Perfectionism is associated with higher eating disorder symptoms and lower remission in children and adolescents diagnosed with eating disorders

Johnston, J.; Shu, Chloe; Hoiles, Kimberley J.; Clarke, Patrick; Watson, Hunna J.; Dunlop, Patrick D.

doi:10.1016/j.eatbeh.2018.05.008

Cited by 46 publications

(35 citation statements)

References 35 publications

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“…Perfectionism has been implicated as a general risk factor in a wide range of psychopathologies in adolescents, including anxiety disorders, depression, suicidal ideation, obsessive compulsive disorder, and eating disorder symptomology (Boergers et al, 1998;Boone et al, 2010;Castro et al, 2004;Flett et al, 2011;Johnston et al, 2018;O'Connor et al, 2010;Soreni et al, 2014). As well as being a general risk factor for psychopathology, perfectionism has been implicated as a specific risk factor in eating disorders (Egan et al, 2011;Limburg et al, 2017;Shafran et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Structure and validity of the Clinical Perfectionism Questionnaire in female adolescents

Shu

O’Brien

Watson

et al. 2019

Behav. Cogn. Psychother.

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Background:Perfectionism is a transdiagnostic risk factor across psychopathology. The Clinical Perfectionism Questionnaire (CPQ) was developed to assess change in order to provide clinical utility, but currently the psychometric properties of the CPQ with adolescents is unknown.Aims:To assess the factor structure and construct validity of the CPQ in female adolescents.Method:The CPQ was administered to 267 females aged 14–19 years of age. Confirmatory factor analysis (CFA) was used to examine the validity of the two-factor model and a second-order factor model. Pearson correlations were used to evaluate the relationships between the CPQ and a wide range of measures of perfectionism, psychopathology and personality traits.Results:The study demonstrated internal consistency, construct validity and incremental validity of the CPQ in a sample of female adolescents. The CFA in the present study confirmed the two-factor model of the CPQ with Factor 1 relating to perfectionistic strivings and Factor 2 representing perfectionistic concerns. The second-order two factor model indicated no deterioration in fit.Conclusions:The two-factor model of the CPQ fits with the theoretical definition of clinical perfectionism where the over-dependence of self-worth on achievement and concern over mistakes are key elements. The CPQ is suitable for use with female adolescents in future research that seeks to better understand the role of perfectionism in the range of mental illnesses that impact youth.

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Section: Introductionmentioning

confidence: 99%

Structure and validity of the Clinical Perfectionism Questionnaire in female adolescents

Shu

O’Brien

Watson

et al. 2019

Behav. Cogn. Psychother.

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“…Although the research literature on EDs is characterized by certain inconclusiveness (Balottin et al, 2017) as well as specific trends (von Ranson, 2008), various investigators report selected factors shared by both anorexia nervosa (AN) and bulimia nervosa (BN) patients. Individuals with AN and BN are often characterized by: perfectionism and scrupulousness (Joiner et al, 1997; von Ranson, 2008; Forsén Mantilla et al, 2017; Johnston et al, 2018), negative core beliefs about food and eating (Cooper and Hunt, 1998), body dissatisfaction (Troisi et al, 2006; Blodgett Salafia et al, 2015), self-criticism and low SE (Forsén Mantilla et al, 2017), alienation, shyness and social withdrawal (Leonidas and Dos Santos, 2017), shame and guilt (Burney and Irwin, 2000; Keith et al, 2009; Duffy and Henkel, 2016), anxiety (Egan et al, 2013; Stewart et al, 2015), alexithymia (Montebarocci et al, 2006; Pace et al, 2015), and perception of worse forms of family functioning (FF) (Keery et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Family Functioning and Eating Disorders – The Mediating Role of Self-Esteem

et al. 2019

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The aim of the study was to measure whether people at increased risk for eating disorders (EDs) and people without an increased risk of EDs differ from each other in the assessment of family functioning (FF) and self-esteem (SE) dimensions. Moreover, the correlations between FF, EDs, and SE were verified, looking for the mediating role of SE in the context of the FF and EDs. The research was conducted on the group of 160 people aged from 18 to 47 years, including 74 people at increased risk for EDs. We used: The Family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve); The SCOFF Questionnaire; The Multidimensional Self-Esteem Inventory, MSEI. Analyses indicate that the compared groups differ significantly in terms of EDs, assessment of FF, and all components of SE, in such a way that people without an increased risk of EDs are characterized by a more positive assessment of FF and higher SE in all its dimensions. All SE dimensions, except defensive high SE, are mediators in the relationship of FF with EDs. In therapeutic interactions, it is worth focusing on the SE dimensions, as they are one of the mediation elements in the relationship between the assessment of FF and EDs.

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“…The authors concluded that in this subgroup of patients, it would be necessary to address these psychological characteristics to achieve a good outcome [61]. Several studies have highlighted that a higher level of perfectionism might be detrimental for disease duration and prognoses [62,63], also among children and adolescents with EDs [64,65]. Previous studies have shown that perfectionism predicts ED onset and maintaining [66].…”

Section: Perfectionsimmentioning

confidence: 99%

Risk and Maintenance Factors for Eating Disorders: An Exploration of Multivariate Models on Clinical and Non-Clinical Populations

Cella¹,

Iannaccone²,

Cipriano³

et al. 2020

Weight Management

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The recognition of factors involved in the development and maintenance of eating disorders (EDs) may support the choice of therapeutic strategies and improve the prevention/treatment of eating pathologies and their outcomes. Based on this consideration, the overall purpose of the chapter is to investigate how some psychological characteristics link to EDs. It is organized as follows. First, the epidemiological aspects, risk, and maintaining factors for ED are outlined. Next, we present the findings from our two studies. The purpose of the first study was to identify predictors associated with the severity of eating symptomatology. Then, the objective of the second study was to provide an understanding of the relationship among perceived parental bonding, self-esteem, perfectionism, body shame, body mass index, and ED risk and mainly to test a predictive ED risk model in a non-clinical sample. In conclusion, the major findings and practical implications are discussed.

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Perfectionism is associated with higher eating disorder symptoms and lower remission in children and adolescents diagnosed with eating disorders

Cited by 46 publications

References 35 publications

Structure and validity of the Clinical Perfectionism Questionnaire in female adolescents

Structure and validity of the Clinical Perfectionism Questionnaire in female adolescents

Assessment of Family Functioning and Eating Disorders – The Mediating Role of Self-Esteem

Risk and Maintenance Factors for Eating Disorders: An Exploration of Multivariate Models on Clinical and Non-Clinical Populations

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