Enduring value of perfectionism and maturity fears for predicting eating disorder maintenance over 10-, 20-, and 30-year follow-up.
Enduring value of perfectionism and maturity fears for predicting eating disorder maintenance over 10-, 20-, and 30-year follow-up.
复制标题
完美主义和成熟恐惧对于预测 10 年、20 年和 30 年随访期间饮食失调的维持具有持久价值。
DOI：
10.1002/eat.23412
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Keel,PamelaK
中科院分区：
文献类型：
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作者：
Fitzgerald,ElizabethH;Wick,MadelineR;Keel,PamelaK
ObjectiveThe Eating Disorder Inventory provides a theoretically informed multidimensional assessment of eating disorder symptoms and associated psychological factors widely used to examine the development and maintenance of eating disorders. Yet, mixed findings for some factors raise questions about whether their prognostic value varies as a function of duration of follow‐up or type of eating pathology studied.MethodThe current study compared prognostic value of perfectionism, maturity fears, and interpersonal distrust as predictors of restrictive versus bulimic symptom patterns at 10‐, 20‐, and 30‐year follow‐up inN= 127 individuals diagnosed with eating disorders at baseline. Multivariable regression analyses and statistical comparison of effect sizes were used.ResultsDrive for Thinness at 10‐ and 30‐year follow‐up was predicted by higher Perfectionism and higher Maturity Fears at baseline. Baseline Maturity Fears also predicted higher Drive for Thinness at 20‐year follow‐up and higher Bulimia at 10‐ and 20‐year follow‐up. Interpersonal Distrust did not demonstrate prognostic significance in multivariable models. Comparisons of effect sizes support that some differences in statistical significance reflect differences in prognostic value of psychological factors.DiscussionBoth duration of follow‐up and type of pathology impact the predictive value of psychological factors and have important implications for understanding illness maintenance. Findings support the utility of targeting Perfectionism for restrictive symptoms. Developing interventions focused on Maturity Fears may provide a novel approach to reducing both restrictive and bulimic symptoms.
