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Eating Disorders and Personality Disorders in Women

  • Michele de Oliveira Gonzalez
  • Fábio Tápia Salzano
  • Alexandre Azevedo
  • Andreza Carla Lopes
  • Mirella Baise
  • Athanássio Cordás Táki
Chapter

Abstract

It is known that women’s health presents particularities and is closely related to the different phases of life: childhood and adolescence, menarche, fertile age, gestation and puerperium, and menopause. Eating disorders are much more frequent in women while reaching gender ratios of up to 10:1 in anorexia nervosa and bulimia nervosa. These disorders involve inadequate eating patterns and eating behavior, causing major social, functional, and nutritional impact, and are among the highest mortality rates among mental disorders, due to either clinical complications or the high rates of suicide. The presence of psychiatric comorbidities in these individuals is frequent, and the correct identification allows for the most appropriate therapeutic intervention. The rates of comorbidity with personality disorders range from 25% to 69% and generally establish a more unfavorable prognosis, with higher rates of hospitalization, chronification, and suicide attempts. The study of this comorbid condition allows for a more individualized approach, influencing the course, prognosis, and treatment of these patients.

Keywords

Personality Personality disorders Eating disorders Anorexia nervosa Bulimia nervosa Binge eating disorder Binge eating Estrogen Progesterone Testosterone Mental state disorder Comorbidity Obesity Eating behavior Impulsivity Perfectionism Suicidality Gender Male Female Women Mental health Eating disorder treatment Co-occurrence Temperament 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Michele de Oliveira Gonzalez
    • 1
  • Fábio Tápia Salzano
    • 1
  • Alexandre Azevedo
    • 1
  • Andreza Carla Lopes
    • 1
  • Mirella Baise
    • 1
  • Athanássio Cordás Táki
    • 1
  1. 1.Eating Disorders GroupInstitute of Psychiatry – University of São Paulo, School of MedicineSão PauloBrazil

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