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Only a minority of patients had a BPD (13.8%). There were no differences in binging or purging behaviour between patients with and without BPD, but borderline patients had significantly more feelings of ineffectiveness and more disturbances in interoceptive awareness. Bulimic patients with BPD showed significantly more general psychopathology. Although, BPD patients started with higher levels of pathology, there were similar reductions of symptoms over the course of treatment in both groups. Psychotherapy in bulimic patients with a BPD has to focus not only on eating pathology but also on aspects that are caused by the severe personality disturbance. Copyright \u00a9 2007 John Wiley &amp; Sons, Ltd and Eating Disorders Association.<\/jats:p>","DOI":"10.1002\/erv.824","type":"journal-article","created":{"date-parts":[[2007,8,28]],"date-time":"2007-08-28T14:46:31Z","timestamp":1188312391000},"page":"430-438","source":"Crossref","is-referenced-by-count":35,"title":["Symptom severity and treatment course of bulimic patients with and without a borderline personality disorder"],"prefix":"10.1002","volume":"15","author":[{"given":"A.","family":"Zeeck","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Birindelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Sandholz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Joos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Herzog","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Hartmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,8,28]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"90","article-title":"Personality disorder diagnosis in patients with bulimia nervosa: Clinical correlates and changes with treatment","volume":"53","author":"Ames\u2010Frankl J.","year":"1992","journal-title":"Journal of Clinical Psychiatry"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-440X(96)90008-5"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03327454"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700028956"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260590893700"},{"key":"e_1_2_1_7_1","volume-title":"SCL\u201090\u2010R, administration, scoring & procedures manual\u2010I","author":"Derogatis L. 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