Intolerance of uncertainty and maladaptive perfectionism as maintenance factors for eating disorders and obsessive‐compulsive disorder symptoms

Williams, Brenna M.; Levinson, Cheri A.

doi:10.1002/erv.2807

Cited by 21 publications

(17 citation statements)

References 62 publications

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“…Um estudo (Adler, Brown, Shott, Swindle, & Frank, 2021) fez a comparação de grupo restritivo de TA (AN e BN) com diagnóstico de transtorno vigente, versus grupo controle saudável. Três estudos (Reilly, Perry, Brown, Wierenga & Kaye, 2020;Vuillier, May, Greville-Harris, Surman & Moseley., 2021;Williams & Levinson, 2020) utilizaram amostras de pacientes com TA no geral, sem diferenciar os grupos como AN, BN, compulsão alimentar, por exemplo.…”

Section: Resultsunclassified

“…Três estudos (Konstantellou et al, 2019;Konstantellou et al, 2021;Sternheim et al, 2020) foram realizados com pacientes ambulatoriais. Os demais (Brosof et al, 2019;Clarke & Kiropoulos, 2021;Gárriz et al, 2020;Kesby et al, 2019;Kothari et al, 2019;Scharmer et al, 2020, Schlegl et al, 2020Vuillier et al, 2021;Williams & Levinson, 2020) foram realizados com amostra de universitários e indivíduos que não estavam associados a algum serviço específico para TA.…”

Section: Resultsunclassified

“…Fatores ambientais estressores, como a ocorrência do isolamento social devido à pandemia pelo Covid-19, intensificam a associação existente entre intolerância à incerteza e transtornos alimentares. Personalidade São traços comuns em pessoas com altos níveis de II: "desejo de previsibilidade"; "rigidez cognitiva"; neuroticismo; transtorno de personalidade obsessivoc o m p u l s i v o ; p e r f e c c i o n i s m o desadaptativo; estilo evitativo de resolução de problemas sociais Konstantellou et al, 2019;Konstantellou et al, 2021;Reilly et al, 2020;Clarke & Kiropoulos, 2021;Gárriz et al, 2020;Brosof et al, 2019;Gárriz et al, 2020;Kothari et al, 2019;Williams & Levinson, 2020;Sternheim et al, 2020 Estressor ambiental "Pandemia pelo Covid-19" Na pandemia pessoas com altos níveis de II tiveram aumento nos escores de ansiedade; maior preocupação com a estética corporal e com alimentação; maior impulso para atividade física; sentiram aumento na intensidade de medo de ganhar peso e comer compulsivamente; houve piora na regulação emocional. Scharmer et al, 2020;Schlegl et al, 2020;Vuillier et al, 2021…”

Section: Considerações Finaisunclassified

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Intolerância à incerteza nos transtornos alimentares: revisão narrativa

Camargos

Santana²

2022

Revista INFAD de Psicología

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A intolerância à incerteza (II) refere-se às respostas cognitivas, comportamentais e emocionais a eventos experienciados como incertos, independentemente da probabilidade dos desfechos. Nos transtornos alimentares (TA) ainda há de ser esclarecida a distinção entre II específica ao transtorno, traço de II e quadro sintomatológico nos TA. O objetivo do estudo foi caracterizar a intolerância à incerteza nos TA. Na revisão narrativa foram buscados estudos publicados entre 2018 e 2021 nas bases PsychINFO, Web of Science e Google Acadêmico. A análise dos 15 artigos indicou associação entre II e restrição alimentar; sensação de “perda de controle”, alterações na imagem corporal e desregulação emocional. Não há associação com sintomas relacionados a exercícios físicos, compulsão alimentar ou purgação. São traços de personalidade relacionados à II: desejo de previsibilidade; rigidez; neuroticismo; traço obsessivo-compulsivo; perfeccionismo desadaptativo e estilo evitativo de resolução de problemas sociais. Sugere-se que a abordagem terapêutica específica para II tenha impacto em condições de risco de TA; no controle da resposta emocional que intensifica sintomas da patologia existente e na melhora clínica em quadros de comorbidade com transtornos de personalidade.

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Section: Resultsunclassified

Section: Considerações Finaisunclassified

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Intolerância à incerteza nos transtornos alimentares: revisão narrativa

Camargos

Santana²

2022

Revista INFAD de Psicología

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“…The increase in studies on maladaptive or negative perfectionism may be supported by the fact that it is a risk factor for mental disorders such as suicidal ideation, depression and anxiety ( 12 ). According to international data, it is estimated that a high percentage of patients diagnosed with psychiatric disorders present characteristics of maladaptive perfectionism ( 13 , 14 ).…”

Section: Introductionmentioning

confidence: 99%

Mediating Mechanisms of Perfectionism: Clinical Comorbidity of OCD and ED

et al. 2022

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Obsessive-compulsive disorder (OCD) and eating disorders (ED) share common causal factors and often represent similar entities. Studies on obsessive-compulsive disorders and eating disorders reveal a significant correlation between maladaptive perfectionism. The objective of this study is to evaluate the predictive variables of perfectionism in patients diagnosed with Anorexia Nervosa (AN), Bulimia Nervosa (BN) and OCD using a structural equation model (SEM). The sample consisted of 187 participants (60.9% women, 39.1% men) with a mean age of 26.68 (SD = 10.97). The findings reveal that the model is the same in all the disorders evaluated, achieving an adequate fit: χ2 = 7.95 (p = 0.000), RMSEA = 0.087 (95% confidence interval: 0.00 to 0.02), CFI = 0.991, TLI = 0.951 and with an overall predictive capacity of around 30% (CD = 0.318). It is recommended that future studies address the subtypes of disorders evaluated using longitudinal designs.

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“…Perfectionism seems to handicap the mental healthy, quality of life and happiness of individual (Hill et al, 2010). Many studies have shown that perfectionism is linked to mental illness, such as anxiety, depression, obsessive-compulsive disorder, and eating disorders (Frost and Steketee, 1997;Bardone-Cone et al, 2007;Williams and Levinson, 2020). There was also a high correlation with suicide (Hewitt et al, 1992).…”

Section: Introductionmentioning

confidence: 99%

The Mediating Effect of Social Problem-Solving Between Perfectionism and Subjective Well-Being

2021

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This study examined the relationship between perfectionism and subjective well-being (SWB) and dimensions of social problem-solving ability. The Almost Perfect Scale-Revised (APS-R), Social problem-solving Inventory-Revised (SPSI-R) and Satisfaction with Life Scale (SWLS) were used to conduct a questionnaire survey of 202 Chinese adults. The results found that: (1) Subjective well-being was significantly negatively correlated with the discrepancy dimension of perfectionism and was also significantly negatively correlated with the negative problem orientation of social problem-solving. (2) The discrepancy dimension reflected in maladaptive perfectionism was significantly positively correlated with the negative aspects of social problem solving (Negative Problem Orientation, NPO; Impulsivity-Carelessness Style, ICS; and Avoidance Style, AS). (3) The negative problem orientation (NPO) dimension in SPSI-R, as a partial mediator, mediated the negative correlation between maladaptive perfectionism and subjective well-being. In conclusion, perfectionism and social problem-solving ability had different degrees of influence on the SWB of Chinese adults, and attention could be paid to dealing with discrepancy and how to reduce negative problem-solving tendency in education and clinical practice.

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Intolerance of uncertainty and maladaptive perfectionism as maintenance factors for eating disorders and obsessive‐compulsive disorder symptoms

Cited by 21 publications

References 62 publications

Intolerância à incerteza nos transtornos alimentares: revisão narrativa

Intolerância à incerteza nos transtornos alimentares: revisão narrativa

Mediating Mechanisms of Perfectionism: Clinical Comorbidity of OCD and ED

The Mediating Effect of Social Problem-Solving Between Perfectionism and Subjective Well-Being

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