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Research article
Mohsen Khosravi
Corresponding Author
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Background: Common comorbidity and the shared psychopathology in borderline personality disorder (BPD) and feeding and eating disorder (FED) resulted in conceptualization of the relationship theory between disordered eating behaviors (DEB), alexithymia, depression, and anxiety. Therefore, the present study aims at investigating the FED prevalence in patients with BPD and evaluating the relationship between DEB, alexithymia, anxiety, and depression.
Methods: This cross-sectional study was performed from August 2018 to November 2019; 110 patients with BPD and 110 healthy people were studied in this research. The participants were selected by systematic random sampling out of the patients referring to Baharan psychiatric hospital in Zahedan, Iran, with the sampling interval of 3. The subjects were evaluated by demographic data form, the 26-item eating attitudes test (EAT-26), 20-item Toronto alexithymia scale (TAS-20), Beck anxiety disorder (BAI), and Beck depression inventory-II (BDI-II).
Results: The results show a 65.4% (n = 72) prevalence of FED in borderline patients; the highest and lowest prevalence rates are reported for avoidant/restrictive food intake disorder (ARFID) and bulimia nervosa, respectively. The highest mean score of TAS-20 is reported in anorexia nervosa. The regression analysis results show that anxiety and depression play a mediating role in the relationship between alexithymia and DEB.
Conclusions: The results suggest that alexithymia should be paid clinical attention as a trait and distress-independent construct in the BPD and FED comorbidity.
Keywords
Alexithymia, Anxiety, Borderline Personality Disorder, Depression, Feeding and Eating Disorders, Psychopathology
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View the published article at Journal of Eating Disorders.
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Review #1 received
Received 06 Jul, 2020
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On 29 Jun, 2020
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On 23 Jun, 2020
Reviewers invited
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Editor invited
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No comments provided
Editorial decision: Major Revision
On 17 Jun, 2020
Review #2 received
Received 16 Jun, 2020
Review #1 received
Received 01 Jun, 2020
Reviewer #3 agreed
On 26 May, 2020
Reviewer #2 agreed
On 22 May, 2020
Reviewers invited
Invitations sent on 21 May, 2020
Reviewer #1 agreed
On 21 May, 2020
Editor assigned
On 20 May, 2020
Submission checks complete
On 19 May, 2020
Editor invited
On 19 May, 2020
Version 1
Posted 02 Apr, 2020
No comments provided
Editorial decision: Major Revision
On 25 Apr, 2020
Review #3 received
Received 24 Apr, 2020
Review #2 received
Received 24 Apr, 2020
Review #1 received
Received 23 Apr, 2020
Reviewer #2 agreed
On 06 Apr, 2020
Reviewer #3 agreed
On 06 Apr, 2020
Reviewer #1 agreed
On 03 Apr, 2020
Reviewers invited
Invitations sent on 01 Apr, 2020
Editor assigned
On 31 Mar, 2020
Submission checks complete
On 30 Mar, 2020
Editor invited
On 30 Mar, 2020
First submitted
On 26 Mar, 2020
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Subject Areas
Psychology
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See the published version of this preprint at Journal of Eating Disorders.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Mohsen Khosravi
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Journal of Eating Disorders.
No community comments so far
Review #1 received
Received 06 Jul, 2020
Reviewer #1 agreed
On 29 Jun, 2020
Editor assigned
On 23 Jun, 2020
Reviewers invited
Invitations sent on 23 Jun, 2020
Submission checks complete
On 22 Jun, 2020
Editor invited
On 22 Jun, 2020
No comments provided
Editorial decision: Major Revision
On 17 Jun, 2020
Review #2 received
Received 16 Jun, 2020
Review #1 received
Received 01 Jun, 2020
Reviewer #3 agreed
On 26 May, 2020
Reviewer #2 agreed
On 22 May, 2020
Reviewers invited
Invitations sent on 21 May, 2020
Reviewer #1 agreed
On 21 May, 2020
Editor assigned
On 20 May, 2020
Submission checks complete
On 19 May, 2020
Editor invited
On 19 May, 2020
Version 1
Posted 02 Apr, 2020
No comments provided
Editorial decision: Major Revision
On 25 Apr, 2020
Review #3 received
Received 24 Apr, 2020
Review #2 received
Received 24 Apr, 2020
Review #1 received
Received 23 Apr, 2020
Reviewer #2 agreed
On 06 Apr, 2020
Reviewer #3 agreed
On 06 Apr, 2020
Reviewer #1 agreed
On 03 Apr, 2020
Reviewers invited
Invitations sent on 01 Apr, 2020
Editor assigned
On 31 Mar, 2020
Submission checks complete
On 30 Mar, 2020
Editor invited
On 30 Mar, 2020
First submitted
On 26 Mar, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Psychology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Journal of Eating Disorders.
Background: Common comorbidity and the shared psychopathology in borderline personality disorder (BPD) and feeding and eating disorder (FED) resulted in conceptualization of the relationship theory between disordered eating behaviors (DEB), alexithymia, depression, and anxiety. Therefore, the present study aims at investigating the FED prevalence in patients with BPD and evaluating the relationship between DEB, alexithymia, anxiety, and depression.
Methods: This cross-sectional study was performed from August 2018 to November 2019; 110 patients with BPD and 110 healthy people were studied in this research. The participants were selected by systematic random sampling out of the patients referring to Baharan psychiatric hospital in Zahedan, Iran, with the sampling interval of 3. The subjects were evaluated by demographic data form, the 26-item eating attitudes test (EAT-26), 20-item Toronto alexithymia scale (TAS-20), Beck anxiety disorder (BAI), and Beck depression inventory-II (BDI-II).
Results: The results show a 65.4% (n = 72) prevalence of FED in borderline patients; the highest and lowest prevalence rates are reported for avoidant/restrictive food intake disorder (ARFID) and bulimia nervosa, respectively. The highest mean score of TAS-20 is reported in anorexia nervosa. The regression analysis results show that anxiety and depression play a mediating role in the relationship between alexithymia and DEB.
Conclusions: The results suggest that alexithymia should be paid clinical attention as a trait and distress-independent construct in the BPD and FED comorbidity.
Figure 1
Figure 2
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