Clinical perfectionism: a cognitive–behavioural analysis

Shafran, Roz; Cooper, Zafra; Fairburn, Christopher G.

doi:10.1016/s0005-7967(01)00059-6

Cited by 796 publications

(839 citation statements)

References 53 publications

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“…For instance, SC perfectionists typically strive for unrealistically high, almost utopian standards (Shafran et al, 2002), which increases the odds of failure (Blatt, 1995).…”

Section: Self-critical Perfectionism and Need Frustrationmentioning

confidence: 99%

“…Through these three mechanisms, SC perfectionists might get caught in a vicious cycle of self-defeating PERFECTIONISM AND PSYCHOLOGICAL NEED FRUSTRATION 22 overstriving in which they put themselves under constant pressure to perform well and to maintain a sense of self-esteem (Shafran et al, 2002).…”

Section: Self-critical Perfectionism and Psychological Need Frustrationmentioning

confidence: 99%

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Self-critical perfectionism and binge eating symptoms: A longitudinal test of the intervening role of psychological need frustration.

Boone¹,

Vansteenkiste²,

Soenens³

et al. 2014

Journal of Counseling Psychology

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Although abundant research has shown that self-critical perfectionism relates to binge eating symptoms, fewer studies have addressed the role of intervening processes that might explain why this is the case. Grounded in self-determination theory, we hypothesized that self-critical perfectionism would relate to an increased risk for binge eating symptoms because it engenders frustration of the psychological needs for autonomy, competence, and relatedness. This hypothesis was tested in a sample of 566 adolescents (72% female; mean age = 13.3 years) using a 3-wave longitudinal study with a 6-month interval. Structural equation modeling analyses showed that self-critical perfectionism related to increases in psychological need frustration which, in turn, predicted increases in binge eating symptoms. Structural relations were found to be equivalent for males and females. Theoretical and clinical implications of these findings are discussed.

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“…For instance, SC perfectionists typically strive for unrealistically high, almost utopian standards (Shafran et al, 2002), which increases the odds of failure (Blatt, 1995).…”

Section: Self-critical Perfectionism and Need Frustrationmentioning

confidence: 99%

Section: Self-critical Perfectionism and Psychological Need Frustrationmentioning

confidence: 99%

Self-critical perfectionism and binge eating symptoms: A longitudinal test of the intervening role of psychological need frustration.

Boone¹,

Vansteenkiste²,

Soenens³

et al. 2014

Journal of Counseling Psychology

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“…SPP and SOP overlap moderately (Hewitt & Flett, 1991), making it important to test whether SPP contributes to the PMOBE over and above SOP. Calls to return to an entirely self-oriented model of perfectionism (Shafran et al, 2002) also suggest a need to test whether there is a role for SPP beyond SOP.…”

Section: Hypotheses Derived From the Pmobementioning

confidence: 99%

“…Although connected with many forms of psychopathology, the unrealistic expectations, fear of others' scrutiny, and harsh selfcriticism that characterize perfectionism appear especially conducive to disordered eating (e.g., Bardone-Cone et al, 2007;Bruch, 1979;Shafran, Cooper, & Fairburn, 2002;Stice, 2002;Vohs, Bardone, Joiner, Abramson, & Heatherton, 1999). Perfectionism is salient before, during, and after episodes of disordered eating, suggesting it is an antecedent and a concomitant, but not an epiphenomenon or a consequence, of disordered eating (Joiner, Heatherton, Rudd, & Schmidt, 1997;D.…”

mentioning

confidence: 99%

The perfectionism model of binge eating: Tests of an integrative model.

Sherry¹,

Hall²

2009

Journal of Personality and Social Psychology

105

196

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This study proposes, tests, and supports the perfectionism model of binge eating (PMOBE), a model aimed at explaining why perfectionism is related to binge eating. According to this model, socially prescribed perfectionism (SPP) confers risk for binge eating by generating exposure to 4 triggers of binge episodes: interpersonal discrepancies, low interpersonal esteem, depressive affect, and dietary restraint. In testing the PMOBE, a daily diary was completed by 566 women for 7 days. Predictions derived from the PMOBE were supported, with tests of mediation suggesting that the indirect effect of SPP on binge eating through triggers of binge episodes was significant. Reciprocal relations were also observed, with certain triggers of binge episodes predicting binge eating (and vice versa). Results supported the incremental validity of the PMOBE over and above self-oriented perfectionism and neuroticism and the generalizability of this model across Asian and European Canadian participants. The PMOBE offers a novel view of individuals with high levels of SPP as active agents who raise their risk of binge eating by generating conditions in their daily lives that are conducive to binge episodes.

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“…The pervasive low self-esteem that often persists after recovery [16] is thought to lead to attempts to control shape and weight and similarly contribute to negative affect [13,17]. Despite adverse consequences, when clinical perfectionism or over-evaluation of striving for and achieving personally demanding standards [18] is present, it might encourage increased striving to achieve unrealistic high standards in the valued domain of shape and weight and foster dietary restraint [13,[18][19][20]. The final maintenance factor of mood intolerance (i.e.…”

Section: Introductionmentioning

confidence: 99%

Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: a multi-centre study

Dakanalis

Carrà

Calogero

et al. 2014

Eur Arch Psychiatry Clin Neurosci

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(2014) Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: A multi-centre study. European Archives of Psychiatry and Clinical Neuroscience, 265 (8 to the data, the CB-E model accounted for a greater proportion of variance in eating-disordered behaviours than the original one, (b) interpersonal problems, clinical perfectionism and low self-esteem were indirectly associated with dietary restraint through over-evaluation of shape and weight, (c) interpersonal problems and mood intolerance were directly linked to binge eating, whereas restraint only indirectly affected binge eating through mood intolerance, suggesting that factors other than restraint may play a more critical role in the maintenance of binge eating. In terms of strength of the associations, differences across DSM-5 bulimic-type eating disorder diagnostic groups were not observed. The results are discussed with reference to theory and research, including neurobiological findings and recent hypotheses.Keywords DSM-5 · Bulimic-type eating disorders · Binge eating · Maintenance factors · Cognitive-behavioural theory · Latent variable structural equation modelling Abstract The original cognitive-behavioural (CB) model of bulimia nervosa, which provided the basis for the widely used CB therapy, proposed that specific dysfunctional cognitions and behaviours maintain the disorder. However, amongst treatment completers, only 40-50 % have a full and lasting response. The enhanced CB model (CB-E), upon which the enhanced version of the CB treatment was based, extended the original approach by including four additional maintenance factors. This study evaluated and compared both CB models in a large clinical treatment seeking sample (N = 679), applying both DSM-IV and DSM-5 criteria for bulimic-type eating disorders. Application of the DSM-5 criteria reduced the number of cases of DSM-IV bulimic-type eating disorders not otherwise specified to 29.6 %. Structural equation modelling analysis indicated that (a) although both models provided a good fit Electronic supplementary material The online version of this article

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Clinical perfectionism: a cognitive–behavioural analysis

Cited by 796 publications

References 53 publications

Self-critical perfectionism and binge eating symptoms: A longitudinal test of the intervening role of psychological need frustration.

Self-critical perfectionism and binge eating symptoms: A longitudinal test of the intervening role of psychological need frustration.

The perfectionism model of binge eating: Tests of an integrative model.

Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: a multi-centre study

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