Evidence map›Paper›PMID 39962364›Full record

ArticleEuropean eating disorders review : the journal of the Eating Disorders Association2025

Personality Functioning in Inpatients With Eating Disorders: Association With Symptom Severity and Treatment Outcome.

Sophia Heinzmann, Sonja Etzler, Armin Hartmann, Eva M Klein, Stephan Herpertz, Magdalena Pape, Stanislav Heinzmann, Stephan Doering, Tobias Hofmann, Matthias Rose and 36 more

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Article in European eating disorders review : the journal of the Eating Disorders Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

46 authors.

Sophia HeinzmannFaculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, University of Freiburg, Freiburg, Germany.
Sonja EtzlerFaculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, University of Freiburg, Freiburg, Germany.
Armin HartmannFaculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, University of Freiburg, Freiburg, Germany.
Eva M KleinFaculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, University of Freiburg, Freiburg, Germany.
Stephan HerpertzDepartment of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr-University Bochum, Bochum, Germany.
Magdalena PapeDepartment of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany.ORCID https://orcid.org/0000-0003-1952-8625
Stanislav HeinzmannFaculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, University of Freiburg, Freiburg, Germany.
Stephan DoeringDepartment of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Tobias HofmannDepartment of Psychosomatic Medicine, Charité Center for Internal Medicine and Dermatology, Charité-Universitätsmedizin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Matthias RoseDepartment of Psychosomatic Medicine, Charité Center for Internal Medicine and Dermatology, Charité-Universitätsmedizin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Katrin ImbierowiczDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital, University of Bonn, Bonn, Germany.
Franziska GeiserDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital, University of Bonn, Bonn, Germany.
Antonie BierlingFaculty of Medicine and University Hospital Carl Gustav Carus, Department of Psychotherapy and Psychosomatic Medicine, TUD University of Technology Dresden, Dresden, Germany.
Kerstin WeidnerFaculty of Medicine and University Hospital Carl Gustav Carus, Department of Psychotherapy and Psychosomatic Medicine, TUD University of Technology Dresden, Dresden, Germany.
Jörg RademacherDepartment of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Silke MichalekDepartment of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Eva MorawaDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Yesim ErimDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Eva-Maria SkodaClinic of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University of Duisburg-Essen, Essen, Germany.
Martin TeufelClinic of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University of Duisburg-Essen, Essen, Germany.
Eva Milena Johanne PetersDepartment of Psychosomatic Medicine and Psychotherapy, Germany and Department of Psychosomatic Medicine and Psychotherapy, Justus-Liebig University of Giessen, Philipps-University of Marburg, Marburg, Germany.
Johannes KruseDepartment of Psychosomatic Medicine and Psychotherapy, Germany and Department of Psychosomatic Medicine and Psychotherapy, Justus-Liebig University of Giessen, Philipps-University of Marburg, Marburg, Germany.
Dirk von BoetticherDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Centre Göttingen, Göttingen, Germany.
Christoph Herrmann-LingenDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Centre Göttingen, Göttingen, Germany.
Mariel NoehreDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany.
Martina de ZwaanDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-7918-6957
Ulrike DingerDepartment of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Hans-Christoph FriederichDepartment of General Internal Medicine and Psychosomatics, University Hospital, Heidelberg University, Heidelberg, Germany.
Alexander NieckeFaculty of Medicine and University Hospital Cologne, Department of Psychosomatic Medicine and Psychotherapy, University of Cologne, Cologne, Germany.
Christian AlbusFaculty of Medicine and University Hospital Cologne, Department of Psychosomatic Medicine and Psychotherapy, University of Cologne, Cologne, Germany.
Rüdiger ZwerenzDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Manfred BeutelDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Casper RoennebergDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Munich, Germany.
Peter HenningsenDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Munich, Germany.
Barbara SteinDepartment of Psychosomatic Medicine and Psychotherapy, Nuremberg General Hospital, Paracelsus Medical University, Nuremberg, Germany.
Christiane WallerDepartment of Psychosomatic Medicine and Psychotherapy, Nuremberg General Hospital, Paracelsus Medical University, Nuremberg, Germany.
Karsten HakeDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Rostock, Germany.
Carsten SpitzerDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Rostock, Germany.
Andreas StengelClinic for Psychosomatic Medicine and Psychotherapy, Klinikum Stuttgart, Stuttgart, Germany.
Stephan ZipfelInternal Medicine VI, Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.
Katja WeimerDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.
Harald GündelDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.
Henrik KesslerDepartment of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr-University Bochum, Bochum, Germany.
Derek SpielerFaculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, University of Freiburg, Freiburg, Germany.
Claas LahmannFaculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, University of Freiburg, Freiburg, Germany.
Almut ZeeckFaculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0002-8593-1175

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveImpairment in personality functioning (PF) has been linked to a number of mental disorders, including eating disorders (EDs). However, the precise relationship between PF and symptom severity, as well as the potential impact on outcome, remains unclear. The study aimed to analyse the association of PF and its change with severity of ED symptomatology as well as outcome of hospital treatment.

methodThe sample consisted of 397 patients with EDs, treated in 19 university hospitals for Psychosomatic Medicine and Psychotherapy in Germany between 1/2019 and 12/2020. PF was measured with the Structure Questionnaire of the Operationalised Psychodynamic Diagnosis (OPD-SQ, short version), eating psychopathology with the ED examination questionnaire (EDE-Q). Outcome was defined as a change in the EDE-Q total score. We used Latent Change Score Modelling to analyse changes in ED pathology during treatment and a 1-year follow-up period.

resultsA higher level of impairment in PF at admission correlated with more eating psychopathology and a less favourable outcome. Additionally, greater improvement in PF correlated with greater improvements in ED symptomatology at discharge.

conclusionImpairment in PF needs to be part of diagnostic assessments and should be considered an important treatment target for psychotherapeutic interventions.

trial registrationThe MEPP study was registered in the German Clinical Trials Register (DRKS, www.drks.de; ID: DRKS00016412).

Indexed as

Feeding and Eating DisordersInpatientsPersonalityPersonality DisordersAdolescentAdultFemaleGermanyHumansMaleMiddle AgedSeverity of Illness IndexTreatment OutcomeYoung Adulteating disorderinpatientlatent change score modelpersonality functioningpsychotherapy

Identifiers

PMID39962364
PMCPMC12171681

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