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- Title
An investigation of indirect effects of personality features on anorexia nervosa severity through interoceptive dysfunction in individuals with lifetime anorexia nervosa diagnoses.
- Authors
Duffy, Mary E.; Rogers, Megan L.; Joiner, Thomas E.; Bergen, Andrew W.; Berrettini, Wade; Bulik, Cynthia M.; Brandt, Harry; Crawford, Steven; Crow, Scott; Fichter, Manfred; Halmi, Katherine; Kaplan, Allan S.; Klump, Kelly L.; Lilenfeld, Lisa; Magistretti, Pierre J.; Mitchell, James; Schork, Nicholas J.; Strober, Michael; Thornton, Laura M.; Treasure, Janet
- Abstract
Objective: This study examined a hypothesized pathway by which interoceptive dysfunction accounted for associations between personality features (harm avoidance, self‐directedness, and perfectionism) and anorexia nervosa (AN) severity (indicated by drive for thinness, eating disorder‐related preoccupations and rituals, and body mass index). Method: The study sample (n = 270, mean age = 28.47, 95.2% female, 98% White/Caucasian) consisted of probands and biological relatives who met DSM‐IV criteria for lifetime diagnoses of AN (omitting criterion D, amenorrhea) drawn from the Price Foundation Anorexia Nervosa Affected Relative Pairs Study (AN‐ARP). Participants completed measures assessing personality, interoceptive dysfunction, and eating pathology. Results: Associations between personality features of low self‐directedness and high perfectionism and indicators of AN severity (drive for thinness and eating disorder‐related preoccupations and rituals) were significant, as were the hypothesized indirect pathways through interoceptive dysfunction. Neither harm avoidance nor body mass index was significantly related to other study variables, and the proposed indirect pathways involving these variables were not significant. Discussion: Findings suggest that certain personality features may relate to AN severity, in part, through their associations with interoceptive dysfunction. Future research should examine prospective associations and the value of interventions targeting interoceptive dysfunction for interrupting the link between personality and AN severity.
- Subjects
ANOREXIA nervosa; ANOREXIA nervosa treatment; AMENORRHEA; LEANNESS; CLASSIFICATION of mental disorders; SENSORY perception; PERFECTIONISM (Personality trait); PERSONALITY; RITES &; ceremonies; WHITE people; HARM reduction; BODY mass index; SEVERITY of illness index; DIAGNOSIS
- Publication
International Journal of Eating Disorders, 2019, Vol 52, Issue 2, p200
- ISSN
0276-3478
- Publication type
Article
- DOI
10.1002/eat.23008