Dissociative Symptoms Associated With Phenotypical Characteristics in Eating Disorders: A Systematic Review

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Main Authors: Myriam González‐Gómez, José M. López‐Villatoro, Alejandra Galvez‐Merlin, Noelia Fuentes‐García, José L. Carrasco, Marina Díaz‐Marsá
Format: Artículo Open Access
Published: Wiley 2025
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author Myriam González‐Gómez
José M. López‐Villatoro
Alejandra Galvez‐Merlin
Noelia Fuentes‐García
José L. Carrasco
Marina Díaz‐Marsá
author_facet Myriam González‐Gómez
José M. López‐Villatoro
Alejandra Galvez‐Merlin
Noelia Fuentes‐García
José L. Carrasco
Marina Díaz‐Marsá
Myriam González‐Gómez
José M. López‐Villatoro
Alejandra Galvez‐Merlin
Noelia Fuentes‐García
José L. Carrasco
Marina Díaz‐Marsá
collection Wiley Open Access
contents Dissociative Symptoms Associated With Phenotypical Characteristics in Eating Disorders: A Systematic Review Myriam González‐Gómez José M. López‐Villatoro Alejandra Galvez‐Merlin Noelia Fuentes‐García José L. Carrasco Marina Díaz‐Marsá Clinical Psychology & Psychotherapy ABSTRACT Introduction Patients with eating disorders (EDs) often exhibit associated dissociative symptomatology, which could hinder ED treatment and recovery. Similarly, dissociation also appears to be linked to other risk behaviours, such as self‐harm and suicide attempts that are commonly present in these patients. This study seeks to investigate the presence of dissociative features in ED and its relationship with the different phenotypical characteristics of these disorders. Methodology A systematic review of scientific literature concerning the association of dissociative features and ED was performed. From an initial sample of 651 studies reviewed, 32 articles were included in the analysis after applying the inclusion and exclusion criteria. Results The review analysis indicates that dissociation is more prevalent in ED patients than in healthy subjects. In addition, ED patients with purgative symptoms exhibit greater dissociation than purely restrictive patients. Finally, three psychological phenotypes were identified in association with dissociative symptoms: emotional‐unstable, impulsive‐aggressive and cognitive‐identity. Conclusions Results confirm that dissociative symptoms are prevalent in ED, particularly among patients with a purging‐impulsive‐unstable profile and those with identity‐related difficulties. 10.1002/cpp.70201 http://onlinelibrary.wiley.com/termsAndConditions#vor
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spellingShingle Dissociative Symptoms Associated With Phenotypical Characteristics in Eating Disorders: A Systematic Review
Myriam González‐Gómez
José M. López‐Villatoro
Alejandra Galvez‐Merlin
Noelia Fuentes‐García
José L. Carrasco
Marina Díaz‐Marsá
Clinical Psychology & Psychotherapy
Dissociative Symptoms Associated With Phenotypical Characteristics in Eating Disorders: A Systematic Review Myriam González‐Gómez José M. López‐Villatoro Alejandra Galvez‐Merlin Noelia Fuentes‐García José L. Carrasco Marina Díaz‐Marsá Clinical Psychology & Psychotherapy ABSTRACT Introduction Patients with eating disorders (EDs) often exhibit associated dissociative symptomatology, which could hinder ED treatment and recovery. Similarly, dissociation also appears to be linked to other risk behaviours, such as self‐harm and suicide attempts that are commonly present in these patients. This study seeks to investigate the presence of dissociative features in ED and its relationship with the different phenotypical characteristics of these disorders. Methodology A systematic review of scientific literature concerning the association of dissociative features and ED was performed. From an initial sample of 651 studies reviewed, 32 articles were included in the analysis after applying the inclusion and exclusion criteria. Results The review analysis indicates that dissociation is more prevalent in ED patients than in healthy subjects. In addition, ED patients with purgative symptoms exhibit greater dissociation than purely restrictive patients. Finally, three psychological phenotypes were identified in association with dissociative symptoms: emotional‐unstable, impulsive‐aggressive and cognitive‐identity. Conclusions Results confirm that dissociative symptoms are prevalent in ED, particularly among patients with a purging‐impulsive‐unstable profile and those with identity‐related difficulties. 10.1002/cpp.70201 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Dissociative Symptoms Associated With Phenotypical Characteristics in Eating Disorders: A Systematic Review
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.70201