{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T02:59:52Z","timestamp":1765421992772},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,9,9]],"date-time":"2016-09-09T00:00:00Z","timestamp":1473379200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["P30DK050456"],"award-info":[{"award-number":["P30DK050456"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R34MH077571","T32MH082761"],"award-info":[{"award-number":["R34MH077571","T32MH082761"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Evidence suggests that eating disorder subtypes reflecting under\u2010controlled, over\u2010controlled, and low psychopathology personality traits constitute reliable phenotypes that differentiate treatment response. This study is the first to use statistical analyses to identify these subtypes within treatment\u2010seeking individuals with bulimia nervosa (BN) and to use these statistically derived clusters to predict clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using variables from the Dimensional Assessment of Personality Pathology\u2010Basic Questionnaire, K\u2010means cluster analyses identified under\u2010controlled, over\u2010controlled, and low psychopathology subtypes within BN patients (<jats:italic>n<\/jats:italic>\u2009=\u200980) enrolled in a treatment trial. Generalized linear models examined the impact of personality subtypes on Eating Disorder Examination global score, binge eating frequency, and purging frequency cross\u2010sectionally at baseline and longitudinally at end of treatment (EOT) and follow\u2010up. In the longitudinal models, secondary analyses were conducted to examine personality subtype as a potential moderator of response to Cognitive Behavioral Therapy\u2010Enhanced (CBT\u2010E) or Integrative Cognitive\u2010Affective Therapy for BN (ICAT\u2010BN).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no baseline clinical differences between groups. In the longitudinal models, personality subtype predicted binge eating (<jats:italic>p<\/jats:italic>\u2009=\u20090.03) and purging (<jats:italic>p<\/jats:italic>\u2009=\u20090.01) frequency at EOT and binge eating frequency at follow\u2010up (<jats:italic>p<\/jats:italic>\u2009=\u20090.045). The over\u2010controlled group demonstrated the best outcomes on these variables. In secondary analyses, there was a treatment by subtype interaction for purging at follow\u2010up (<jats:italic>p<\/jats:italic>\u2009=\u20090.04), which indicated a superiority of CBT\u2010E over ICAT\u2010BN for reducing purging among the over\u2010controlled group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Empirically derived personality subtyping appears to be a valid classification system with potential to guide eating disorder treatment decisions. \u00a9 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2017; 50:506\u2013514)<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22622","type":"journal-article","created":{"date-parts":[[2016,9,9]],"date-time":"2016-09-09T19:15:16Z","timestamp":1473448516000},"page":"506-514","source":"Crossref","is-referenced-by-count":17,"title":["Empirically derived personality subtyping for predicting clinical symptoms and treatment response in bulimia nervosa"],"prefix":"10.1002","volume":"50","author":[{"given":"Ann F.","family":"Haynos","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Minnesota Medical Center Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn M.","family":"Pearson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Minnesota Medical Center Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linsey M.","family":"Utzinger","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine Stanford California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen A.","family":"Wonderlich","sequence":"additional","affiliation":[{"name":"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":"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":"James E.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"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":"Scott J.","family":"Crow","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Minnesota Medical Center Minneapolis Minnesota"},{"name":"The Emily Program Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol B.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Minnesota Medical Center Minneapolis Minnesota"},{"name":"The Emily Program Minneapolis 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