{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T01:44:56Z","timestamp":1767836696257,"version":"3.49.0"},"reference-count":57,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Impairments in personality functioning (PF) according to the Alternative Model of Personality Disorders (AMPD) may affect anorexia nervosa (AN) and its treatment. However, PF impairments in adolescents with AN have not been studied. This case\u2010control study analysed PF impairments in adolescent inpatients suffering from AN compared to a clinical control group (CC) and investigated the relationship of PF with AN severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Adolescent patients with AN (<jats:italic>n<\/jats:italic>\u00a0=\u00a043) and CC (<jats:italic>n<\/jats:italic>\u00a0=\u00a0127) were matched by age, sex, and global functioning. Validated interviews were applied to assess impairments in PF (Semi\u2010Structured Interview for Personality Functioning, STiP\u20105.1) and severity of AN (Eating Disorder Examination, EDE), as well as weight measures. Group comparisons of PF impairment and the relationship between PF impairment and AN severity were analysed using multiple linear regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>AN patients showed greater impairment in the facet \u2018<jats:italic>self\u2010esteem<\/jats:italic>\u2019 (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.033, Cohen's <jats:italic>f<\/jats:italic><jats:sup><jats:italic>2<\/jats:italic><\/jats:sup>\u00a0=\u00a00.036) than CC. In AN patients, impairments in the domain \u2018<jats:italic>self\u2010functioning\u2019<\/jats:italic> (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.003, Cohen's <jats:italic>f<\/jats:italic><jats:sup><jats:italic>2<\/jats:italic><\/jats:sup>\u00a0=\u00a00.254) and its underlying element \u2018<jats:italic>identity<\/jats:italic>\u2019 (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.016, Cohen's <jats:italic>f<\/jats:italic><jats:sup><jats:italic>2<\/jats:italic><\/jats:sup>\u00a0=\u00a00.172) were associated with AN severity (EDE). Additionally, higher impairments in two facets of \u2018<jats:italic>empathy<\/jats:italic>\u2019 (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.019, Cohen's <jats:italic>f<\/jats:italic><jats:sup><jats:italic>2<\/jats:italic><\/jats:sup>\u00a0=\u00a00.223) and \u2018<jats:italic>intimacy<\/jats:italic>\u2019 (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.026, Cohen's <jats:italic>f<\/jats:italic><jats:sup><jats:italic>2<\/jats:italic><\/jats:sup>\u00a0=\u00a00.199) were associated with higher AN severity (lower BMI percentiles).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results support theoretical frameworks of AN and highlight the importance of PF impairments in understanding and treating AN. Future research should investigate how impairments in PF affect AN development and treatment response through longitudinal studies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.3146","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T05:36:38Z","timestamp":1730180198000},"page":"360-373","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Impairments in personality functioning in adolescents with anorexia nervosa"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0508-3583","authenticated-orcid":false,"given":"Andrea M.","family":"Schumacher","sequence":"first","affiliation":[{"name":"University Hospital of Child and Adolescent Psychiatry and Psychotherapy University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4578-4949","authenticated-orcid":false,"given":"Armita","family":"Tschitsaz","sequence":"additional","affiliation":[{"name":"University Hospital of Child and Adolescent Psychiatry and Psychotherapy University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9578-6864","authenticated-orcid":false,"given":"Stefan","family":"Lerch","sequence":"additional","affiliation":[{"name":"University Hospital of Child and Adolescent Psychiatry and Psychotherapy University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0836-9817","authenticated-orcid":false,"given":"Andrea","family":"Wyssen","sequence":"additional","affiliation":[{"name":"University Hospital of Child and Adolescent Psychiatry and Psychotherapy University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8033-6537","authenticated-orcid":false,"given":"Franziska","family":"Schlensog\u2010Schuster","sequence":"additional","affiliation":[{"name":"University Hospital of Child and Adolescent Psychiatry and Psychotherapy University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1127-3509","authenticated-orcid":false,"given":"Ines","family":"M\u00fcrner\u2010Lavanchy","sequence":"additional","affiliation":[{"name":"University Hospital of Child and Adolescent Psychiatry and Psychotherapy University of Bern  Bern Switzerland"},{"name":"Division of Youth Mental Health Faculty of Psychology University of Basel  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1009-9625","authenticated-orcid":false,"given":"Julian","family":"Koenig","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Psychosomatics and Psychotherapy Faculty of Medicine and University Hospital Cologne University of Cologne  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4726-396X","authenticated-orcid":false,"given":"Marialuisa","family":"Cavelti","sequence":"additional","affiliation":[{"name":"University Hospital of Child and Adolescent Psychiatry and Psychotherapy University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0031-7764","authenticated-orcid":false,"given":"Michael","family":"Kaess","sequence":"additional","affiliation":[{"name":"University Hospital of Child and Adolescent Psychiatry and Psychotherapy University of Bern  Bern Switzerland"},{"name":"Department of Child and Adolescent Psychiatry Centre for Psychosocial Medicine University of Heidelberg  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"American Psychiatric Association. 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