Perfectionism in anorexia nervosa

Bastiani, Matteo; Rao, R. Govinda; Weltzin, Theodore E.; Kaye, Walter H.

doi:10.1002/1098-108x(199503)17:2<147::aid-eat2260170207>3.0.co;2-x

Cited by 266 publications

(198 citation statements)

References 10 publications

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“…Case control studies showed elevated levels of perfectionism among patients with anorexia nervosa (Bastiani, Rao, Welzin, & Kaye, 1995;Pike et al, 2008), bulimia nervosa (Lilenfeld et al, 2000), and binge eating disorder (StriegelMoore, Fairburn, Wilfley, Pike, Dohm, & Kraemer, 2005) Or is only EC perfectionism uniquely associated with ED symptoms? Research found support for an elevation in both PS and EC perfectionism in anorexia nervosa (Bastiani et al, 1995) and bulimia nervosa (Lilenfeld et al, 2000) compared to healthy controls. Also, some studies in community samples did not show a clear distinction between PS and EC perfectionism in terms of their associations with ED symptoms (e.g.…”

Section: Perfectionism and Eating Disorder Symptomsmentioning

confidence: 99%

Perfectionism, Body Dissatisfaction, and Bulimic Symptoms: The Intervening Role of Perceived Pressure to be Thin and Thin Ideal Internalization

Boone¹,

Soenens²,

Braet³

2011

Journal of Social and Clinical Psychology

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Mounting evidence suggests that perfectionism contributes to the development and maintenance of eating disorder (ED) symptoms. Research adopting a multidimensional conceptualization of perfectionism has shown evaluative concerns (EC) perfectionism to be more strongly associated with ED pathology compared to personal standards (PS) perfectionism. However, less research has addressed the underlying mechanisms accounting for these relations. Based on the sociocultural theory, the aim of this study was to examine perceived pressure to be thin and thin ideal internalization as intervening variables through which PS and EC perfectionism could relate to body dissatisfaction and bulimic symptoms. A total of 559 adolescents (59% female; mean age = 13.9 years) participated in a three-wave longitudinal study. Structural equation modeling (SEM) analyses showed that EC perfectionism and PS perfectionism were related differentially to the intervening variables, with EC perfectionism being primarily related to perceived pressure to be thin and with PS perfectionism being primarily related to thin ideal internalization. Further, whereas EC perfectionism was related to increases in bulimic symptoms both directly and indirectly, PS perfectionism was only indirectly related to body dissatisfaction and bulimic symptoms through the sociocultural variables.

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Section: Perfectionism and Eating Disorder Symptomsmentioning

confidence: 99%

Perfectionism, Body Dissatisfaction, and Bulimic Symptoms: The Intervening Role of Perceived Pressure to be Thin and Thin Ideal Internalization

Boone¹,

Soenens²,

Braet³

2011

Journal of Social and Clinical Psychology

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“…Someone with this diagnosis is frequently constrained, conforming, obsessional, rigid, and perfectionistic" (p. S69). To demonstrate, we present a vignette of an individual with AN ( Figure 2) drawn from an historical account from 1866 (cited in Brumberg, 1988) to highlight features extensively documented in AN both premorbidly and following weight restoration: cognitive and behavioral rigidity (Anderluh et al, 2003;, perfectionism (Bastiani, Rao, Weltzin, & Kaye, 1995;Bulik et al, 2003;Halmi et al, 2000;Woodside et al, 2002), social withdrawal (Diaz-Marsa, Carrasco, & Saiz, 2000; I. C. Gillberg et al, 1995;Godart et al, 2004;Holliday, Uher, Landau, Collier, & Treasure, 2006;Karwautz, Troop, Rabe-Hesketh, Collier, & Treasure, 2003;Kaye et al, 2004), constriction (Geller, Cockell, Hewitt, Goldner, & Flett, 2000), and harm avoidance (Diaz-Marsa et al, 2000;Klump et al, 2000Klump et al, , 2004. In fact, the reliable presentation of this behavioral and personality cluster has been demonstrated to add to the incremental validity of diagnostic accuracy (Westen & Harnden-Fischer, 2001).…”

Section: Overview Of the Phenotypic Expression Of Anmentioning

confidence: 99%

Anorexia nervosa and autism spectrum disorders: Guided investigation of social cognitive endophenotypes.

Zucker¹,

Losh²,

Bulik³

et al. 2007

Psychological Bulletin

247

210

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Death by suicide occurs in a disproportionate percentage of individuals with anorexia nervosa (AN), with a standardized mortality ratio indicating a 57-fold greater risk of death from suicide relative to an age-matched cohort. Longitudinal studies indicate impaired social functioning increases risk for fatal outcomes, while social impairment persists following recovery. Study of social cognition in AN may elucidate impaired processes that may influence therapeutic efficacy. Symptoms of autism spectrum disorders (ASD) are overrepresented in those who evidence a chronic course. Relative to that in AN, social information processing in ASD is well characterized and may inform systematic study in AN. This article (a) reviews impaired interpersonal processes in AN, (b) compares the phenotype of AN with that of ASD, (c) highlights deficits of social cognitive disturbance in ASD relative to AN, and (d) proposes a new framework to understand the interaction of individuals with AN with their social context.Keywords: anorexia nervosa, social cognition, autism, interpersonal functioning, eating disorders Individuals with anorexia nervosa (AN) have a nearly 12-fold greater risk of death from all causes and a 57-fold greater risk of death from suicide relative to their age-matched peers (Keel et al., 2003). Such troubling statistics speak to the incapacitating, perplexing, and isolating nature of AN, a severe psychiatric illness that negatively impacts the biological, emotional, and psychosocial functioning of both the affected individual and her or his family (Harris & Barraclough, 1998;Treasure, Whitaker, Whitney, & Schmidt, 2005). In fact, AN exacts a toll on the family reported to exceed that experienced by families with a child with a severe psychiatric disorder such as schizophrenia . Although guiding epidemiologic data are currently lacking, there has been increasing concern regarding several notable trends: (a) an upsurge of AN in both younger and older ages than has been previously reported Johnson, Cohen, Kasen, & Brook, 2006;Marcus & Kalarchian, 2003), (b) increased incidence in minority groups hitherto thought protected (Decaluwe, Braet, & Fairburn, 2003;Tanofsky-Kraff et al., 2003), and (c) recent published reports of extensive illness burden among family members Treasure, Whitaker, Whitney, & Schmidt, 2005;Whitney & Eisler, 2005). Such patterns highlight the broad impact of these illnesses and underscore the urgency of alternative approaches to illness management.While advances have been made in the treatment of adolescents with a relatively short duration of illness (Lock & le Grange, 2005), progress in the treatment of adults with AN remains limited, at best (W. S. Agras et al., 2004;Kaplan, 2002). Of note, a report issued by the National Institute of Mental Health (W. S. Agras et al., 2004) emphasized the absence of innovative treatment approaches over the past several decades. This conclusion was recently echoed in an evidence-based review calling for novel intervention strategies that target core biological...

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“…37 Further, individuals who have recovered from eating disorders (both AN and BN) are more likely to manifest perfectionism than controls. [38][39][40][41] Moreover, perfectionism and related personality traits are relatively common in family members of individuals with eating disorders. 24,42,43 Recent research has also identified an association between eating disorder symptoms and specific components of perfectionism, namely, tendencies to interpret mistakes as failures (i.e., Concern over Mistakes [CM]) and to doubt one's ability to accomplish tasks (i.e., Doubts about Actions [DA]).…”

Section: Perfectionism and Ppd Among Women With Eating Disordersmentioning

confidence: 99%

Associations among postpartum depression, eating disorders, and perfectionism in a population‐based sample of adult women

Mazzeo

Landt²,

Jones

et al. 2006

Intl J Eating Disorders

100

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Objective: The current study investigated associations among eating disorders, depressive symptoms during pregnancy and postpartum, and perfectionism in a population-based sample of women.Method: Females who reported !1 pregnancy (N ¼ 1,119) completed questionnaires assessing perfectionism, eating disorder symptomatology, and depression during pregnancy and postpartum. Information regarding participants' history of major depressive disorder (MDD) was also available from structured psychiatric interviews completed during a previous wave of data collection.Results: Depressive symptoms during pregnancy and postpartum were high among women with a history of eating disorders. Both binge eating disorder (BED) and bulimia nervosa (BN) were positively associated with symptoms of postpartum depression (PPD), even when lifetime MDD was controlled. However, logistic regression indicated that women with a history of BN and BED are at particular risk of developing PPD symptomatology. Linear regression analyses conducted with the subset of the sample who endorsed a PPD screening item suggested that the severity of PPD symptomatology may be attributable to Concern Over Mistakes, a specific aspect of perfectionism. Conclusion:These results highlight the importance of assessing specific features of perfectionism. In addition, they suggest that women with BN, BED, or high Concern over Mistakes may be at particular risk of developing PPD symptoms, and could benefit from prenatal screening. V V C 2006 by Wiley Periodicals, Inc.

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Perfectionism in anorexia nervosa

Cited by 266 publications

References 10 publications

Perfectionism, Body Dissatisfaction, and Bulimic Symptoms: The Intervening Role of Perceived Pressure to be Thin and Thin Ideal Internalization

Perfectionism, Body Dissatisfaction, and Bulimic Symptoms: The Intervening Role of Perceived Pressure to be Thin and Thin Ideal Internalization

Anorexia nervosa and autism spectrum disorders: Guided investigation of social cognitive endophenotypes.

Associations among postpartum depression, eating disorders, and perfectionism in a population‐based sample of adult women

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