Perfectionism, weight and shape concerns, and low self-esteem: Testing a model to predict bulimic symptoms

Mela, Carmelo La; Maglietta, Marzio; Caini, Saverio; Casu, G; Lucarelli, Stefano; Mori, Sara; Ruggiero, Giovanni Maria

doi:10.1016/j.eatbeh.2015.09.002

Cited by 14 publications

(9 citation statements)

References 35 publications

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“…For example, Bardone et al ( 2000 ) highlight an interactive model implicating high perfectionism, low self-esteem, and body dissatisfaction in the onset and maintenance of bulimic symptoms. Contrary to their hypotheses, La Mela and colleagues ( 2015 ) did not find confirmation that the relationship between weight and shape concerns, and binge episodes was mediated by any dimensions of perfectionism and moderated by low levels of self-esteem. The validity of the interactive model remains controversial, and may be limited by an inadequate conceptualization of the perfectionism construct.…”

Section: Introductionmentioning

confidence: 74%

Identifying predictors associated with the severity of eating concerns in females with eating disorders

Cella

Cipriano

Iannaccone

et al. 2017

ResPsy

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Considering how to improve efficacy of therapeutic strategies, the overall objective of the present study was to investigate the extent of eating concerns and to identify predictors associated with the severity of disordered eating symptomatology among people with eating pathologies. We screened 80 female eating disordered patients, ranging from 13 to 40 years, by means of self-report measures of parental behavior as perceived by the offspring, self-esteem, perfectionism, body shame and eating disorder severity. Self-reported weight and height were obtained. The diagnosis of bulimia nervosa resulted to be associated with a greater severity of the eating symptomatology. Maladaptive perfectionism, body shame and self-esteem, significantly predicted the level of eating concerns. The recognition of potential maintaining factors may support the choice of particular therapeutic strategies to improve the treatment of eating pathologies and their outcomes.

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Section: Introductionmentioning

confidence: 74%

Identifying predictors associated with the severity of eating concerns in females with eating disorders

Cella

Cipriano

Iannaccone

et al. 2017

ResPsy

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“…Perfectionistic women with high self-esteem tended to engage in adaptive weight control behaviors, whereas perfectionistic women with low self-esteem tended to engage in more maladaptive behaviors to control their weight. However, subsequent research has not always found support for this model [ 21 ]. In their study of adolescent girls followed prospectively over 1 year, Shaw, Stice, and Springer [ 22 ] also did not find this interaction effect to be statistically significant.…”

Section: Introductionmentioning

confidence: 99%

An examination of risk factors that moderate the body dissatisfaction-eating pathology relationship among New Zealand adolescent girls

2018

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BackgroundEating disorders (EDs) and their subclinical variants are important health concerns for adolescent girls, and body dissatisfaction is a more common yet often debilitating experience that typically precedes the development of an ED. Despite this fact, little is known about what makes girls who are dissatisfied with their bodies more likely to engage in pathological eating behaviors. The present study explored eating pathology among a sample of adolescent girls from New Zealand and examined a variety of established risk factors that may moderate the relationship between body dissatisfaction (BD) and eating pathology.MethodsAdolescent girls aged between 14 and 18 (N = 231) completed questionnaires assessing eating pathology, BD, negative affect, perfectionism, self-esteem, teasing and sociocultural pressure. Regression analyses tested for moderator effects to examine which variables moderated the relationship between BD and eating pathology.ResultsThe analyses indicated that high levels of socially prescribed and self-oriented perfectionism, negative affect, perceived pressure from the media, and low levels of self-esteem all strengthened the relationship between BD and eating pathology.ConclusionsThe results highlight potential factors that may make adolescent girls who are dissatisfied with their bodies more susceptible to eating pathology.

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“…Despite the centrality of body image disturbances in models of risk and maintenance (e.g., Fairburn, Cooper, & Shafran, 2003; Stice, Gau, Rohde, & Shaw, 2017), and in diagnostic criteria for eating disorders (American Psychiatric Association, 2013), this construct remains relatively loosely conceptualised, with terms often used interchangeably, or captured under umbrella concepts, such as ‘weight and shape concerns’ (e.g., La Mela et al, 2015; Murphy, Dooley, Menton, & Dolphin, 2016). …”

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confidence: 99%

“…relatively loosely conceptualized, with terms often used interchangeably, or captured under umbrella concepts, such as "weight and shape concerns" (e.g., La Mela et al, 2015;Murphy, Dooley, Menton, & Dolphin, 2016).…”

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confidence: 99%

The relative importance of dissatisfaction, overvaluation and preoccupation with weight and shape for predicting onset of disordered eating behaviors and depressive symptoms over 15 years

Sharpe

Griffiths

Choo

et al. 2018

Intl J Eating Disorders

101

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Objective The aim of this study was to examine the relative importance of dissatisfaction, overvaluation and preoccupation with body weight and shape in predicting increases in disordered eating behaviours and depressive symptoms from adolescence through to early adulthood. Method The study involved 1,830 participants (60% female) who completed the Project EAT survey during adolescence (mean age = 14.90 years, SD = 1.65 years) and again, 15 years later, in early adulthood. Participants provided assessments of dissatisfaction, overvaluation and preoccupation with weight and shape, as well as disordered eating and depressive symptoms at both time points. Results The three aspects of body image had distinct patterns of association with the outcomes both concurrently and longitudinally. Dissatisfaction predicted depressive symptoms as well as a wide range of disordered eating outcomes, including dieting, unhealthy weight control behaviours (UWCBs), and binge eating, particularly in female participants. Preoccupation was associated with all of these disordered eating behaviours (but not with depressive symptoms) and was notably the strongest predictor of dieting and UWCBs in female participants. Overvaluation was associated with both disordered eating and depressive symptoms, although typically was a less potent predictor of difficulties than the other aspects of body image. Discussion Dissatisfaction, overvaluation and preoccupation are related but make distinct contributions to clinically significant outcomes. Models of eating disorders should move beyond focusing exclusively on dissatisfaction or overvaluation towards a broader conceptualisation of body image. Findings from the current study particularly suggest the importance of considering preoccupation with weight and shape.

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Perfectionism, weight and shape concerns, and low self-esteem: Testing a model to predict bulimic symptoms

Cited by 14 publications

References 35 publications

Identifying predictors associated with the severity of eating concerns in females with eating disorders

Identifying predictors associated with the severity of eating concerns in females with eating disorders

An examination of risk factors that moderate the body dissatisfaction-eating pathology relationship among New Zealand adolescent girls

The relative importance of dissatisfaction, overvaluation and preoccupation with weight and shape for predicting onset of disordered eating behaviors and depressive symptoms over 15 years

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