The Relation Between Eating Disorders and Components of Perfectionism

Bulik, Cynthia M.; Tozzi, Federica; Anderson, Charles B.; Mazzeo, Suzanne E.; Aggen, S. H.; Sullivan, Patrick F.

doi:10.1176/appi.ajp.160.2.366

Cited by 251 publications

(191 citation statements)

References 28 publications

(26 reference statements)

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“…Several studies have indicated that the facets of perfectionism are differentially related to eating pathology. 4,27,28 For example, previous studies have found that self-oriented perfectionism is related to anorexic symptoms, whereas socially prescribed perfectionism is related to disordered eating symptoms in general, including bulimic symptoms. 29 Instead of examining the association between different facets of perfectionism and eating disorders, this study examined the association between different facets of disordered eating and a more narrowly defined construct of perfectionism.…”

Section: Resultsmentioning

confidence: 99%

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Relationships between perfectionism and specific disordered eating behaviors

Forbush

Heatherton

Keel

2006

Intl J Eating Disorders

101

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Objective: Perfectionism has been reported as a specific risk factor for anorexia nervosa and bulimia nervosa, but not binge eating disorder. This study examined whether these differences are due to differential associations between perfectionism and specific eating disorder behaviors.Method: Participants (N ¼ 2,482) completed the eating disorders inventory perfectionism scale and a questionnaire assessing eating disorder symptoms.Results: Perfectionism was associated with an array of disordered eating behaviors in women. However, associations were strongest for fasting and purging. Further, the association between binge eating and perfectionism was statistically mediated by fasting. In men, perfectionism was significantly associated only with fasting, and this association was greater than associations with other disordered eating behaviors. Conclusion:Results explain why previous studies have reported weak or inconsistent associations between perfectionism and binge eating and may inform etiological models of EDNOS characterized by fasting or purging. V V C 2006 by Wiley Periodicals, Inc.

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Section: Resultsmentioning

confidence: 99%

“…[3][4][5][6] Perfectionism represents a precursor to, and a characteristic of, the acute phases of certain eating disorders. [7][8][9][10] Previous investigations have demonstrated that perfectionism persists after long-term weight recovery from anorexia nervosa (AN), and is present in relatives of women with eating disorders.…”

Section: Introductionmentioning

confidence: 99%

Relationships between perfectionism and specific disordered eating behaviors

Forbush

Heatherton

Keel

2006

Intl J Eating Disorders

101

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“…Self-oriented perfectionism has been related to ED characteristics such as BD, DT and diet [12]. Likewise, perfectionism has been found to be a predictor of BN [4]. In T1 regression analysis, the mother's perfectionism explained EDs when subclinical syndromes were included, but for more severe EDs (EDNOS), the significant variable was interoceptive awareness.…”

Section: Discussionmentioning

confidence: 99%

Influence of parent’s eating attitudes on eating disorders in school adolescents

Canals

Sancho

Arija

2009

Eur Child Adolesc Psychiatry

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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

Self Cite

248

211

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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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The Relation Between Eating Disorders and Components of Perfectionism

Abstract: The aspect of perfectionism captured by scores on a subscale measuring concern over mistakes may be particularly associated with eating disorders and not generically predictive of psychopathology.

Cited by 251 publications

References 28 publications

Relationships between perfectionism and specific disordered eating behaviors

Relationships between perfectionism and specific disordered eating behaviors

Influence of parent’s eating attitudes on eating disorders in school adolescents

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

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