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Use of the International Personality Disorder Examination (IPDE) and the Millon Clinical Multiaxial Inventory (MCMI) to Assess Personality Disorders in Eating Disorders

  • Izaskun Marañon
  • Iratxe Gonzalez
Chapter

Abstract

The purpose of this chapter is twofold: on one hand to describe the interviews and questionnaires used to measure personality disorders and on the other hand to reexamine current knowledge of comorbidity between personality disorders and eating disorders. The results of multiple studies do not correspond. There are various reasons for the discrepancies observed: the type of samples used (outpatients or hospitalized patients), sex and age of the patients, the degree of evolution of the disorder (in an acute period, in a situation of chronic phase, or in remission), the differences between the diagnostic criteria used, and the differences between the diagnostic tools used (questionnaires or interviews). The highest rates of personality disorders in patients with eating disorders are obtained with self-questionnaires. The correspondence between self-questionnaires and structured interviews in diagnosing personality disorders in patients with eating disorders is very low. Specifically, the MCMI-II tends to overdiagnose specific personality disorders and, as a result, it is not a good assessment measure for carrying out personality disorder diagnosis. Beyond the above, personality disorders imply a poor prognosis in anorexia and bulimia nervosa. Cluster C personality disorders, particularly obsessive, avoidant, and dependent personality disorders, are the most relevant in anorexia. However, in bulimia, an impulsive temperament and borderline personality seem to be the most significant psychopathological features.

Keywords

Eating Disorder Anorexia Nervosa Eating Disorder Personality Disorder Personality Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

AN

Anorexia Nervosa

BMI

Body Mass Index

BN

Bulimia Nervosa

BR

Base Rate

BSI

Borderline Syndrome Index

CCG

Clinical Control Group

DSM

Diagnostic and Statistical Manual of Mental Disorders

ED

Eating Disorder

ICD

International Classification of Disorders

IPDE

International Personality Disorder Examination

MCMI-II

Millon Clinical Multiaxial Inventory-II

NCG

Normative Control Group

NPV

Negative Predictive Value

PD

Personality Disorder

PDE

Personality Disorders Examination

PDQ-R

Personality Diagnostic Questionnaire- Revised

PPV

Positive Predictive Value

SCID-II

Structured Clinical Interview for DSM-IV Axis II Personality Disorders

SEN

Sensitivity

SPE

Specificity

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Navarra Health Service (Osasunbidea)HondarribiaSpain

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