Self-oriented perfectionism in eating disorders

Authors

  • Josefina Castro-Fornieles MD, PhD,

    Corresponding author
    1. Department of Child and Adolescent Psychiatry and Psychology, Institute Clinic of Neurosciences, IDIBAPS (Institut d'Investigacions Biomèdiques August Pi Sunyer), Hospital Clínic Universitari of Barcelona, Barcelona, Spain
    2. Department of Psychiatry and Clinical Psychobiology, Health Sciences Division, University of Barcelona, Barcelona, Spain
    • Department of Child and Adolescent Psychiatry and Psychology, Institute Clínic of Neurosciences, Hospital Clínic Universitari, Villarroel, 170, 08036 Barcelona, Spain
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  • Pilar Gual MD, PhD,

    1. Department of Psychiatry, International University of Catalonia, Spain
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  • Francisca Lahortiga PhD,

    1. Department of Psychiatry and Medical Psychology, University Clinic, University of Navarre, Pamplona, Spain
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  • Araceli Gila PhD,

    1. Department of Child and Adolescent Psychiatry and Psychology, Institute Clinic of Neurosciences, IDIBAPS (Institut d'Investigacions Biomèdiques August Pi Sunyer), Hospital Clínic Universitari of Barcelona, Barcelona, Spain
    2. Department of Psychiatry and Clinical Psychobiology, Health Sciences Division, University of Barcelona, Barcelona, Spain
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  • Vanesa Casulà PhD,

    1. Department of Child and Adolescent Psychiatry and Psychology, Institute Clinic of Neurosciences, IDIBAPS (Institut d'Investigacions Biomèdiques August Pi Sunyer), Hospital Clínic Universitari of Barcelona, Barcelona, Spain
    2. Department of Psychiatry and Clinical Psychobiology, Health Sciences Division, University of Barcelona, Barcelona, Spain
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  • Cynthia Fuhrmann PhD,

    1. Department of Psychiatry, International University of Catalonia, Spain
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  • Milagros Imirizaldu PhD,

    1. Department of Psychiatry and Medical Psychology, University Clinic, University of Navarre, Pamplona, Spain
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  • Begoña Saura PhD,

    1. Department of Child and Adolescent Psychiatry and Psychology, Institute Clinic of Neurosciences, IDIBAPS (Institut d'Investigacions Biomèdiques August Pi Sunyer), Hospital Clínic Universitari of Barcelona, Barcelona, Spain
    2. Department of Psychiatry and Clinical Psychobiology, Health Sciences Division, University of Barcelona, Barcelona, Spain
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  • Esteve Martínez PhD,

    1. Department of Child and Adolescent Psychiatry and Psychology, Institute Clinic of Neurosciences, IDIBAPS (Institut d'Investigacions Biomèdiques August Pi Sunyer), Hospital Clínic Universitari of Barcelona, Barcelona, Spain
    2. Department of Psychiatry and Clinical Psychobiology, Health Sciences Division, University of Barcelona, Barcelona, Spain
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  • Josep Toro MD, PhD

    1. Department of Child and Adolescent Psychiatry and Psychology, Institute Clinic of Neurosciences, IDIBAPS (Institut d'Investigacions Biomèdiques August Pi Sunyer), Hospital Clínic Universitari of Barcelona, Barcelona, Spain
    2. Department of Psychiatry and Clinical Psychobiology, Health Sciences Division, University of Barcelona, Barcelona, Spain
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Abstract

Objective:

To assess perfectionism dimensions in eating disorders in comparison with other psychiatric disorders and subjects from the general population.

Method:

The Child and Adolescent Perfectionism Scale (CAPS), the Eating Disorders Inventory (EDI-2), and the Eating Attitudes Test (EAT) were administered to a group of 108 female eating-disordered patients (75 anorexia nervosa and 33 bulimia nervosa), to a group of 86 female psychiatric patients with anxiety (N = 32), depressive (N = 38), or adaptive disorders (N = 16), and to 213 healthy female participants.

Results:

Both bulimic and anorexic patients scored higher on Self-Oriented Perfectionism (p < 0.001) than the other two groups but not on Socially-Prescribed Perfectionism (p = 0.054). Among patients with eating disorder, 17.6% obtained a score two standard deviations higher than the mean in the healthy comparison group on self-oriented perfectionism; this percentage was significantly higher than in the other two groups. The percentage of eating disorder patients with high socially-prescribed perfectionism was similar to that found in other psychiatric disorders. Moreover, self-oriented perfectionism was a predictor of an eating disorder.

Conclusion:

Self-oriented perfectionism is more specific to eating disorders than to depressive or anxiety disorders. © 2007 by Wiley Periodicals, Inc.

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