(7), 895- 916. doi: 10.1016/j.cpr.2005.04.012
Castejón, M. A. (2017). Aspectos psicopatológicos y variables de personalidad como factores de riesgo en los Trastornos de la Conducta Alimentaria. Tesis doctoral no publicada. Universidad de Murcia, Murcia.
Castejón, M. A., Berengüí, R., & Garcés de Los Fayos, E. J. (2016). Relación del índice de masa corporal, percepción de peso y variables relacionadas con los trastornos de la conducta alimentaria en estudiantes universitarios. Nutrición Clínica y Dietética Hospitalaria, 36(1), 54-63. doi: 10.12873/361castejon
Claes, L., Vandereycken, W., Vandeputte, A., & Braet, C. (2013). Personality Subtypes in Female Pre‐Bariatric Obese Patients: Do They Differ in Eating Disorder Symptoms, Psychological Complaints and Coping Behaviour?. European Eating Disorders Review, 21(1), 72-77. doi: 10.1002/erv.2188
Connors, M., & Johnson, C. (1987). Epidemiology of bulimia and bulimic behaviors. Addictive Behaviors, 12(2), 165-179.
Cooley, E., & Toray, T. (2001). Body image and personality predictors of eating disorder symptoms during the college years. International Journal of Eating Disorders, 30(1), 28-36.
Costa, P. T., & McCrae, R. R. (1992). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Odessa, FL: Psychological Assessment Resources.
Costa, P. T., & McCrae, R. R. (2008). Inventario de Personalidad NEO Revisado (NEO PI-R) e Inventario NEO Reducido de Cinco Factores (NEO-FFI). Madrid: TEA Ediciones.
Cruz, S., & Maganto, C. (2002). Índice de masa corporal, preocupación por la delgadez y satisfacción corporal en adolescentes. Revista de Psicología General y Aplicada, 55(3), 455-473.
Dooley-Hash, S., Banker, J. D., Walton, M. A., Ginsburg, Y., & Cunningham, R. M. (2012). The prevalence and correlates of eating disorders among emergency department patients aged 14–20 years. International Journal of Eating Disorders, 45(7), 883-890. doi: 10.1002/eat.22026
Elosua, P., López-Jáuregui, A., & Sánchez-Sánchez, F. (2010). Adaptación española del Eating Disorder Inventory-3. Normalización y validación. Madrid: TEA.
García-Palacios, A., Rivero, I., & Botella, C. (2004). Personalidad y trastornos de la conducta alimentaria. Comparación entre una muestra control y una muestra desde un enfoque categorial y dimensional. Revista Argentina de Clínica Psicológica, 13(2), 91-109.
Garner, D. M. (1991). Eating Disorder Inventory-2 Professional Manual. Odessa, FL. Psychological Assessment Resources, Inc.
Garner, D. M. (2004). Eating Disorder Inventory-3 professional manual. Lutz, Fl: Psychological Assessment Resources, Inc.
Ghaderi A., & Scott B. (2000). The big five and eating disorders: A prospective study in the general population. European Journal of Personality, 14, 311-323. doi:10.1002/1099-0984(200007/08)14:4<311::AID-PER378>3.0.CO;2-8
Herpertz, B. (2009). Adolescent eating disorders: Definitions, symptomatology, epidemiology and comorbidity. Child and Adolescent Psychiatric Clinics of North America, 18, 31-47. doi: 10.1016/j.chc.2008.07.005
Lilenfeld, L. R., Wonderlich, S., Lawrence, R. P., Crosby, R., & Mitchell, J. (2006). Eating disorders and personality: a methodological and empirical review. Clinical Psychology Review, 26(3), 299–320. doi: 10.1016/j.cpr.2005.10.003
López, C., & Treasure, J. (2011). Trastornos de la conducta alimentaria en adolescentes: descripción y manejo. Revista Médica Clínica Las Condes, 22(1), 85-97. doi: 10.1016/S0716-8640(11)70396-0
Lora-Cortez, C. I., & Saucedo, T. J. (2006). Conductas de riesgo e imagen corporal de acuerdo al índice de masa corporal en una muestra de mujeres adultas de la Ciudad de México. Salud Mental, 29(3), 60-67.
MacLaren V. V., & Best L. A. (2009). Female students' disordered eating and the big five personality facets. Eating Behaviors, 10, 192-195. doi: 10.1016/j.eatbeh.2009.04.001
McCrae, R. R., & Costa, P. T. (1999). A five-factor theory of personality. In L. A. Pervin & O. P. John (Eds.), Handbook of personality: Theory and research (pp. 139-153). New York: Guilford Press.
Martínez-González, L., Villa, T. F., de la Torre, A. J. M., Pérez, C. A., Cavanillas, A. B., Álvarez, R. C. .,. & Martín, V. (2014). Prevalencia de trastornos de la conducta alimentaria en universitarios españoles y factores asociados: proyecto unHicos. Nutrición Hospitalaria, 30(4), 927-934. doi: 10.3305/nh.2014.30.4.7689
World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.
Pamies, L. (2011). Correlatos psicosociales en los trastornos de la conducta alimentaria en adolescentes. Tesis Doctoral. Universidad Miguel Hernández, Elche.
Pamies, L., & Quiles, Y. (2014). Perfeccionismo y factores de riesgo para el desarrollo de trastornos alimentarios en adolescentes españoles de ambos géneros. Anales de Psicología, 30 (2), 620-626. doi: https://doi.org/10.6018/analesps.30.2.158441
Pamies, L., Quiles, Y., & Bernabé, M. (2011). Conductas alimentarias de riesgo en una muestra de 2.142 adolescentes. Medicina Clínica, 136(4), 139-143. doi: 10.1016/j.medcli.2010.05.023
Pascual, A., Etxebarria, I., & Cruz, M. S. (2011). Emotional differences between women with different types of eating disorders. The International Journal of Psychology and Psychological Therapy, 11(1), 1-11.
Podar, I., Jaanisk, M., Allik, J., & Harro, J. (2007). Psychological traits and platelet monoamine oxidase activity in eating disorder patients: their relationship and stability. Progress in Neuro-psychopharmacology and Biological Psychiatry, 31(1), 248-253. doi: 10.1016/j.pnpbp.2006.06.025
Quinton, S., & Wagner, H. L. (2005). Alexithymia, ambivalence over emotional expression, and eating attitudes. Personality and Individual Differences, 38, 1163-1173. doi: https://doi.org/10.1016/j.paid.2004.07.013
Resch, M., & Sezendei, G. (2002). Gynecologic and obstetric complications in eating disorders. Orvosi Hetilap, 143(25), 1529-1532.
Rutsztein, G., Scappatura, M. L., & Murawski, B. (2014). Perfeccionismo y baja autoestima a través del continuo de los trastornos alimentarios en adolescentes mujeres de Buenos Aires. Revista Mexicana de Trastornos Alimentarios, 5, 39-49. doi: 10.1016/S2007-1523(14)70375-1
Sámano, R., Zelonka, R., Martínez-Rojano, H., Sánchez-Jiménez, B., Ramírez, C., & Ovando, G. (2012). Asociación del índice de masa corporal y conductas de riesgo en el desarrollo de trastornos de la conducta alimentaria en adolescentes mexicanos. Archivos Latinoamericanos de Nutrición, 62(2), 145-154.
Sánchez, J. A. (2013). La personalidad y el autoconcepto en los trastornos de la conducta alimentaria. Tesis doctoral. Universidad de Córdoba, Cordoba.
Saucedo, T. J., Peña, A., Fernández, T. L., García, A., & Jiménez, R. E. (2010). Identificación de factores de riesgo asociados a trastornos de la conducta alimentaria y su relación con el índice de masa corporal en universitarios del Instituto de Ciencias dela Salud. Revista Médica de la Universidad Veracruzana, 10(2), 16-23.
Saucedo, T. J., Cortés, J. Z., Villalón, L., Irecta, A. P., & Hernández, R. L. (2015). Prevalencia de factores de riesgo asociados a trastornos alimentarios en estudiantes universitarios hidalguenses. Psicología y Salud, 25(2), 243-251.
Stice, E., Marti, C. N., & Durant, S. (2011). Risk factors for onset of eating disorders: Evidence of multiple risk pathways from an8-year prospective study. Behaviour Research and Therapy, 49, 622-627. doi: 10.1016/j.brat.2011.06.009
Stice, E., Schupakneuberg, E., Shaw, H., & Stein, R. (1994). Relation of media exposure to eating disorder symptomatology: an examination of mediating mechanisms. Journal of Abnormal Psychology, 103(4), 836-840.
Striegel-Moore, R. (1995). Psychological factors in the etiology of binge eating. Addictive Behaviors, 20(6), 713-723.
Unikel, C., Saucedo-Molina, T. J., Villatoro, J., & Fleiz, C. (2002). Conductas alimentarias de riesgo y distribución del Indice de Masa Corporal en estudiantes de 13 a 18 años. Salud Mental, 25(2), 49-57.
Vitousek, K. Y., & Manke, F. (1994). Personality variables and disorders in anorexia nervosa and bulimia nervosa. The Journal of Abnormal Psychology, 103(1), 137-147.
Vohs, K. D., Voelz, Z. R., Pettit, J. W., Bardone, A. M., Katz, J., Abramson, L. Y., ... & Joiner, T. E. (2001). Perfectionism, body dissatisfaction, and self-esteem: An interactive model of bulimic symptom development. Journal of Social and Clinical Psychology, 20(4), 476-497. doi: https://doi.org/10.1521/jscp.20.4.476.22397
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