{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T05:30:39Z","timestamp":1774589439377,"version":"3.50.1"},"reference-count":60,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":41,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","award":["FPU21\/04434"],"award-info":[{"award-number":["FPU21\/04434"]}],"id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>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\u2010harm 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u2010unstable, impulsive\u2010aggressive and cognitive\u2010identity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Results confirm that dissociative symptoms are prevalent in ED, particularly among patients with a purging\u2010impulsive\u2010unstable profile and those with identity\u2010related difficulties.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cpp.70201","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T08:15:57Z","timestamp":1765527357000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Dissociative Symptoms Associated With Phenotypical Characteristics in Eating Disorders: A Systematic Review"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2083-030X","authenticated-orcid":false,"given":"Myriam","family":"Gonz\u00e1lez\u2010G\u00f3mez","sequence":"first","affiliation":[{"name":"Psychiatry and Pathology, Faculty of Medicine Universidad Complutense de Madrid (UCM)  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0903-8895","authenticated-orcid":false,"given":"Jos\u00e9\u00a0M.","family":"L\u00f3pez\u2010Villatoro","sequence":"additional","affiliation":[{"name":"Psychiatry and Pathology, Faculty of Medicine Universidad Complutense de Madrid (UCM)  Madrid Spain"},{"name":"Health Research Institute of the Hospital Cl\u00ednico san Carlos (IdISSC)  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandra","family":"Galvez\u2010Merlin","sequence":"additional","affiliation":[{"name":"Psychiatry and Pathology, Faculty of Medicine Universidad Complutense de Madrid (UCM)  Madrid Spain"},{"name":"Health Research Institute of the Hospital Cl\u00ednico san Carlos (IdISSC)  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noelia","family":"Fuentes\u2010Garc\u00eda","sequence":"additional","affiliation":[{"name":"Psychiatry and Pathology, Faculty of Medicine Universidad Complutense de Madrid (UCM)  Madrid Spain"},{"name":"Health Research Institute of the Hospital Cl\u00ednico san Carlos (IdISSC)  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9\u00a0L.","family":"Carrasco","sequence":"additional","affiliation":[{"name":"Psychiatry and Pathology, Faculty of Medicine Universidad Complutense de Madrid (UCM)  Madrid Spain"},{"name":"Health Research Institute of the Hospital Cl\u00ednico san Carlos (IdISSC)  Madrid Spain"},{"name":"Centre for Biomedical Research in Mental Health (CIBERSAM)  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"D\u00edaz\u2010Mars\u00e1","sequence":"additional","affiliation":[{"name":"Psychiatry and Pathology, Faculty of Medicine Universidad Complutense de Madrid (UCM)  Madrid Spain"},{"name":"Health Research Institute of the Hospital Cl\u00ednico san Carlos (IdISSC)  Madrid Spain"},{"name":"Centre for Biomedical Research in Mental Health (CIBERSAM)  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Diagnostic and Statistical Manual of Mental DISORDERS","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_9_6_1","volume-title":"Gu\u00eda de Pr\u00e1ctica Cl\u00ednica sobre Trastornos de la Conducta Alimentaria","author":"Arrufat J. 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