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Personality Changes in Bulimia Nervosa after a Cognitive Behaviour Therapy

Authors

  • Zaida Agüera,

    1. CIBER Fisiología de la Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Spain
    2. Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
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  • Isabel Krug,

    1. CIBER Fisiología de la Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Spain
    2. King's College London, Institute of Psychiatry, UK
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  • Isabel Sánchez,

    1. Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
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  • Roser Granero,

    1. CIBER Fisiología de la Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Spain
    2. Laboratori d'Estadística Aplicada, Departament de Psicobiologia i Metodologia, Universitat Autònoma de Barcelona, Spain
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  • Eva Penelo,

    1. Laboratori d'Estadística Aplicada, Departament de Psicobiologia i Metodologia, Universitat Autònoma de Barcelona, Spain
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  • Eva Peñas-Lledó,

    1. University of Extremadura Medical School, University Hospital Clinical Research Center (CICAB), Badajoz, Spain
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  • Susana Jiménez-Murcia,

    1. CIBER Fisiología de la Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Spain
    2. Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
    3. Department of Clinical Sciences, School of Medicine, University of Barcelona, Spain
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  • Jose Manuel Menchón,

    1. Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
    2. Department of Clinical Sciences, School of Medicine, University of Barcelona, Spain
    3. CIBER Salud Mental (CIBERSAM), Instituto Salud Carlos III, Barcelona, Spain
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  • Fernando Fernández-Aranda

    Corresponding author
    1. CIBER Fisiología de la Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Spain
    2. Department of Clinical Sciences, School of Medicine, University of Barcelona, Spain
    • Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
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Fernando Fernández-Aranda, PhD, FAED, Department of Psychiatry, University Hospital of Bellvitge, c/Feixa Llarga s/n, 08907-Barcelona, Spain. Tel: +34-93-2607227; Fax: +34-93-2607193.

Email: ffernandez@bellvitgehospital.cat

Abstract

Objectives

The goals of this study were to evaluate changes in personality traits in outpatients with bulimia nervosa and specific clinical predictors of such personality changes, after cognitive behaviour therapy (CBT).

Method

The sample comprised 100 purging bulimia nervosa outpatients (DSM-IV-TR). Assessment measures included the Eating Disorders Inventory-2, Symptom Check List Revised and Temperament and Character Inventory-Revised, as well as other clinical and psychopathological indices. All measures were administered before and after 22 weeks of group CBT.

Results

The temperament traits of Harm Avoidance and Reward Dependence and the character traits of Self-Directedness and Self-Transcendence changed after CBT. Pre–post CBT reduction in Eating Disorders Inventory-2 total score predicted the decrease and increase in Harm Avoidance and Self-Directedness, respectively.

Conclusions

Results suggest that group CBT in outpatient women settings influence changes in some personality traits, which appear mainly related to an overall improvement in eating pathology. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.

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