| 31. |
- Levallius, J, et al.
(författare)
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Some stay the same: Personality change after treatment for eating disorder
- 2017
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Ingår i: EUROPEAN PSYCHIATRY. - : Cambridge University Press (CUP). - 0924-9338 .- 1778-3585. ; 41, s. S555-S555
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Strong evidence establishes a close relationship between personality traits and mental illness; where personality can be said to influences the likelihood, severity and longevity of a mental disorder. Personality is usually seen as fixed, yet there is a growing body of evidence for the changeability of personality, though this has rarely been studied in relation to mental disorders.ObjectiveTo study the longitudinal interplay between personality and eating disorders (EDs), particularly the associations between personality, recovery and treatment modality.AimsTo investigate changes in the five domains and thirty lower-level facets of personality in non-underweight EDs, and its associations to intervention and outcome.MethodsTwo hundred and nine adults with EDs enrolled either in a four-month multimodal psychodynamic group-therapy (DAY) or four-six month internet-based supported cognitive behavioural therapy (iCBT). ED diagnosis and personality (by the five-factor model) were assessed at baseline, termination and 6-month follow up. Structural equation modeling was used to analyze domain-level development, and reliable change (RCI) for facet-level development.ResultsRemission rate at end of treatment was 71% in DAY and 55% in iCBT. Over time, Neuroticism decreased significantly while Extraversion, Openness and Conscientiousness increased (P < 0.01). Treatment and outcome had little influence on domain-level change. At the facet-level, 28% of patients reliably changed in any given facet, and there were several differences in pattern based on treatment and outcome.ConclusionsThis study lends support for the possibility of personality change and its relevance for recovery from EDs.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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| 33. |
- Sohlberg, Staffan, et al.
(författare)
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Co-occurrence of Ego Function Change and Symptomatic Change in Bulimia Nervosa : A Six-Year Interview-Based Study
- 1995
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Ingår i: International Journal of Eating Disorders. - 0276-3478 .- 1098-108X. ; 18:1, s. 13-26
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Tidskriftsartikel (refereegranskat)abstract
- Low ego strength is theoretically thought of as causing difficulties in interpersonal relations and leading to the development of psychiatric symptomatology. Patients with bulimia nervosa were previously shown to have low ego strength and were studied to investigate whether gains in ego strength occur over time and are associated with improvement in symptoms. The average patient had an ego strength at a borderline level at index and at a neurotic level 6 years later. Less positive change in ego strength was associated with a low initial Eating Disorder Inventory (EDI) Symptom score a long Time in Treatment, and having been referred for specialist care. Positive changers significantly more often stopped vomiting/abusing laxatives and showed several non-significant tendencies to improve in other symptomatic aspects as well. Several methodological caveats are discussed, but these findings may contribute to the identification of mechanisms whereby long-term improvement occurs in bulimia nervosa.
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