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Journal of Eating Disorders

Open Access

Dissecting the relationship between childhood abuse, personality traits and genetic markers in eating disorders using a discordant sister-pair design

  • Isabel Krug1Email author,
  • Matthew Fuller-Tyszkiewicz2,
  • Nadia Micali3,
  • Emma Taborelli3,
  • Marija Anderluh4,
  • Fernando Fernandez-Aranda5,
  • Kate Tchanturia6,
  • Andreas Karwautz7,
  • Gudrun Wagner7,
  • David Collier6 and
  • Janet Treasure6
Journal of Eating Disorders20131(Suppl 1):O69

Published: 14 November 2013


Candidate GeneSexual AbusePersonality TraitChildhood AbuseEating Disorder


To evaluate the profile of genetic markers, childhood abuse and personality in eating disorders (EDs) and compare this to the profiles found in their healthy sisters. Gene environment interactions (G*E) were also assessed for sexual abuse and various candidate genes.


Participants were 147 discordant sister pairs (total of 297 participants) for EDs. The semi-structured EATATE interview [designed to assess ED symptomatology and obsessive-compulsive personality traits (OCPD)], the Temperament and Character Inventory (TCI-R) and the Oxford Risk Factor Interview (ORFI) were used. DNA was also collected and three candidate genes (5-HT2A, BDNF and 5-HTTLPR) were genotyped.


ED patients presented with significantly more adulthood OCPD traits, higher levels of harm-avoidance and lower levels of self-directedness and cooperativeness than their healthy sisters (p<.01).Compared to the sisters, the ED group revealed more significant associations between different personality measures and the candidate genes 5-HTTLPR and 5-HT2A (p<.05). Sexual abuse also occurred more commonly in the ED group compared to the sisters. The only personality traits associated with sexual abuse were adulthood OCPD traits (p <.05). Finally, for the G*E interaction effects, even though no significant results were obtained for either of the 3 candidate genes, the likelihood of an ED increased by roughly 4.5 times for those patients with the presence of the LS-5-HTTLPR genotype and sexual abuse.


Our findings indicate that EDs are complex genetic disorders of multi-factorial aetiology, where liability may result from the accumulation of psychosocial risk factors that trigger the illness in genetically vulnerable individuals.

This abstract was presented in the Understanding and Treating Eating Pathology stream of the 2013 ANZAED Conference.

Authors’ Affiliations

University of Melbourne, Australia
Deakin University, Australia
University College London, UK
University Medical Centre Ljubliana, Slovenia
University Hospital Bellvitg, Spain
King’s College London, UK
University of Vienna, Austria


© Krug et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.