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01-10-2013 | Original Article

Exploring the Relationship Between Social Anxiety and Bulimic Symptoms: Mediational Effects of Perfectionism Among Females

Auteurs: Andrew R. Menatti, Justin W. Weeks, Cheri A. Levinson, Maggie M. McGowan

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2013

Abstract

Previous findings indicate that social anxiety and bulimia co-occur at high rates; one mechanism that has been proposed to link these symptom clusters is perfectionism (Silgado et al. in Cogn Ther Res 34(5):487–492, 2010). We tested meditational models among 167 female undergraduates in which maladaptive evaluative perfectionism concerns (MEPC; i.e., critical self-evaluative perfectionism) mediated the relationship between social anxiety and bulimic symptoms. Results from a first model indicated that MEPC mediated the relationship between fear of public scrutiny and bulimia symptoms. This indirect effect was significant above and beyond the indirect effects of maladaptive body-image cognitions and perfectionism specific to pure personal standards. A second model was tested with MEPC mediating the relationship between social interaction anxiety and bulimia symptoms. Similar results were obtained; however, in this model, a significant direct effect remained after partialing out the indirect effect of the mediators. Theoretical implications are discussed.

vorige artikel Anxiety as a Mediator Between Perfectionism and Eating Disorders

volgende artikel The Role of Anxiety Sensitivity and Eating Expectancy in Maladaptive Eating Behavior

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Body-image cognitive distortions and personal standards were entered into the model but not examined directly because we were interested in determining the unique indirect effect of maladaptive perfectionism between social interaction anxiety and bulimia symptoms, above and beyond negative body-image cognitions and pure personal standards.

One reviewer commented that an interactive relationship (similar to that which was reported by Silgado et al. 2010) may provide a viable alternative framework by which to consider the relationship between SAD, perfectionism, and bulimia symptoms. Specifically, Silgado et al. reported that perfectionism moderated the relationship between SAD and bulimia such that individuals high in both SAD and perfectionism reported the highest levels of bulimia symptoms. In response to this comment, the authors of the present study conducted moderation analyses in an attempt to replicate the results of Silgado et al. but did not find a significant SA by perfectionism interaction term predicting bulimia symptoms.

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Titel: Exploring the Relationship Between Social Anxiety and Bulimic Symptoms: Mediational Effects of Perfectionism Among Females
Auteurs: Andrew R. Menatti
Justin W. Weeks
Cheri A. Levinson
Maggie M. McGowan
Publicatiedatum: 01-10-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 5/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-013-9521-8

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