The impact of personality disorders and personality traits on psychotherapy treatment outcome of eating disorders: A systematic review.

Simpson, S; Azam, F; Brown, S; Hronis, A; Brockman, R

The impact of personality disorders and personality traits on psychotherapy treatment outcome of eating disorders: A systematic review.

Simpson, S Azam, F Brown, S Hronis, A

Brockman, R

Permalink

Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Personal Ment Health, 2021
Issue Date:: 2021-12-05

Closed Access

	Filename	Description	Size
	pmh.1533.pdf		541.69 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Simpson, S
dc.contributor.author	Azam, F
dc.contributor.author	Brown, S
dc.contributor.author	Hronis, A https://orcid.org/0000-0001-6489-0231
dc.contributor.author	Brockman, R https://orcid.org/0000-0002-7641-9102
dc.date.accessioned	2021-12-13T00:52:34Z
dc.date.available	2021-11-05
dc.date.available	2021-12-13T00:52:34Z
dc.date.issued	2021-12-05
dc.identifier.citation	Personal Ment Health, 2021
dc.identifier.issn	1932-8621
dc.identifier.issn	1932-863X
dc.identifier.uri	http://hdl.handle.net/10453/152259
dc.description.abstract	A significant proportion of those with eating disorders (EDs) do not respond to first-line treatments. This systematic review was conducted to identify whether personality disorders (PDs)/traits predict or moderate ED treatment outcomes and whether these outcomes were differentially influenced by ED or PD diagnostic subtypes, or treatment approach. A comprehensive systematic literature search was conducted using the PRISMA guidelines. A total of seven randomised controlled trials (RCTs) plus four follow-up studies were reviewed investigating the impact of PD and PD traits on treatment outcomes for EDs. The majority indicated that PD had some impact on treatment outcomes. Outcome measures and time-point measurements varied across studies. Included studies suggested that bulimia nervosa treatment outcomes were not hindered by co-morbidity of borderline PD; however, psychiatric impairment remained high at post-treatment and follow-up. Cluster C PDs were found to negatively impact treatment outcomes for binge ED and attrition rates for anorexia nervosa. Included studies suggested that interventions that addressed aspects of personality pathology showed greater main effects for ED treatment outcomes. There is an urgent need for future RCTs on ED treatments to include routine measures of core personality features to allow their impacts to be more thoroughly examined and for psychotherapies to be tailored accordingly.
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Personal Ment Health
dc.relation.isbasedon	10.1002/pmh.1533
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1701 Psychology
dc.title	The impact of personality disorders and personality traits on psychotherapy treatment outcome of eating disorders: A systematic review.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	closed_access	*
dc.date.updated	2021-12-13T00:52:33Z
pubs.publication-status	Published online

Abstract:

A significant proportion of those with eating disorders (EDs) do not respond to first-line treatments. This systematic review was conducted to identify whether personality disorders (PDs)/traits predict or moderate ED treatment outcomes and whether these outcomes were differentially influenced by ED or PD diagnostic subtypes, or treatment approach. A comprehensive systematic literature search was conducted using the PRISMA guidelines. A total of seven randomised controlled trials (RCTs) plus four follow-up studies were reviewed investigating the impact of PD and PD traits on treatment outcomes for EDs. The majority indicated that PD had some impact on treatment outcomes. Outcome measures and time-point measurements varied across studies. Included studies suggested that bulimia nervosa treatment outcomes were not hindered by co-morbidity of borderline PD; however, psychiatric impairment remained high at post-treatment and follow-up. Cluster C PDs were found to negatively impact treatment outcomes for binge ED and attrition rates for anorexia nervosa. Included studies suggested that interventions that addressed aspects of personality pathology showed greater main effects for ED treatment outcomes. There is an urgent need for future RCTs on ED treatments to include routine measures of core personality features to allow their impacts to be more thoroughly examined and for psychotherapies to be tailored accordingly.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/152259