Abstract
This study assessed the impact of borderline personality symptomatology on the clinical course of individuals with eating disorders. At Time 1, three measures of borderline personality (Borderline Syndrome Index, Diagnostic Interview for Borderlines, Millon Clinical Multiaxial Inventory) and several adjustment measures (including the Eating Attitudes Test) were administered to a sample of 28 women with eating disorders. At Time 2, 3 years later, several outcome measures were administered by mail to 19 of the women who participated in the first study. After removing the effects of initial differences in adjustment, the degree of borderline symptomatology was positively related to greater global distress; less life satisfaction; and, on some borderline measures, to less perceived positive changes in severity of eating disorder, use of psychotropic medications, and continued mental health treatment at Time 2. These findings support the impression that eating-disordered individuals with borderline symptoms have poorer clinical outcomes at short-term follow-up than those without these symptoms.
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