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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
|
pubmed:dateCreated |
1993-6-16
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pubmed:abstractText |
The Personality Disorders Examination (PDE) was administered to 71 bulimia nervosa patients at baseline assessment in a study comparing the effectiveness of cognitive-behavioral treatment with desipramine or the combination of both treatments. Personality disorder subscales were combined into single DSM-III-R cluster scores. A high cluster B score (consisting of antisocial, borderline, histrionic, and narcissistic features) significantly predicted poor outcome at 16 weeks and was a better predictor of outcome than borderline personality characteristics alone or any other DSM-III-R cluster score or combination of cluster scores. In contrast pretreatment depression level, self-esteem, degree of dietary restraint, frequency of purging, and history of anorexia nervosa were not significantly related to outcome. At 1-year follow-up there was still a trend toward high cluster B scores predicting poor treatment outcome. Cluster B score was not significantly correlated with percentage of sessions attended nor did subjects with higher cluster B scores have a better outcome with either specific treatment. These results suggest that further investigation of alternative treatments is warranted with high cluster B individuals to determine if treatment effectiveness can be improved.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
May
|
pubmed:issn |
0276-3478
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
13
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
349-57
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:8490637-Adolescent,
pubmed-meshheading:8490637-Adult,
pubmed-meshheading:8490637-Body Image,
pubmed-meshheading:8490637-Borderline Personality Disorder,
pubmed-meshheading:8490637-Bulimia,
pubmed-meshheading:8490637-Cognitive Therapy,
pubmed-meshheading:8490637-Combined Modality Therapy,
pubmed-meshheading:8490637-Depressive Disorder,
pubmed-meshheading:8490637-Desipramine,
pubmed-meshheading:8490637-Female,
pubmed-meshheading:8490637-Food Habits,
pubmed-meshheading:8490637-Humans,
pubmed-meshheading:8490637-Personality Assessment,
pubmed-meshheading:8490637-Personality Disorders,
pubmed-meshheading:8490637-Self Concept
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pubmed:year |
1993
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pubmed:articleTitle |
Cluster B personality disorder characteristics predict outcome in the treatment of bulimia nervosa.
|
pubmed:affiliation |
Department of Psychiatry, Stanford University School of Medicine, CA 94305.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial
|