Skip to main content
Log in

Associations among eating disorder symptoms and the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) in college students

  • Original Article
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Purpose

To identify associations between eating disorder (ED) attitudes and behaviors and scores on the MMPI-2-RF in college students.

Methods

The study included 425 undergraduate students (38.5% males and 61.5% females) with a mean age of 19.13 (SD = 1.77). Measures included the MMPI-2-RF and the Eating Disorder Examination Questionnaire. Correlations and relative risk ratios were computed between MMPI-2-RF scores and ED variables.

Results

Scores on several MMPI-2-RF Scales were associated with the presence of subthreshold ED symptoms. Manifestations of emotional/internalizing dysfunction were associated with all ED symptom presentations.

Conclusions

The results of this study identified narrowly defined personality and psychopathology constructs relevant to, and found across college students experiencing various subthreshold ED symptoms. Considering this additional information in ED screening or treatment planning could reduce the likelihood of subthreshold symptoms worsening and increase the effectiveness of ED interventions with at-risk college student populations.

Level of evidence

Level III, evidence obtained from well-designed cohort or case–control analytic studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Smink F, van Hoeken D, Hoek H (2012) Epidemiology of eating disorders: incidence, prevalence, and mortality rates. Curr Psychiatry Rep 14(4):406–414. https://doi.org/10.1007/s11920-012-0282-y

    Article  PubMed  PubMed Central  Google Scholar 

  2. Arcelus J, Mitchell A, Wales J, Nielsen S (2011) Mortality rates in patients with anorexia nervosa and other eating disorders. Arch Gen Psychiatry 68(7):724–731. https://doi.org/10.1001/archgenpsychiatry.2011.74

    Article  PubMed  Google Scholar 

  3. Nagl M, Jacobi C, Paul M, Beesdo-Baum K, Hofler M, Lieb R et al (2016) Prevalence, incidence, and natural course of anorexia and bulimia nervosa among adolescents and young adults. Eur Child Adolesc Psychiatry 25:903–918. https://doi.org/10.1007/s00787-015-0808-z

    Article  PubMed  Google Scholar 

  4. Lipson S, Sonneville K (2017) ED symptoms among undergraduate and graduate students at 12 U.S. colleges and universities. Eat Behav 24:81–88. https://doi.org/10.1016/j.eatbeh.2016.12.003

    Article  CAS  PubMed  Google Scholar 

  5. Swinboume J, Hunt C, Abbott M, Russell J, St Clare T, Touyz S (2012) The comorbidity between eating disorders and anxiety disorders: prevalence in an eating disorder sample and anxiety disorder sample. Aust N Z J Psychiatry 46:118–131. https://doi.org/10.1177/0004867411432071

    Article  Google Scholar 

  6. Martinussen M, Friborg O, Schmierer P, Kaiser S, Overgard K, Neunhoeffer A et al (2016) The comorbidity of personality in eating disorders: a meta-analysis. Eat Weight Disord 22:201–209. https://doi.org/10.1007/s40519-016-0345-x

    Article  PubMed  Google Scholar 

  7. Gaudio S, Dakanalis A (2017) Personality and eating and weight disorders: an open research challenge. Eat Weight Disord 23:143–147. https://doi.org/10.1007/s40519-017-0463-0

    PubMed  Google Scholar 

  8. De Bolle M, De Clerc B, Pham-Scottez A, Mels S, Rolland J, Guelfi J et al (2011) Personality pathology comorbidity in adult females with eating disorders. J Health Psychol 16:303–313. https://doi.org/10.1002/erv.844

    Article  PubMed  Google Scholar 

  9. Bulik C, Tozzi F, Anderson C, Mazzeo S, Aggen S, Sullivan P (2003) The relation between eating disorders and components of perfectionism. Am J Psychiatry 160(2):366–368. https://doi.org/10.1176/appi.ajp.160.2.366

    Article  PubMed  Google Scholar 

  10. Cassin S, Von Ranson K (2005) Personality and eating disorders: a decade in review. Clin Psychol Rev 25:895–916. https://doi.org/10.1016/j.cpr.2005.04.012

    Article  PubMed  Google Scholar 

  11. Farstad S, McGeown L, von Ranson K (2016) EDs and personality, 2004–2016: a systematic review and meta-analysis. Clin Psychol Rev 46:91–105. https://doi.org/10.1016/j.cpr.2016.04.005

    Article  Google Scholar 

  12. Halmi K, Sunday S, Strober M, Kaplan A, Woodside D, Fichter M et al (2000) Perfectionism in anorexia nervosa: variation by clinical subtype, obsessionality, and pathological eating behavior. Am J Psychiatry 157(11):1799–1805. https://doi.org/10.1176/appi.ajp.157.11.1799

    Article  CAS  PubMed  Google Scholar 

  13. Bulik C, Klump K, Thornton L, Devlin B, Kaye W, Kaplan A et al (2004) Alcohol use disorder comorbidity in eating disorders: a multicenter study. J Clin Psychiatry 65(7):1000–1006. https://doi.org/10.4088/JCP.v65n0718

    Article  PubMed  Google Scholar 

  14. Wonderlich S, Connolly K, Stice E (2004) Impulsivity as a risk factor for eating disorder behavior: assessment implications with adolescents. Int J Eat Disord 36:172–182. https://doi.org/10.1002/eat.20033

    Article  PubMed  Google Scholar 

  15. Claes L, Islam M, Fagundo A, Jimenez-Murcia S, Granero R, Agüera Z et al (2015) The relationship between non-suicidal self-injury and the UPPS-P impulsivity facets in eating disorders and healthy controls. Public Libr Sci (PLoS) 10(5):e126083. https://doi.org/10.1371/journal.pone.0126083

    Article  CAS  Google Scholar 

  16. Abbate-Daga G, Gramaglia C, Amianto F, Marzola E, Fassino S (2010) Attachment insecurity, personality, and body dissatisfaction in eating disorders. J Nerv Ment Dis 198:520–524. https://doi.org/10.1097/NMD.0b013e3181e4c6f7

    Article  PubMed  Google Scholar 

  17. Garrido S, Funes P, Merlo M, Cupani M (2018) Personality traits associated with eating disorders and obesity in young Argentineans. Eat Weight Disord 23:571–579. https://doi.org/10.1007/s40519-018-0546-6

    Article  PubMed  Google Scholar 

  18. Ben-Porath Y, Tellegen A (2008/2011) MMPI-2-RF: manual for administration, scoring and interpretation. University of Minnesota Press, Minneapolis

  19. Ben-Porath Y, Tellegen A (2008/2011) MMPI-2-RF: technical manual. University of Minnesota Press, Minneapolis

  20. Marek R, Ben-Porath Y, Heinberg L (2016) Understanding the role of psychopathology in bariatric surgery outcomes. Obes Rev 17:126–141. https://doi.org/10.1111/obr.12356

    Article  CAS  PubMed  Google Scholar 

  21. Harkness A, McNulty J (1994) The Personality Psychopathology Five (PSY-5): Issues from the pages of a diagnostic manual instead of a dictionary. In: Strack S, Lorr M (eds) Differentiating normal and abnormal personality. Springer, New York, pp 291–314

    Google Scholar 

  22. Anestis J, Gottfried E, Joiner T (2015) The utility of MMPI-2-RF substantive scales in prediction of negative treatment outcomes in a community mental health center. Assess 22(1):23–35. https://doi.org/10.1177/1073191114536771

    Article  Google Scholar 

  23. Tarescavage A, Corey D, Gupton H, Ben-Porath Y (2015) Criterion validity and practical utility of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) in assessments of police officer candidates. J Pers Assess 97(4):382–394. https://doi.org/10.1080/00223891.2014.995800

    Article  PubMed  Google Scholar 

  24. Glassmire D, Tarescavage A, Martinez J, Gomez A, Burchett D (2016) Clinical utility of the MMPI-2-RF SUI items and scale in a forensic inpatient setting: association with interview self-report and future suicidal behaviors. Psychol Assess 28(11):1502–1509. https://doi.org/10.1037/pas0000220

    Article  PubMed  Google Scholar 

  25. Marek R, Ben-Porath Y, Windover A, Tarescavage A, Merrell J, Ashton K et al (2013) Assessing psychosocial functioning of bariatric surgery candidates with the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF). Obes Surg 11:1864. https://doi.org/10.1007/s11695-013-1024-x

    Article  Google Scholar 

  26. Marek R, Block A, Ben-Porath Y (2015) The Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF): incremental validity in predicting early postoperative outcomes in spine surgery candidates. Psychol Assess 27(1):114–124. https://doi.org/10.1037/pas0000035

    Article  PubMed  Google Scholar 

  27. Fairburn C, Beglin S (1994) Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 16(4):363–370. https://doi.org/10.1002/1098-108X(199412)16:4%3c363:AID-EAT2260160405%3e3.0.CO;2-%23

    Article  CAS  PubMed  Google Scholar 

  28. Luce K, Crowther J (1999) The reliability of the Eating Disorder Examination—Self-Report Questionnaire version (EDE-Q). Int J Eat Disord 25:349–351. https://doi.org/10.1002/(SICI)1098-108X(199904)25:3%3c349:AID-EAT15%3e3.0.CO;2-M

    Article  CAS  PubMed  Google Scholar 

  29. Mond J, Hay P, Rodgers B, Owen C, Beumont P (2004) Temporal stability of the Eating Disorder Examination-Questionnaire. Int J Eat Disord 36(2):195–203. https://doi.org/10.1002/eat.20017

    Article  PubMed  Google Scholar 

  30. Peterson C, Crosby R, Wonderlich S, Joiner T, Crow S, Mitchell J et al (2007) Psychometric properties of the eating disorder examination-questionnaire: factor structure and internal consistency. Int J Eat Disord 40(4):386–389

    PubMed  Google Scholar 

  31. Carter J, Stewart D, Fairburn C (2001) Eating disorder examination questionnaire: norms for young adolescent girls. Behav Res Ther 39(5):625–632. https://doi.org/10.1016/S0005-7967(00)00033-4

    Article  CAS  PubMed  Google Scholar 

  32. Mond J, Hay P, Rodgers B, Owen C (2006) Eating Disorder Examination Questionnaire (EDE-Q): norms for young adult women. Behav Res Ther 44:53–62. https://doi.org/10.1016/j.brat.2004.12.003

    Article  CAS  PubMed  Google Scholar 

  33. Berg K, Peterson C, Frazier P, Crow S (2012) Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature. Int J Eat Disord 45:428–438. https://doi.org/10.1002/eat.20931

    Article  PubMed  Google Scholar 

  34. Ben-Porath Y (2012) Interpreting the MMPI-2-RF. University of Minnesota Press, Minneapolis

    Google Scholar 

  35. Weigel A, Kohlmann S, Löwe B (2019) Severity of somatic symptoms in outpatients with anorexia and bulimia nervosa. Eur Eat Disord Rev 27(2):195–204. https://doi.org/10.1002/erv.2643

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

Yossef Ben-Porath, Ph.D., is a paid consultant to the MMPI-2-RF publisher, the University of Minnesota Press, and distributor, Pearson Assessments. He receives royalties on sales of MMPI-2-RF materials and research grants from the MMPI-2-RF publisher.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Katy W. Martin-Fernandez.

Ethics declarations

Conflict of interest

Katy W. Martin-Fernandez, M.A., declares that she has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee (Kent State University Institutional Review Board in coordination with the Office of Research Compliance) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Human and animal rights

This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of topical collection on personality and eating and weight disorders.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Martin-Fernandez, K.W., Ben-Porath, Y.S. Associations among eating disorder symptoms and the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) in college students. Eat Weight Disord 25, 1311–1320 (2020). https://doi.org/10.1007/s40519-019-00764-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40519-019-00764-y

Keywords

Navigation