A longitudinal study of perfectionism in adolescent onset anorexia nervosa‐restricting type

Nilsson, Karin; Sundbom, Elisabet; Hägglöf, Bruno

doi:10.1002/erv.850

Cited by 86 publications

(70 citation statements)

References 26 publications

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“…Personality traits mentioned by participants during interviews (introversion, withdrawal, preference for solitude, among others) support scientific literature, which suggests that the personality of women with AN is usually marked by traits of inferiority, inadequacy and insecurity, perfectionism, obsessiveness, compulsiveness, negative emotions, withdrawal and avoidance behaviors [3,4]. Women with BN, such as Heather, Caroline and Christy, usually show impulsive behaviors, histrionic traits and borderline personality disorder [7], and maladaptive thoughts and emotions, which often result in chaotic attitudes that undermine many aspects of life, such as studies, work and romantic relationships [17].…”

Section: Circumstances Prior To Edsupporting

confidence: 55%

“…Lowered self-esteem: Many authors [4,19] point out that the impairment of self-esteem is an outstanding feature of the mental functioning of women with ED. The analysis of the interviews corroborated the literature, since participants´ reports presented very significant traces of lowered self-esteem.…”

Section: Meanings Related To the Onset Of The Disordermentioning

confidence: 99%

“…Considering that participants´ dissatisfaction is not, at first, a dissatisfaction with the body itself, and that thinness is a social symbol of beauty and success [3,4,20], it is hypothesized that women with ED experience dissatisfaction with themselves in a broader sense, which seems to have been redirected to the body in an attempt to compensate for weakened psychic aspects or to get sense of control over themselves.…”

Section: Meanings Related To the Onset Of The Disordermentioning

confidence: 99%

“…AN may be characterized as a refusal of the individual to maintain appropriate body weight to their age and height, an intense fear of gaining weight and a significant disturbance in the perception of shape or size of the body, resulting in cachexia [1]. Regarding the aspects of personality of AN patient, several authors cite inferiority, inadequacy and insecurity, perfectionism, obsessiveness, compulsiveness, negative emotions, withdrawal and avoidance behaviors [3,4]. Cooper, Deepak, Grocutt and Bailey suggest that the experience of "feeling fat", intensely experienced by patients with ED, seems to be related to a combination of factors such as anxiety, internal and external bodily sensations, feelings rejection, social exclusion, and negative beliefs about themselves [5].…”

Section: Introductionmentioning

confidence: 99%

“…Then, the individual begins to live in relation to the diet, the concern about their weight and body shape, physical activities, calories´ tables and pathological fear of fat [4]. This kind of…”

Section: Introductionmentioning

confidence: 99%

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Emotional Meanings Assigned to Eating Disorders: Narratives of Women with Anorexia and Bulimia Nervosa

Santos¹

2017

Ann Nutr Disord & Ther

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This study aimed to investigate emotional meanings assigned to Eating Disorders (ED) through narratives of women affected with these psychopathological conditions. Participants were patients in a Brazilian service specialized in treatment of ED. A semi-structured interview was used for data collection. Recruitment continued until data saturation was reached. The verbatim transcription of interview data was analyzed through thematic content analysis, which was employed by two researchers. Results showed that, after the occurrence of ED, participants began to experience feelings of distress, anxiety and loneliness, which were related to lowered self-esteem and social isolation. Family dynamics was characterized as confrontational, but in contrast, was considered participants´ primary social support network. These data underlined that the emotional meanings attributed to ED need to be addressed and explored by health care professionals to gain a detailed understanding of patients' illness experiences.Keywords: Eating disorders; Narratives; Family obsessive thinking leads to a very strict discipline in performing diets, which success leads to feelings of control [6].In contrast, BN involves recurrent episodes of binge eating, feelings of loss of control over eating during the binge episodes, and recurrent inappropriate compensatory behaviors such as vomiting, use of laxatives, diuretics and metabolism stimulant medications, excessive physical exercises, among others [1]. The disorder is also associated with impulsive behaviors and comorbidities, such as histrionic personality disorder traits and borderline type [7,8], a floating self-esteem and maladaptive thoughts and emotions. It is common to find evidence of chaotic attitudes, not only regarding to eating habits, but also in other aspects of life such as studies, work and romantic relationships [8].The typical exaggeration of patients with BN usually occurs in the form of private and solitary acts, and configures an attack to cooking, to education and to moral behaviors, subverting biological needs of the hunger and contesting what is ethically and aesthetically accepted, as well as rules, uses, learning's and the social dimension of eating [8]. From brandished attacks, arise moral disapproval and shame experienced by individuals affected by these conditions.Regarding to psychological functioning, women with BN have a number of maladaptive thoughts and emotions regarding their eating habits and their body weight. Moreover, they also have unstable self-esteem and believe that a well-designed body would solve their problems of personal insecurity. To accomplish the idealized body, these women perform excessive diets, purging rituals and strenuous exercise. Thus, the desire to lose weight seem to be associated with personal disorganization, in which regulation and control over eating can be considered as an attempt to organize and stabilize the chaotic mental state [8].According Frosthlom [9], patients´ perception about their IntroductionAccording to DSM-V [...

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Section: Circumstances Prior To Edsupporting

confidence: 55%

Section: Meanings Related To the Onset Of The Disordermentioning

confidence: 99%

Section: Meanings Related To the Onset Of The Disordermentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Emotional Meanings Assigned to Eating Disorders: Narratives of Women with Anorexia and Bulimia Nervosa

Santos¹

2017

Ann Nutr Disord & Ther

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Perfectionism in patients with eating disorders: The role of metacognitive beliefs and repetitive negative thinking

Palmieri,

Sassaroli,

Ruggiero

et al. 2024

Clin Psychology and Psychoth

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IntroductionUsing the Self‐Regulatory Executive Function model as a basis, this study explored whether, in patients with eating disorders (EDs), metacognitions and repetitive negative thinking are associated with higher levels of perfectionisms.MethodsOne hundred twenty‐three outpatients with EDs were recruited. Perfectionism, metacognitive beliefs, worry, rumination, anger rumination, affective and eating symptoms were assessed. Correlation and hierarchal regression analyses were run.ResultsHigher endorsement of positive beliefs about worry was associated with higher levels of ‘personal standards perfectionism’. Higher endorsement of positive beliefs about worry, need to control thoughts, worry and rumination was associated with higher levels of ‘concern over mistakes perfectionism’.ConclusionsAmong patients with EDs, perfectionism appears to be associated with the endorsement of dysfunctional metacognitive beliefs, worry and rumination. Dysfunctional metacognitive beliefs and repetitive negative thinking could be suitable therapeutic targets to reduce the levels of perfectionism among patients with EDs.

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An examination of early childhood perfectionism across anorexia nervosa subtypes

Halmi

Bellace

Berthod

et al. 2012

Intl J Eating Disorders

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Objective To examine childhood perfectionism in anorexia nervosa (AN) restricting (RAN), purging (PAN), and binge eating with or without purging (BAN) subtypes. Method The EATATE, a retrospective assessment of childhood perfectionism, and the Eating Disorder Inventory (EDI-2) were administered to 728 AN participants. Results EATATE responses revealed General Childhood Perfectionism, 22.3% of 333 with RAN, 29.2% of 220 with PAN, and 24.8% of 116 with BAN; School Work Perfectionism, 31.2% with RAN, 30.4% with PAN, and 24.8% with BAN; Childhood Order and Symmetry, 18.7% with RAN, 21.7% with PAN, and 17.8% with BAN; and Global Childhood Rigidity, 42.6% with RAN, 48.3% with PAN and 48.1% with BAN. Perfectionism preceded the onset of AN in all subtypes. Significant associations between EDI-2 Drive for Thinness and Body Dissatisfaction were present with four EATATE subscales. Discussion Global Childhood Rigidity was the predominate feature that preceded all AN subtypes. This may be a risk factor for AN.

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A longitudinal study of perfectionism in adolescent onset anorexia nervosa‐restricting type

Cited by 86 publications

References 26 publications

Emotional Meanings Assigned to Eating Disorders: Narratives of Women with Anorexia and Bulimia Nervosa

Emotional Meanings Assigned to Eating Disorders: Narratives of Women with Anorexia and Bulimia Nervosa

Perfectionism in patients with eating disorders: The role of metacognitive beliefs and repetitive negative thinking

An examination of early childhood perfectionism across anorexia nervosa subtypes

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