{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T08:59:53Z","timestamp":1759481993890},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,6,15]],"date-time":"2016-06-15T00:00:00Z","timestamp":1465948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Institute of Health Grants.","award":["P30-DK50456","T32-MH-082761"],"award-info":[{"award-number":["P30-DK50456","T32-MH-082761"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Individuals with bulimia nervosa (BN) frequently endorse risky behaviors such as self\u2010harm and substance use. However, no studies of BN to date have examined factors associated with engaging in individual or co\u2010occurring risky behaviors. Given that individuals with BN often have personality psychopathology, which has been linked to symptoms and course of illness, this study sought to examine how personality may differentiate engagement in risky behaviors among BN individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A sample of 133 women with BN completed self\u2010report measures of personality psychopathology at baseline, and then reported on bulimic and risky behaviors (e.g., substance misuse, self\u2010harm) over 2 weeks using ecological momentary assessment. A series of hierarchical multiple regression analyses were conducted to examine the unique associations between state\u2010level predictor variables (each risky behavior, e.g., substance misuse, and combination of risky behaviors, e.g., substance misuse plus self\u2010harm) and trait\u2010level personality constructs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Substance misuse behavior, above and beyond all other risky behaviors, was significantly associated with higher scores on trait dissocial behavior (<jats:italic>P<\/jats:italic>\u2009=\u20090.004).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Substance misuse in BN has a unique association with dissocial behavior, a personality trait characterized by hostility, impulsivity, and entitlement. These results suggest that targeting personality variables may help facilitate more effective treatment of risky behaviors, including substance use in BN. \u00a9 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:681\u2013688)<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22570","type":"journal-article","created":{"date-parts":[[2016,6,15]],"date-time":"2016-06-15T16:49:53Z","timestamp":1466009393000},"page":"681-688","source":"Crossref","is-referenced-by-count":8,"title":["Personality psychopathology differentiates risky behaviors among women with bulimia nervosa"],"prefix":"10.1002","volume":"49","author":[{"given":"Carolyn M.","family":"Pearson","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of Minnesota Medical School Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily M.","family":"Pisetsky","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Minnesota Medical School Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea B.","family":"Goldschmidt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience The University of Chicago  Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason M.","family":"Lavender","sequence":"additional","affiliation":[{"name":"Department of Clinical Research Neuropsychiatric Research Institute Fargo North Dakota"},{"name":"Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences Fargo North Dakota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen A.","family":"Wonderlich","sequence":"additional","affiliation":[{"name":"Department of Clinical Research Neuropsychiatric Research Institute Fargo North Dakota"},{"name":"Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences Fargo North Dakota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross D.","family":"Crosby","sequence":"additional","affiliation":[{"name":"Department of Clinical Research 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