Abstract
Objective:
Previous studies have shown relationships between personality styles and markers of
serotonergic functioning, but data on patients with anorexia nervosa (AN) are scarce.
Methods:
The personality styles and disorder inventory was administered to 47 acute patients with anorexia nervosa (acAN), 27 weight-recovered
patients (recAN) and 72 healthy controls (HC) aged between 14 and 21 years. Platelet
monoamine oxidase (MAO-B) activity was assayed with [14C]-β-phenylethylamine as substrate.
Results:
AcAN had significant elevated scores on 9 of the 14 personality style subscales when
compared to HC, whereas recAN were largely normal. Platelet MAO-B activity and “ambitious/narcissistic”
scores correlated negatively in acAN. In recAN we found positive correlations between
MAO-B and personality subscores.
Conclusions:
The inverse relationship between a cluster B personality style and MAO-B activity
in acAN is in accordance with studies in other patient populations. In contrast, positive
associations between problematic personality styles and MAO-B activity in recAN combined
with the overall decreased MAO-B activity in this group adds to the existing evidence
suggesting a general dysfunction of the serotonergic system as a trait marker for
AN.
Key words
anorexia nervosa - personality styles - personality disorders - platelet monoamine
oxidase activity - psychopathology