Bulimia nerviosa y trastornos de la personalidad. Una revisión teórica de la literatura

In Bulimia nervosa, as the case of many other mental health disorders, a high comorbidity with other psychiatric disorders has been described, with special attention paid to personality disorders. Despite many studies devoted to the examination of personality disorders and its association with eating disorders, the importance of this topic is being considered contradictorily in the literature (ranging from 27-84% of cases with a personality disorders), being those of cluster B, and specially Borderline Type, without doubt the most represented. In general terms in eating disorders literature, personality disorders have frequently been related to several factors such as: diagnostic subtypes, higher impulsiveness and self-injurious behaviours, greater substance and alcohol abuse, suicide attempts, greater frequency of purging behaviours, mood disorder, sexual abuse, higher comorbidity and to greater severity of the disorder. Furthermore, personality disorders was found to be a predictor of poorer outcome and to be related to higher treatment dropout rates. In the theoretical study a critical analysis and discussion of the literature is carried out