The relation between eating disorders and components of perfectionism

The relation between eating disorders and components of perfectionism
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DOI:
10.1176/appi.ajp.160.2.366
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发表时间:
2003-02-01
影响因子:
17.7
通讯作者:
Sullivan, PF
Sullivan, PF
中科院分区:
医学1区
文献类型:
--
作者:
Bulik, CM;Tozzi, F;Sullivan, PF

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目的:作者的目标是探索完美主义与精神病理学(包括饮食失调)之间的关系。方法:作者利用逻辑回归,计算了 1,010 名完成多维完美主义量表并参加诊断访谈的女性双胞胎的完美主义子量表评分与精神疾病之间关联的比值比。结果:对错误的高度关注与厌食症和神经性贪食症相关,但与其他精神疾病无关。对行为的怀疑与饮食和焦虑症有关。多变量模型证实,对错误的担忧和对行为的怀疑的子量表得分较高与饮食失调最密切相关。结论:通过测量对错误的担忧的子量表分数所捕获的完美主义方面可能与饮食失调特别相关,并且不能普遍预测精神病理学。
Objective: The authors' goal was to explore the relation between perfectionism and psychopathology, including eating disorders.Method: Using logistic regression, the authors calculated odds ratios for the associations between perfectionism subscale scores and psychiatric disorders in 1,010 female twins who completed the Multidimensional Perfectionism Scale and participated in diagnostic interviews.Results: Elevated concern over mistakes was associated with anorexia and bulimia nervosa but not with other psychiatric disorders. Doubts about actions was associated with eating and anxiety disorders. Multivariable models confirmed that higher scores on the subscales for concern over mistakes and doubts about actions were most strongly associated with eating disorders.Conclusions: The aspect of perfectionism captured by scores on a subscale measuring concern over mistakes may be particularly associated with eating disorders and not generically predictive of psychopathology.