The Interplay Between Personality and Clinical Syndromes in Eating Disorders: Implications for Personalized Treatment

Fuente: Wiley Open Access
Salvato in:
Dettagli Bibliografici
Autori principali: Paolo Meneguzzo, Francesca Buscaglia, Anna Pillan, Enrica Bucci, Alice Garolla, Anna Marzotto, Chiara Cazzola, Roberta Castegnaro, Elisa Bonello, Patrizia Todisco
Natura: Artículo Open Access
Pubblicazione: Wiley 2025
Soggetti:
Accesso online:
Tags: Aggiungi Tag
Nessun Tag, puoi essere il primo ad aggiungerne!!
_version_ 1867001921982693376
author Paolo Meneguzzo
Francesca Buscaglia
Anna Pillan
Enrica Bucci
Alice Garolla
Anna Marzotto
Chiara Cazzola
Roberta Castegnaro
Elisa Bonello
Patrizia Todisco
author_facet Paolo Meneguzzo
Francesca Buscaglia
Anna Pillan
Enrica Bucci
Alice Garolla
Anna Marzotto
Chiara Cazzola
Roberta Castegnaro
Elisa Bonello
Patrizia Todisco
Paolo Meneguzzo
Francesca Buscaglia
Anna Pillan
Enrica Bucci
Alice Garolla
Anna Marzotto
Chiara Cazzola
Roberta Castegnaro
Elisa Bonello
Patrizia Todisco
collection Wiley Open Access
contents The Interplay Between Personality and Clinical Syndromes in Eating Disorders: Implications for Personalized Treatment Paolo Meneguzzo Francesca Buscaglia Anna Pillan Enrica Bucci Alice Garolla Anna Marzotto Chiara Cazzola Roberta Castegnaro Elisa Bonello Patrizia Todisco Clinical Psychology & Psychotherapy ABSTRACTIntroductionEating disorders (EDs) are complex and multifactorial conditions with significant impacts on both physical and mental health. Despite advances in treatment, relapse rates remain high, highlighting the need for improved predictive models for treatment outcomes. This study aims to examine the role of personality traits and clinical syndromes, as assessed by the Millon Clinical Multiaxial Inventory‐III (MCMI‐III), in predicting treatment outcomes for individuals with EDs.MethodsA retrospective evaluation was conducted on 149 women diagnosed with EDs, receiving inpatient treatment at the Eating Disorder Unit of Casa di Cura Villa Margherita‐KOS (Arcugnano‐Vicenza) between 2020 and 2024. Participants completed the MCMI‐III at treatment initiation, with the Eating Disorder Examination Questionnaire (EDE‐Q) and Clinical Impairment Assessment (CIA) administered at baseline and discharge.ResultsRegression analyses revealed that maladaptive personality traits (avoidant, dependent and histrionic) and clinical syndromes such as major depression were significant negative predictors of treatment response. In contrast, post‐traumatic stress emerged as a positive predictor of improvement. Specific personality and clinical patterns were associated with changes in symptomatology, including reductions in eating concerns, shape concerns and clinical impairment. However, not all dimensions were predictive of treatment outcomes.ConclusionThis study underscores the importance of personalized treatment approaches that account for both personality traits and clinical syndromes in individuals with EDs. Future research should explore how these factors interact over time and inform tailored therapeutic strategies, particularly for those with comorbid traits or disorders. 10.1002/cpp.70061 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/cpp.70061
format Artículo Open Access
id wiley_oa_10_1002_cpp_70061
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
publishDate 2025
publisher Wiley
record_format wiley_oa
spellingShingle The Interplay Between Personality and Clinical Syndromes in Eating Disorders: Implications for Personalized Treatment
Paolo Meneguzzo
Francesca Buscaglia
Anna Pillan
Enrica Bucci
Alice Garolla
Anna Marzotto
Chiara Cazzola
Roberta Castegnaro
Elisa Bonello
Patrizia Todisco
Clinical Psychology & Psychotherapy
The Interplay Between Personality and Clinical Syndromes in Eating Disorders: Implications for Personalized Treatment Paolo Meneguzzo Francesca Buscaglia Anna Pillan Enrica Bucci Alice Garolla Anna Marzotto Chiara Cazzola Roberta Castegnaro Elisa Bonello Patrizia Todisco Clinical Psychology & Psychotherapy ABSTRACTIntroductionEating disorders (EDs) are complex and multifactorial conditions with significant impacts on both physical and mental health. Despite advances in treatment, relapse rates remain high, highlighting the need for improved predictive models for treatment outcomes. This study aims to examine the role of personality traits and clinical syndromes, as assessed by the Millon Clinical Multiaxial Inventory‐III (MCMI‐III), in predicting treatment outcomes for individuals with EDs.MethodsA retrospective evaluation was conducted on 149 women diagnosed with EDs, receiving inpatient treatment at the Eating Disorder Unit of Casa di Cura Villa Margherita‐KOS (Arcugnano‐Vicenza) between 2020 and 2024. Participants completed the MCMI‐III at treatment initiation, with the Eating Disorder Examination Questionnaire (EDE‐Q) and Clinical Impairment Assessment (CIA) administered at baseline and discharge.ResultsRegression analyses revealed that maladaptive personality traits (avoidant, dependent and histrionic) and clinical syndromes such as major depression were significant negative predictors of treatment response. In contrast, post‐traumatic stress emerged as a positive predictor of improvement. Specific personality and clinical patterns were associated with changes in symptomatology, including reductions in eating concerns, shape concerns and clinical impairment. However, not all dimensions were predictive of treatment outcomes.ConclusionThis study underscores the importance of personalized treatment approaches that account for both personality traits and clinical syndromes in individuals with EDs. Future research should explore how these factors interact over time and inform tailored therapeutic strategies, particularly for those with comorbid traits or disorders. 10.1002/cpp.70061 http://creativecommons.org/licenses/by/4.0/
title The Interplay Between Personality and Clinical Syndromes in Eating Disorders: Implications for Personalized Treatment
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.70061