{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T09:32:48Z","timestamp":1780392768216,"version":"3.54.1"},"reference-count":44,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2010,11,1]],"date-time":"2010-11-01T00:00:00Z","timestamp":1288569600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Comprehensive Psychiatry"],"published-print":{"date-parts":[[2010,11]]},"DOI":"10.1016\/j.comppsych.2010.02.012","type":"journal-article","created":{"date-parts":[[2010,3,30]],"date-time":"2010-03-30T13:27:45Z","timestamp":1269955665000},"page":"592-598","source":"Crossref","is-referenced-by-count":8,"title":["Complex personality disorder in bulimia nervosa"],"prefix":"10.1016","volume":"51","author":[{"given":"Sarah L.","family":"Rowe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Jordan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia V.W.","family":"McIntosh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances A.","family":"Carter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Frampton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia M.","family":"Bulik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter R.","family":"Joyce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.comppsych.2010.02.012_bb0005","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1017\/S0033291706009482","article-title":"Comparison of alternative models for personality disorders","volume":"37","author":"Morey","year":"2007","journal-title":"Psychol Med"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0010","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1176\/ajp.149.2.213","article-title":"Diagnosis of DSM-III-R personality disorders by two structured interviews: patterns of comorbidity","volume":"149","author":"Oldham","year":"1992","journal-title":"Am J Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0015","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1037\/0033-2909.126.6.946","article-title":"Toward DSM-V and the classification of psychopathology","volume":"126","author":"Widiger","year":"2000","journal-title":"Psychol Bull"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0020","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1521\/pedi.2000.14.2.137","article-title":"Toward an empirically based classification of personality disorder","volume":"14","author":"Livesley","year":"2000","journal-title":"J Pers Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0025","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1521\/pedi.2000.14.2.109","article-title":"A prototype matching approach to diagnosing personality disorders: toward DSM-V","volume":"14","author":"Westen","year":"2000","journal-title":"J Pers Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0030","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1521\/pedi.19.2.110.62628","article-title":"Alternative dimensional models of personality disorder: finding a common ground","volume":"19","author":"Widiger","year":"2005","journal-title":"J Pers Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0035","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1176\/ajp.153.12.1593","article-title":"Establishing the severity of personality disorder","volume":"153","author":"Tyrer","year":"1996","journal-title":"Am J Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0040","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1521\/pedi.2005.19.3.309","article-title":"The problem of severity in the classification of personality disorder","volume":"19","author":"Tyrer","year":"2005","journal-title":"J Pers Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0045","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1521\/pedi.2008.22.4.405","article-title":"The relationship of impairment to personality disorder severity among individuals with specific Axis I disorders: results from the national epidemiologic survey on alcohol and related conditions","volume":"22","author":"Pulay","year":"2008","journal-title":"J Pers Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0050","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1017\/S0033291704002569","article-title":"The Nottingham Study of Neurotic Disorder: predictors of 12-year outcome of dysthymic, panic and generalized anxiety disorder","volume":"34","author":"Tyrer","year":"2004","journal-title":"Psychol Med"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0055","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1521\/pedi.2000.14.4.352","article-title":"A study of temperament and personality in anorexia and bulimia nervosa","volume":"14","author":"Diaz-Marsa","year":"2000","journal-title":"J Pers Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0060","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1002\/erv.844","article-title":"Personality disorders in 545 patients with eating disorders","volume":"16","author":"Godt","year":"2008","journal-title":"Eur Eat Disord Rev"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0065","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1080\/10640260590893593","article-title":"The prevalence of personality disorders among those with eating disorders","volume":"13","author":"Sansone","year":"2005","journal-title":"Eat Disord: J Treat Prev"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0070","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1002\/1098-108X(199011)9:6<617::AID-EAT2260090604>3.0.CO;2-V","article-title":"Differences in treatment outcome between borderline and nonborderline bulimics at one-year follow-up","volume":"9","author":"Johnson","year":"1990","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0075","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1080\/10640260590893700","article-title":"Treatment implications of Axis-II comorbidity in eating disorders","volume":"13","author":"Bruce","year":"2005","journal-title":"Eat Disord: J Treat Prev"},{"issue":"6","key":"10.1016\/j.comppsych.2010.02.012_bb0080","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1002\/eat.20522","article-title":"Dialectical behavior therapy for clients with binge-eating disorder or bulimia nervosa and borderline personality disorder","volume":"41","author":"Chen","year":"2008","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0085","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1176\/appi.ajp.2008.08040608","article-title":"Transdiagnostic cognitive-behavioral therapy for patients with eating disorders: a two-site trial with 60-week follow-up","volume":"166","author":"Fairburn","year":"2009","journal-title":"Am J Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0090","series-title":"Handbook of treatment for eating disorders.","first-page":"278","article-title":"Interpersonal psychotheraphy for bulimia nervosa","author":"Fairburn","year":"1997"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0095","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1002\/eat.10173","article-title":"The relationship among binge severity, personality psychopathology, and body mass index","volume":"34","author":"Picot","year":"2003","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0100","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1002\/1098-108X(199404)15:3<233::AID-EAT2260150306>3.0.CO;2-9","article-title":"5-Year outcome from eating disorders: relevance of personality disorders","volume":"15","author":"Wonderlich","year":"1994","journal-title":"Int J Eat Disord."},{"key":"10.1016\/j.comppsych.2010.02.012_bb0105","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/S0010-440X(98)90062-1","article-title":"Predictors of 1-year treatment outcome in bulimia nervosa","volume":"39","author":"Bulik","year":"1998","journal-title":"Compr Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0110","doi-asserted-by":"crossref","first-page":"738","DOI":"10.4088\/JCP.v68n0511","article-title":"Natural course of bulimia nervosa and of eating disorder not otherwise specified: 5-year prospective study of remissions, relapses, and the effects of personality disorder psychopathology","volume":"68","author":"Grilo","year":"2007","journal-title":"J Clin Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0115","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1080\/00048670802512040","article-title":"Impact of borderline personality disorder on bulimia nervosa","volume":"42","author":"Rowe","year":"2008","journal-title":"Aust N Z J Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0120","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1017\/S0033291798006618","article-title":"The role of exposure with response prevention in the cognitive-behavioural therapy for bulimia nervosa","volume":"28","author":"Bulik","year":"1998","journal-title":"Psychol Med"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0125","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1002\/eat.10126","article-title":"Role of exposure with response prevention in cognitive-behavioral therapy for bulimia nervosa: three-year follow-up results","volume":"33","author":"Carter","year":"2003","journal-title":"Int J Eat Disord."},{"key":"10.1016\/j.comppsych.2010.02.012_bb0130","series-title":"Structured clinical interview for DSM-III-R: patient version","author":"Spitzer","year":"1990"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0135","series-title":"The comprehensive bulimia structured interview. Unpublished manuscript. Christchurch: Christchurch School of Medicine, University of Otago","author":"Sullivan","year":"1993"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0140","series-title":"Binge-eating: nature, assessment and treatment","first-page":"317","article-title":"The eating disorders examination","author":"Fairburn","year":"1993"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0145","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1136\/jnnp.23.1.56","article-title":"A rating scale for measuring depression","volume":"23","author":"Hamilton","year":"1960","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0150","series-title":"The Eating Disorders Inventory: a measure of cognitive-behavioural dimensions of anorexia and bulimia. Anorexia nervosa: recent developments in research New York","first-page":"173","year":"1983"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0155","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1002\/(SICI)1098-108X(199609)20:2<149::AID-EAT5>3.0.CO;2-G","article-title":"Prospective study of outcome in bulimics as a function of Axis-II comorbidity: long-term responses on eating and psychiatric symptoms","volume":"20","author":"Steiger","year":"1996","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0160","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1192\/bjp.182.2.129","article-title":"Impact of comorbid personality disorder on violence in psychosis - Report from the UK700 trial","volume":"182","author":"Moran","year":"2003","journal-title":"Br J Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0165","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/S0033-3182(94)71806-5","article-title":"Eating and psychiatric symptoms as a function of Axis-II comorbidity in bulimic patients: 3-month and 6-month responses after therapy","volume":"35","author":"Steiger","year":"1994","journal-title":"Psychosomatics"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0170","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/S0010-440X(00)90049-X","article-title":"Patterns of covariation of DSM-IV personality disorders in a mixed psychiatric sample","volume":"41","author":"Fossati","year":"2000","journal-title":"Compr Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0175","doi-asserted-by":"crossref","unstructured":"Rowe SL, Jordan J, McIntosh VV, Carter FA, Frampton C, Bulik CM, Joyce PR. Does avoidant personality disorder impact on the outcome of treatment for bulimia nervosa? Int J Eat Disord [In Press].","DOI":"10.1002\/eat.20716"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0180","first-page":"272","article-title":"Outcome and clinical course in inpatient bulimic women: a 2-year to 9-year follow-up study","volume":"52","author":"Fallon","year":"1991","journal-title":"J Clin Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0185","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1002\/eat.10196","article-title":"The natural course of bulimia nervosa and eating disorder not otherwise specified is not influenced by personality disorders","volume":"34","author":"Grilo","year":"2003","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0190","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1023\/A:1004680122613","article-title":"Stability and course of personality disorders: the need to consider comorbidities and continuities between axis I psychiatric disorders and axis II personality disorders","volume":"71","author":"Grilo","year":"2000","journal-title":"Psychiatr Q"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0195","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1001\/archpsyc.61.10.1015","article-title":"Individual growth curve analysis illuminates stability and change in personality disorder features: the longitudinal study of personality disorders","volume":"61","author":"Lenzenweger","year":"2004","journal-title":"Arch Gen Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0200","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.mppsy.2008.01.003","article-title":"Stable instability: the natural history of personality disorders","volume":"7","author":"Tyrer","year":"2008","journal-title":"Psychiatry"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0205","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1080\/10640260590893638","article-title":"Difficulties in the assessment of personality traits and disorders in eating-disordered individuals","volume":"13","author":"Vitousek","year":"2005","journal-title":"Eat Disord: J Treat Prev"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0210","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1521\/pedi.1999.13.1.67","article-title":"Gender differences in the frequency of personality disorders in depressed outpatients","volume":"13","author":"Carter","year":"1999","journal-title":"J Pers Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0215","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1002\/eat.20463","article-title":"Specific and nonspecific comorbidity in anorexia nervosa","volume":"41","author":"Jordan","year":"2008","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.comppsych.2010.02.012_bb0220","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/j.comppsych.2008.04.002","article-title":"A personality classification system for eating disorders: a longitudinal study","volume":"49","author":"Thompson-Brenner","year":"2008","journal-title":"Compr Psychiatry"}],"container-title":["Comprehensive Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0010440X10000155?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0010440X10000155?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T01:53:59Z","timestamp":1544579639000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0010440X10000155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,11]]},"references-count":44,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2010,11]]}},"alternative-id":["S0010440X10000155"],"URL":"https:\/\/doi.org\/10.1016\/j.comppsych.2010.02.012","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.7374956.7647054","asserted-by":"object"}]},"ISSN":["0010-440X"],"issn-type":[{"value":"0010-440X","type":"print"}],"subject":[],"published":{"date-parts":[[2010,11]]}}}