Personality dimensions could explain resilience in patients with eating disorders
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ORIGINAL ARTICLE
Personality dimensions could explain resilience in patients with eating disorders Evdoxia Tsigkaropoulou1 · Panagiotis Ferentinos1 · Anna Karavia1 · Rossetos Gournellis1 · Fragkiskos Gonidakis2 · Ioannis Liappas2 · Athanasios Douzenis1 · Ioannis Michopoulos1 Received: 12 February 2020 / Accepted: 5 September 2020 © Springer Nature Switzerland AG 2020
Abstract Purpose Resilience can be defined as the ability to maintain health in the face of adversity. Resilience has been associated with personality traits. Personality traits in the context of Eating Disorders (ED) have also been examined. However, the relationship between resilience and personality profile in patients with ED has not been studied. The aim of this study is to investigate whether personality dimensions impact on resilience, in patients with ED, compared to healthy participants. Methods Connor and Davidson resilience scale, as a measure of resilience and temperament—character inventory, as a measure of personality dimensions, were completed by 100 participants: 50 (50%) healthy University students (controls subgroup) and 50 (50%) patients with ED, matched on age and gender. Results Patients with ED showed lower resilience than healthy participants and scored higher on harm avoidance, and lower on reward dependence, self-directedness and cooperativeness than controls. Lower harm avoidance, higher persistence and higher self-directedness were associated with resilience in both subgroups. Self-directedness and persistence predicted resilience in both subgroups. Only Harm Avoidance predicted resilience in patients’ subgroup. Conclusion To our knowledge, there are no existing data examining the effect of personality dimensions in resilience, in the context of ED. We found that only the effect of Harm Avoidance in resilience was different among the participants’ subgroups. In conclusion, Harm Avoidance could explain differences in resilience between healthy participants and patients with ED. Level of evidence Level III: case–control analytic study. Keywords Resilience · Personality · Eating disorders · Harm avoidance · Temperament
Introduction Resilience can be defined as the person’s ability to respond to stressful events, remaining stable and maintaining satisfactory functionality [1]. It is a complex concept which is mostly considered as a dynamic, developmental process This article is part of the Topical Collection on Personality and Eating and Weight Disorders. * Evdoxia Tsigkaropoulou [email protected] 1
Second Department of Psychiatry, Eating Disorders Unit, National and Kapodistrian University of Athens, Medical School, “Attikon” University General Hospital, Athens, Greece
First Department of Psychiatry, National and Kapodistrian University of Athens, Medical School, ‘Eginition’ University Hospital, Athens, Greece
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through which individuals acquire the ability to overcome adversity [2]. Biological [3–7], social [8–11] and psychological [12–14], dimensions are involved in this process. The relation betw
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