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Perfectionism, a Transdiagnostic Construct In Eating Disorders

Published online by Cambridge University Press:  23 March 2020

T. Rodriguez Cano ,
L. Beato Fernandez ,
B. Mata Saenz ,
L. Rojo Moreno  and
F.J. Vaz Leal
T. Rodriguez Cano*
Affiliation:
Hospital General Ciudad Real, Psychiatry, Ciudad Real, Spain
L. Beato Fernandez
Affiliation:
Hospital General Ciudad Real, Psychiatry, Ciudad Real, Spain
B. Mata Saenz
Affiliation:
Hospital General Ciudad Real, Psychiatry, Ciudad Real, Spain
L. Rojo Moreno
Affiliation:
Universidad de Valencia. HUiP la Fe, Professor of Psychiatry, Valencia, Spain
F.J. Vaz Leal
Affiliation:
University of Extremadura Medical School Head. Mental Health and Eating Disorder Unit. University Hospital Network Badajoz, Professor of Psychiatry, Badajoz, Spain
*
*Corresponding author.

Abstract

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Introduction

Perfectionism is considered a multidimensional key risk factor for Eating Disorders (EDs). There are discrepancies regarding if it is mainly associated to Anorexia nervosa (AN) but not to other EDs.

Objectives

To study if Perfectionism is not only related with AN, but it is present in all EDs and associated with more transdiagnostic attitudes and behaviors.

Aims

To see if there were significant differences among EDs subgroups concerning Perfectionism and to study which abnormal eating attitudes were more associated with this trait.

Methods

Participants were 151 outpatients with EDs. DSM-IVTR diagnoses were: 44 (29.1%) Anorexia Nervosa (AN), 55 (36.4%) Bulimia Nervosa (BN) and 52 (34.4%) Eating Disorders not Otherwise Specified (EDNOS). Perfectionism was assessed with the Edinburg Investigatory Test (EDI-2) subscale; general psychopathology with the Beck Depression Inventory (BDI), State and Trait Anxiety Inventory (STAI), Rosenberg Self-Esteem Questionnaire (RSE). Eating psychopathology was measured with the Bulimic Investigatory Test (BITE), Eating Attitude Test (EAT-40), EDI-2 and the Body Shape Questionnaire (BSQ).

Results

No significant differences were found regarding Perfectionism among the three groups. Body dissatisfaction was the variable most associated with Perfectionism (β = 0.330, F = 14.2, P < 0.001, 10.9% of the variance) adjusting for general and eating psychopathology. Ascetism and Interoceptive awareness were the EDI-2 subscales most associated with Perfectionism.

Conclusions

The findings confirm that Perfectionism is present in all EDs and there is a relationship between body dissatisfaction and Perfectionism. Interplay has been suggested between these two factors for the development of EDs.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV577
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S431
Copyright
Copyright © European Psychiatric Association 2016
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