Self-injurious behavior and attempted suicide in purging bulimia nervosa: Associations with psychiatric comorbidity.

Self-injurious behavior and attempted suicide in purging bulimia nervosa: Associations with psychiatric comorbidity. Research Abstract Details 

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Self-injurious behavior and attempted suicide in purging bulimia nervosa: Associations with psychiatric comorbidity. Abstract Text:

Angela Favaro,Paolo Santonastaso,Palmiero Monteleone,Laura Bellodi,Mauro Mauri,Alessandro Rotondo,Stefano Erzegovesi,Mario Maj,

BACKGROUND: Few studies, to date, have investigated the relationship between self-damaging behavior and the presence of comorbid psychiatric diagnoses in eating disorders. The aim of the present study was to investigate the axis I and II comorbidity in subjects with bulimia nervosa who report self-injurious behavior and/or suicide attempt. METHODS: The subjects were 95 patients with purging type bulimia nervosa who underwent a clinical evaluation assessing the presence of self-injurious behavior and suicide attempts, comorbidity for axis I and II psychiatric disorders and temperament. RESULTS: No axis I diagnosis was associated with any type of self-injurious behavior, whereas social phobia and bipolar disorder were linked to attempted suicide. Significant independent predictors of impulsive self-injurious behavior were the presence of childhood sexual abuse, high harm avoidance scores, and high self-transcendence scores, whereas childhood sexual abuse, the presence of a cluster B personality disorder, and a low self-directedness were predictors of suicide attempts. Compulsive self-injurious behavior was significantly associated with harm avoidance and cluster C personality disorders. Harm avoidance was also associated with skin picking. CONCLUSIONS: Personality disorders are a frequent correlate of the presence of SIB in purging bulimia nervosa. However, temperament seems to play a more important role. Further studies on larger samples are necessary to confirm our findings in bulimia nervosa and to extend them to other patient populations.

Self-injurious behavior and attempted suicide in purging bulimia nervosa: Associations with psychiatric comorbidity. Publishing Authors By Initials

A Favaro,P Santonastaso,P Monteleone,L Bellodi,M Mauri,A Rotondo,S Erzegovesi,M Maj,

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Self-injurious behavior and attempted suicide in purging bulimia nervosa: Associations with psychiatric comorbidity. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of affective disorders

VOLUME: 105

Page Numbers: 285-9

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ISSN: 0165-0327

DAY: 12

MONTH: 06

YEAR: 2007

Self-injurious behavior and attempted suicide in purging bulimia nervosa: Associations with psychiatric comorbidity. Information

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LANGUAGE: eng

NlmUniqueID: 7906073

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Grant and Affiliation Information for Self-injurious behavior and attempted suicide in purging bulimia nervosa: Associations with psychiatric comorbidity.

AFFILIATION: Department of Neurosciences, University of Padova, Padova, Italy.

Country: Netherlands

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MEDLINETA: J Affect Disord

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