Predictive model on perfectionism in female patients with eating disorders
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Publiée
2024-06-01
Mariana Valdez Aguilar
Jorge Armando Barriguete Meléndez
Ana Regina Perez Bustinzar
https://orcid.org/0000-0002-1414-422X
Résumé
Eating disorders are serious medical illnesses affecting multiple aspects of an individual’s life. Psychological factors such as perfectionism, body dissatisfaction, and emotional distress are commonly found in eating disorder patients. Understanding how some of these variables can predict eating disorders is crucial for developing effective interventions and prevention treatments. In this study, we aim to examine the relationship between perfectionism, body dissatisfaction, maturity fears, depression, and anxiety in a sample of Mexican patients with eating disorders. The sample was 335 women with an age range of 18 to 40 years (M = 21.73, S.D = 3.633). Patients answered two self-report questionnaires: Eating Disorder Inventory and the Hospital Anxiety and Depression Scale. Multiple linear regressions analysis was performed. The regression model for the dependent variable "perfectionism" explained 44% of the variance with a greater presence of body dissatisfaction, maturity fears, feelings of ineffectiveness, as well as greater anxiety symptoms and older age. We observed a significant increase in maladaptive perfectionism; this was attenuated in the presence of depression symptoms. In this sample, the greatest predictor of maladaptive perfectionism was maturity fears. These issues should be addressed among young people from the general population and carry out prevention and intervention programs related to eating disorders.
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Keywords
References
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Arcelus, J., Mitchell, A. J., & Wales, J. (2011). Mortality rates in patients with anorexia nervosa and other eating disorders: A meta-analysis of 36 studies. Archives of General Psychiatry, 68(7), 724-31. https://doi.org/10.1001/archgenpsychiatry.2011.74
Bardone-Cone, A. M., Wonderlich, S. A., Frost, R. O., Bulik, C. M., Mitchell, J. E., Uppala, S., & Simonich, H. (2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychology Review, 27(3), 384-405. https://doi.org/10.1016/j.cpr.2006.12.005
Barriguete Meléndez, J. A., Pérez Bustinzar, A. R., Vega Morales, R. I. de la, Barriguete Chávez Peón, P., & Rojo Moreno, L. (2017). Validación de la Escala Hospitalaria de Ansiedad y Depresión en población mexicana con trastorno de la conducta alimentaria. Revista mexicana de trastornos alimentarios, 8(2), 123-130.
Behar, A. R., Gramegna, S. G., & Arancibia, M. M. (2014). Perfeccionismo e insatisfacción corporal en los trastornos de la conducta alimentaria. Revista Chilena de Neuro-Psiquiatría, 52(2), 103-114. http://dx.doi.org/10.4067/S0717-92272014000200006
Bizeul, C., Brun, J. M., & Rigaud, D. (2003). Depression influences the EDI scores in anorexia nervosa patients. European Psychiatry, 18(3), 119–123.
https://doi.org/10.1016/s0924-9338(03)00033-6
Boone, L., Braet, C., Vandereycken, W., & Claes, L. (2013). Are maladaptive schema domains and perfectionism related to body image concerns in eating disorder patients? European Eating Disorders Review, 21(1), 45-51. https://doi.org/10.1002/erv.2175
Dahlenburg, S. C., Gleaves, D. H., & Hutchinson, A. D. (2019). Anorexia nervosa and perfectionism: A meta-analysis. International Journal of Eating Disorders, 52(3), 219-229.
https://doi.org/10.1002/eat.23009
Ernst, M., Werner, A. M., Tibubos, A. N., Beutel, M. E., de Zwaan, M., & Brähler, E. (2021). Gender-dependent associations of anxiety and depression symptoms with eating disorder psychopathology in a representative population sample. Frontiers in Psychiatry, 12.
https://doi.org/10.3389/fpsyt.2021.645654
Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2014). Self-criticism, perfectionism and eating disorders: The effect of depression and body dissatisfaction. International Journal of Psychology and Psychological Therapy, 14, 409-420.
Franco Paredes, K., Mancilla-Díaz, J. M., Vázquez-Arévalo, R., López-Aguilar, X., & Álvarez-Rayón, G. (2005). Perfectionism and eating disorders: A review of the literature. European Eating Disorders Review, 13(1), 61-70.
https://doi.org/10.1002/erv.605
Fitzgerald, E. H., Wick, M. R., & Keel, P. K. (2021). Enduring value of perfectionism and maturity fears for predicting eating disorder maintenance over 10-, 20-, and 30-year follow-up. International Journal of Eating Disorders, 54(3), 346–353. https://doi.org/10.1002/eat.23412
Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2(2), 15-34.
https://doi.org/10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6
Hay, P. (2020). Current approach to eating disorders: A clinical update. International Medicine Journal, 50, 24-29.
https://doi.org/10.1111/imj.14691
Hicks, R. E., Kenny, B., Stevenson, S., & Vanstone, D. M. (2022). Risk factors in body image dissatisfaction: Gender, maladaptive perfectionism, and psychological wellbeing. Heliyon, 8(6). https://doi.org/10.1016/j.heliyon.2022.e09745
Laporta-Herrero, I., Delgado, M. P., Rebollar, S., & Lahuerta, C. (2020). El perfeccionismo en adolescentes con trastornos de la conducta alimentaria. European Journal of Health Research, 6(1), 97.
https://doi.org/10.30552/ejhr.v6i1.205
Livazović, G., & Kuzmanović, K. (2022). Predicting adolescent perfectionism: The role of socio-demographic traits, personal relationships, and media. World Journal of Clinical Cases, 10(1), 189-204. https://doi.org/10.12998/wjcc.v10.i1.189
Mahoney, M. (2018). The mediating effect of body image, disordered eating, diet quality, and stress on the physical activity levels of undergraduate college women (Publication No. 1270) [Master's Thesis, University of Conneticut]. UConn Library.
Pérez-Bustinzar, A. R., Valdez-Aguilar M., Rojo Moreno, L., Radilla Vázquez, C. C., & Barriguete Meléndez, J. A. (2023). Influencias socioculturales sobre la imagen corporal en pacientes mujeres con trastornos alimentarios: Un modelo explicativo. Psychology, Society & Education, 15(2), 1-9.
https://doi.org/10.21071/pse.v15i2.15608
Sahle, B. W., Breslin, M., Sanderson, K., Patton, G., Dwyer, T., Venn, A., & Gall, S. (2019). Association between depression, anxiety, and weight change in young adults. BMC psychiatry, 19(1), 398. https://doi.org/10.1186/s12888-019-2385-z
Santoncini, C. U., Chapela, I. B., García, S. C., & Romo, A. C. (2006). Validación del Eating Disorder Inventory en una muestra de mujeres mexicanas con trastorno de la conducta alimentaria. Salud Mental, 29(2).
Stabouli, S., Erdine, S., Suurorg, L., Jankauskienė, A., & Lurbe, E. (2021). Obesity and eating disorders in children and adolescents: The bidirectional link. Nutrients, 13(12).
https://doi.org/10.3390/nu13124321
Stackpole, R., Greene, D., Bills, E., & Egan, S. J. (2023). The association between eating disorders and perfectionism in adults: A systematic review and meta-analysis. Eating Behaviors, 50. https://doi.org/10.1016/j.eatbeh.2023.101769
Striegel Weissman, R., & Rosselli, F. (2017). Reducing the burden of suffering from eating disorders: Unmet treatment needs, cost of illness, and the quest for cost-effectiveness. Behaviour Research and Therapy, 88, 49–64.
https://doi.org/10.1016/j.brat.2016.09.006
Suh, H., Kim, S., & Lee, D. (2021). Review of perfectionism research from 1990 to 2019 utilizing a text-mining approach. Review of General Psychology, 25(3), 283-303. https://doi.org/10.1177/10892680211018827
Ulfvebrand, S., Birgegård, A., Norring, C., Högdahl, L., & von Hausswolff-Juhlin, Y. (2015). Psychiatric comorbidity in women and men with eating disorders results from a large clinical database. Psychiatry Research, 230(2), 294–299.
https://doi.org/10.1016/j.psychres.2015.09.008
Vázquez-Arévalo, R., López-Aguilar, X., Álvarez-Rayon, G.L, Ocampo, Tellez-Giron M.T., y Mancilla Diaz, J.M. (2000). Eating disorders and associated factors in dance students. Psicologia Contemporánea, 7, 56-65.
Wick, M. R., Brown, T. A., Fitzgerald, E. H., & Keel, P. K. (2021). How changing life roles predict eating disorder pathology over 30-year follow-up. Journal of Abnormal Psychology, 130(4), 388-398. https://doi.org/10.1037/abn0000669
Williamson, D. A., Anderson, D. A., Jackman, L. P., & Jackson, S. R. (1995). Assessment of eating disordered thoughts, feelings, and behaviors. En D. B. Allison (Ed.), Handbook of assessment methods for eating behaviors and weight-related problems: Measures, theory, and research (pp. 347-386). Sage Publications, Inc.
Arcelus, J., Mitchell, A. J., & Wales, J. (2011). Mortality rates in patients with anorexia nervosa and other eating disorders: A meta-analysis of 36 studies. Archives of General Psychiatry, 68(7), 724-31. https://doi.org/10.1001/archgenpsychiatry.2011.74
Bardone-Cone, A. M., Wonderlich, S. A., Frost, R. O., Bulik, C. M., Mitchell, J. E., Uppala, S., & Simonich, H. (2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychology Review, 27(3), 384-405. https://doi.org/10.1016/j.cpr.2006.12.005
Barriguete Meléndez, J. A., Pérez Bustinzar, A. R., Vega Morales, R. I. de la, Barriguete Chávez Peón, P., & Rojo Moreno, L. (2017). Validación de la Escala Hospitalaria de Ansiedad y Depresión en población mexicana con trastorno de la conducta alimentaria. Revista mexicana de trastornos alimentarios, 8(2), 123-130.
Behar, A. R., Gramegna, S. G., & Arancibia, M. M. (2014). Perfeccionismo e insatisfacción corporal en los trastornos de la conducta alimentaria. Revista Chilena de Neuro-Psiquiatría, 52(2), 103-114. http://dx.doi.org/10.4067/S0717-92272014000200006
Bizeul, C., Brun, J. M., & Rigaud, D. (2003). Depression influences the EDI scores in anorexia nervosa patients. European Psychiatry, 18(3), 119–123.
https://doi.org/10.1016/s0924-9338(03)00033-6
Boone, L., Braet, C., Vandereycken, W., & Claes, L. (2013). Are maladaptive schema domains and perfectionism related to body image concerns in eating disorder patients? European Eating Disorders Review, 21(1), 45-51. https://doi.org/10.1002/erv.2175
Dahlenburg, S. C., Gleaves, D. H., & Hutchinson, A. D. (2019). Anorexia nervosa and perfectionism: A meta-analysis. International Journal of Eating Disorders, 52(3), 219-229.
https://doi.org/10.1002/eat.23009
Ernst, M., Werner, A. M., Tibubos, A. N., Beutel, M. E., de Zwaan, M., & Brähler, E. (2021). Gender-dependent associations of anxiety and depression symptoms with eating disorder psychopathology in a representative population sample. Frontiers in Psychiatry, 12.
https://doi.org/10.3389/fpsyt.2021.645654
Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2014). Self-criticism, perfectionism and eating disorders: The effect of depression and body dissatisfaction. International Journal of Psychology and Psychological Therapy, 14, 409-420.
Franco Paredes, K., Mancilla-Díaz, J. M., Vázquez-Arévalo, R., López-Aguilar, X., & Álvarez-Rayón, G. (2005). Perfectionism and eating disorders: A review of the literature. European Eating Disorders Review, 13(1), 61-70.
https://doi.org/10.1002/erv.605
Fitzgerald, E. H., Wick, M. R., & Keel, P. K. (2021). Enduring value of perfectionism and maturity fears for predicting eating disorder maintenance over 10-, 20-, and 30-year follow-up. International Journal of Eating Disorders, 54(3), 346–353. https://doi.org/10.1002/eat.23412
Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2(2), 15-34.
https://doi.org/10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6
Hay, P. (2020). Current approach to eating disorders: A clinical update. International Medicine Journal, 50, 24-29.
https://doi.org/10.1111/imj.14691
Hicks, R. E., Kenny, B., Stevenson, S., & Vanstone, D. M. (2022). Risk factors in body image dissatisfaction: Gender, maladaptive perfectionism, and psychological wellbeing. Heliyon, 8(6). https://doi.org/10.1016/j.heliyon.2022.e09745
Laporta-Herrero, I., Delgado, M. P., Rebollar, S., & Lahuerta, C. (2020). El perfeccionismo en adolescentes con trastornos de la conducta alimentaria. European Journal of Health Research, 6(1), 97.
https://doi.org/10.30552/ejhr.v6i1.205
Livazović, G., & Kuzmanović, K. (2022). Predicting adolescent perfectionism: The role of socio-demographic traits, personal relationships, and media. World Journal of Clinical Cases, 10(1), 189-204. https://doi.org/10.12998/wjcc.v10.i1.189
Mahoney, M. (2018). The mediating effect of body image, disordered eating, diet quality, and stress on the physical activity levels of undergraduate college women (Publication No. 1270) [Master's Thesis, University of Conneticut]. UConn Library.
Pérez-Bustinzar, A. R., Valdez-Aguilar M., Rojo Moreno, L., Radilla Vázquez, C. C., & Barriguete Meléndez, J. A. (2023). Influencias socioculturales sobre la imagen corporal en pacientes mujeres con trastornos alimentarios: Un modelo explicativo. Psychology, Society & Education, 15(2), 1-9.
https://doi.org/10.21071/pse.v15i2.15608
Sahle, B. W., Breslin, M., Sanderson, K., Patton, G., Dwyer, T., Venn, A., & Gall, S. (2019). Association between depression, anxiety, and weight change in young adults. BMC psychiatry, 19(1), 398. https://doi.org/10.1186/s12888-019-2385-z
Santoncini, C. U., Chapela, I. B., García, S. C., & Romo, A. C. (2006). Validación del Eating Disorder Inventory en una muestra de mujeres mexicanas con trastorno de la conducta alimentaria. Salud Mental, 29(2).
Stabouli, S., Erdine, S., Suurorg, L., Jankauskienė, A., & Lurbe, E. (2021). Obesity and eating disorders in children and adolescents: The bidirectional link. Nutrients, 13(12).
https://doi.org/10.3390/nu13124321
Stackpole, R., Greene, D., Bills, E., & Egan, S. J. (2023). The association between eating disorders and perfectionism in adults: A systematic review and meta-analysis. Eating Behaviors, 50. https://doi.org/10.1016/j.eatbeh.2023.101769
Striegel Weissman, R., & Rosselli, F. (2017). Reducing the burden of suffering from eating disorders: Unmet treatment needs, cost of illness, and the quest for cost-effectiveness. Behaviour Research and Therapy, 88, 49–64.
https://doi.org/10.1016/j.brat.2016.09.006
Suh, H., Kim, S., & Lee, D. (2021). Review of perfectionism research from 1990 to 2019 utilizing a text-mining approach. Review of General Psychology, 25(3), 283-303. https://doi.org/10.1177/10892680211018827
Ulfvebrand, S., Birgegård, A., Norring, C., Högdahl, L., & von Hausswolff-Juhlin, Y. (2015). Psychiatric comorbidity in women and men with eating disorders results from a large clinical database. Psychiatry Research, 230(2), 294–299.
https://doi.org/10.1016/j.psychres.2015.09.008
Vázquez-Arévalo, R., López-Aguilar, X., Álvarez-Rayon, G.L, Ocampo, Tellez-Giron M.T., y Mancilla Diaz, J.M. (2000). Eating disorders and associated factors in dance students. Psicologia Contemporánea, 7, 56-65.
Wick, M. R., Brown, T. A., Fitzgerald, E. H., & Keel, P. K. (2021). How changing life roles predict eating disorder pathology over 30-year follow-up. Journal of Abnormal Psychology, 130(4), 388-398. https://doi.org/10.1037/abn0000669
Williamson, D. A., Anderson, D. A., Jackman, L. P., & Jackson, S. R. (1995). Assessment of eating disordered thoughts, feelings, and behaviors. En D. B. Allison (Ed.), Handbook of assessment methods for eating behaviors and weight-related problems: Measures, theory, and research (pp. 347-386). Sage Publications, Inc.
Comment citer
Predictive model on perfectionism in female patients with eating disorders. (2024). Revista Puertorriqueña De Psicologia, 35(1), 98-107. https://doi.org/10.55611/reps.3501.09
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Comment citer
Predictive model on perfectionism in female patients with eating disorders. (2024). Revista Puertorriqueña De Psicologia, 35(1), 98-107. https://doi.org/10.55611/reps.3501.09