Perfectionism, Body Dissatisfaction, And Self-esteem: An Interactive Model of Bulimic Symptom Development

Vohs, Kathleen D.; Voelz, Zachary R.; Pettit, Jeremy W.; Bardone, Anna M.; Katz, Jennifer; Abramson, Lyn Y.; Heatherton, Todd F.; Joiner, Thomas E.

doi:10.1521/jscp.20.4.476.22397

Cited by 116 publications

(102 citation statements)

References 39 publications

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“…13 Both low SE and body dissatisfaction have been found to correlate with higher levels of unhealthy weightcontrol behaviors and to increase the risk of developing eating disorders in adolescence. 14 The contribution of both perfectionism and SE to eating disorders has also been studied, 15 revealing that the confluence of perfectionism, body dissatisfaction, and low SE promotes development of bulimic symptoms. Specifically, perfectionists with low SE who are dissatisfied with their bodies are more likely to binge eat because they doubt their ability to lose weight, which results in negative affect and consequent increased risk of binge eating.…”

Section: Introductionmentioning

confidence: 99%

Eating behaviors, body image, perfectionism, and self-esteem in a sample of Portuguese girls

Teixeira

Pereira

Marques

et al. 2016

Rev. Bras. Psiquiatr.

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Objective: Eating disorders are an increasingly prevalent health problem among adolescent girls. It is well known that biological, psychosocial, and family-related factors interact in the development of this group of disorders. However, the mechanisms underlying the interaction between these variables are still poorly understood, especially in Portuguese adolescents. The aim of this study was to investigate the relationship between eating behaviors, body dissatisfaction, self-esteem, and perfectionism in a sample of Portuguese girls. Method: A community sample of 575 Portuguese girls attending secondary school, answered selfreport questionnaires including data on weight, height, and the Portuguese versions of the Contour Figures Rating Scale, the Child and Adolescent Perfectionism Scale, the Children Eating Attitudes Test, and the Rosenberg Self-Esteem Scale. SPSS version 20.0 for Windows was used for statistical analyses.Results: High scores in the Children Eating Attitudes Test were associated with significantly higher levels of body dissatisfaction (r = 0.339), socially prescribed perfectionism (r = 0.175), self-oriented perfectionism (r = 0.211), and low self-esteem (r = -0.292) (all p o 0.001). Self-oriented perfectionism partially mediated the relation between body dissatisfaction and disordered eating behaviors. Conclusion: In this sample, dysfunctional eating behaviors appeared to correlate strongly with body dissatisfaction, low self-esteem, and perfectionism in girls. These themes should be addressed among female adolescents in the community.

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Section: Introductionmentioning

confidence: 99%

Eating behaviors, body image, perfectionism, and self-esteem in a sample of Portuguese girls

Teixeira

Pereira

Marques

et al. 2016

Rev. Bras. Psiquiatr.

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“…Specifically, the combination of high perfectionism, low self-efficacy, and feeling overweight was associated prospectively with greater number of weeks of binge eating. Work on a related model using self-esteem in place of self-efficacy has also found support (Holm-Denoma et al, 2005;Vohs, Bardone, Joiner, Abramson, & Heatherton, 1999;Vohs et al, 2001). Two studies using self-esteem have not replicated these interactive findings (Shaw, Stice, & Springer, 2004;Steele, Corsini, & Wade, 2007).…”

Section: Introductionmentioning

confidence: 99%

Examining a psychosocial interactive model of binge eating and vomiting in women with bulimia nervosa and subthreshold bulimia nervosa

Bardone‐Cone

Joiner

Crosby

et al. 2008

Behaviour Research and Therapy

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The current study tested a psychosocial interactive model of perfectionism, self-efficacy, and weight/ shape concern within a sample of women with clinically significant bulimic symptoms, examining how different dimensions of perfectionism operated in the model. Individuals with bulimia nervosa (full diagnostic criteria or subthreshold) completed measures of bulimic symptoms, multidimensional perfectionism, self-efficacy, and weight/shape concern. Among those who were actively binge eating (n = 180), weight/shape concern was associated with binge eating frequency in the context of high perfectionism (either maladaptive or adaptive) and low self-efficacy. Among those who were actively vomiting (n = 169), weight/shape concern was associated with vomiting frequency only in the context of high adaptive perfectionism and low self-efficacy. These findings provide support for the value of this psychosocial interactive model among actively binge eating and purging samples and for the importance of considering different dimensions of perfectionism in research and treatment related to bulimia nervosa.

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“…Studies have found each of these variables to be predictive of the later onset of bulimia nervosa symptoms. 4,5 Thus, exposure to attractive faces or thin bodies (e.g., in magazines or on television) may confer the risk for eating disorder development in women, particularly if they tend to engage in social comparison. Studies such as these document an association between exposure to attractive others and bulimia-related symptoms such as body dissa-tisfaction, but many unanswered questions remain.…”

Section: Introductionmentioning

confidence: 99%

Evidence for attentional bias in women exhibiting bulimotypic symptoms

Maner

Holm‐Denoma

Orden

et al. 2006

Int. J. Eat. Disord.

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Objective: One of the defining features of bulimia is a pervasive tendency to focus on and evaluate one's own body. The extent to which bulimotypic symptoms are associated with biases in attention to other individuals in the social world is less well known. In the current study, we examined the relation between bulimotypic symptoms and biases in attention to other men and women.Method: A sample of undergraduate women performed a visual cueing task designed to assess attention to target faces varying in their gender and level of attractiveness.Results: Women with relatively high levels of bulimotypic symptomatology tended to dwell on attractive female faces, but not other faces. This attentional bias was not attributable to perfectionistic ideals, body dissatisfaction, or self-esteem. Conclusion

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Perfectionism, Body Dissatisfaction, And Self-esteem: An Interactive Model of Bulimic Symptom Development

Cited by 116 publications

References 39 publications

Eating behaviors, body image, perfectionism, and self-esteem in a sample of Portuguese girls

Eating behaviors, body image, perfectionism, and self-esteem in a sample of Portuguese girls

Examining a psychosocial interactive model of binge eating and vomiting in women with bulimia nervosa and subthreshold bulimia nervosa

Evidence for attentional bias in women exhibiting bulimotypic symptoms

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