The role of compulsive exercise in the relationship between perfectionism and eating disorder pathology in underweight adolescents with eating disorders
The role of compulsive exercise in the relationship between perfectionism and eating disorder pathology in underweight adolescents with eating disorders
复制标题
DOI：
10.1016/j.eatbeh.2022.101683
复制
发表时间：
2022-11-18
期刊：
影响因子：
2.8
通讯作者：
Egan, Sarah J.
中科院分区：
文献类型：
--
作者：
Cresswell, Camilla;Watson, Hunna J.;Egan, Sarah J.
完美主义与饮食失调密切相关。对非临床成年人的研究表明，完美主义对饮食失调症状有直接和间接的影响，而强迫性运动是一个潜在的中介。这项研究的目的是了解完美主义是否与饮食失调症状有关，直接或间接地通过体重不足的青少年饮食失调的强迫性运动。参与者是149名患有饮食失调症的女性青少年（M = 14.90岁，年龄范围13-17岁），来自帮助概述儿科饮食失调（HOPE）项目，这是一项正在进行的个体登记研究，连续将个体转介到全州饮食失调服务机构。大多数被诊断为神经性厌食症限制型（66%），其次是未指明的进食障碍（21%）和神经性厌食症暴食泻型（13%）。为了对模型进行检验，采用自举法进行路径分析。所有路径均具有统计学意义，包括完美主义通过强迫性运动的中介间接影响饮食失调病理，以及完美主义对饮食失调病理的直接影响。总的来说，这项研究提供了进一步的证据，证明强迫性运动可能是解释完美主义和饮食失调症状之间关系的一个因素。未来的研究应该寻求确定针对完美主义和强迫性运动的青少年饮食失调治疗方法的相对疗效。
Perfectionism has a strong association with eating disorders. Research in non-clinical adults has suggested that perfectionism has both direct and indirect effects on eating disorder symptoms, and that compulsive exercise is a potential mediator. The aim of this study was to understand whether perfectionism is associated with eating disorder symptoms, both directly and indirectly through compulsive exercise in underweight adolescents with eating disorders. Participants were 149 female adolescents (M = 14.90 years, age range 13-17) with eating disorders from the Helping to Outline Paediatric Eating Disorders (HOPE) Project, an ongoing, registry study of individuals consecutively referred individuals to a statewide eating disorder service. The majority had a diag-nosis of anorexia nervosa restricting type (66 %), followed by unspecified feeding or eating disorder (21 %), and anorexia nervosa binge-eating purging type (13 %). To test the model, path analyses with bootstrapping were conducted. All paths were statistically significant, including the indirect effect from perfectionism to eating disorder pathology via the mediator of compulsive exercise, and the direct effect of perfectionism on eating disorder pathology. Overall, this research provides further evidence that compulsive exercise may be one factor that can explain the relationship between perfectionism and eating disorder symptoms. Future research should seek to determine the relative efficacy of approaches for the treatment of eating disorders in adolescents which target perfectionism and compulsive exercise.