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This systematic review was conducted to identify whether personality disorders (PDs)\/traits predict or moderate ED treatment outcomes and whether these outcomes were differentially influenced by ED or PD diagnostic subtypes, or treatment approach. A comprehensive systematic literature search was conducted using the PRISMA guidelines. A total of seven randomised controlled trials (RCTs) plus four follow\u2010up studies were reviewed investigating the impact of PD and PD traits on treatment outcomes for EDs. The majority indicated that PD had some impact on treatment outcomes. Outcome measures and time\u2010point measurements varied across studies. Included studies suggested that bulimia nervosa treatment outcomes were not hindered by co\u2010morbidity of borderline PD; however, psychiatric impairment remained high at post\u2010treatment and follow\u2010up. Cluster C PDs were found to negatively impact treatment outcomes for binge ED and attrition rates for anorexia nervosa. Included studies suggested that interventions that addressed aspects of personality pathology showed greater main effects for ED treatment outcomes. There is an urgent need for future RCTs on ED treatments to include routine measures of core personality features to allow their impacts to be more thoroughly examined and for psychotherapies to be tailored accordingly.<\/jats:p>","DOI":"10.1002\/pmh.1533","type":"journal-article","created":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T05:25:47Z","timestamp":1638768347000},"page":"217-234","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["The impact of personality disorders and personality traits on psychotherapy treatment outcome of eating disorders: A systematic review"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9625-0797","authenticated-orcid":false,"given":"Susan","family":"Simpson","sequence":"first","affiliation":[{"name":"Regional Eating Disorders Unit NHS Lothian  Edinburgh UK"},{"name":"Department of Justice and Society University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Azam","sequence":"additional","affiliation":[{"name":"Graduate School of Health University of Technology Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2608-4252","authenticated-orcid":false,"given":"SiennaMarisa","family":"Brown","sequence":"additional","affiliation":[{"name":"School of Health in Social Science University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6489-0231","authenticated-orcid":false,"given":"Anastasia","family":"Hronis","sequence":"additional","affiliation":[{"name":"Graduate School of Health University of Technology Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7641-9102","authenticated-orcid":false,"given":"Robert","family":"Brockman","sequence":"additional","affiliation":[{"name":"Graduate School of Health University of Technology Sydney  Sydney New South Wales Australia"},{"name":"Institute for Positive Psychology and Education Australian Catholic University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-016-0264-x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291708003292"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-009-0010-4"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0087774"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2009.11.005"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000221254.77675.f5"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000110284.12816.fe"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1390"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260590893700"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20367"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291798006618"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.00952"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2011.01.006"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.934"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10126"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.5.973"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199003000-00004"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2005.04.012"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2010.07.002"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20754"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20419"},{"key":"e_1_2_10_24_1","volume-title":"Cognitive therapy for personality disorders: A guide for therapists","author":"Davidson K. 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