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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

06-04-2018

Subtypes of Adaptive and Maladaptive Perfectionism in Anorexia Nervosa: Associations with Eating Disorder and Affective Symptoms

Auteurs: Ann F. Haynos, Linsey M. Utzinger, Jason M. Lavender, Ross D. Crosby, Li Cao, Carol B. Peterson, Scott J. Crow, Stephen A. Wonderlich, Scott G. Engel, James E. Mitchell, Daniel Le Grange, Andrea B. Goldschmidt

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 4/2018

Abstract

Perfectionism is hypothesized to contribute to the etiology of anorexia nervosa (AN). However, there is little research regarding whether individuals with AN can be classified according to maladaptive (e.g., evaluative concerns) and adaptive (e.g., high personal standards) facets of perfectionism that predict distinct outcomes and might warrant different intervention approaches. In this study, a latent profile analysis was conducted using data from adults with AN (n = 118). Frost Multidimensional Perfectionism Scale (Frost et al. Cognitive Therapy and Research, 14(5), 449–46, 1990) subscales were used to identify subgroups differing according to endorsed perfectionism features (e.g., adaptive and maladaptive perfectionism). Generalized linear models were used to compare subgroups on eating disorder and affective symptoms measured through questionnaire and ecological momentary assessment. Four subgroups were identified: (a) Low Perfectionism; (b) High Adaptive and Maladaptive Perfectionism; (c) Moderate Maladaptive Perfectionism; and (d) High Maladaptive Perfectionism. Subgroups differed on overall eating disorder symptoms (p < .001), purging (p = .005), restrictive eating (p < .001), and body checking (p < .001) frequency, depressive (p < .001) and anxiety (p < .001) symptoms, and negative (p = .001) and positive (p < .001) affect. The Low Perfectionism group displayed the most adaptive scores and the Moderate and High Maladaptive Perfectionism groups demonstrated the most elevated clinical symptoms. The High Adaptive and Maladaptive Perfectionism group demonstrated low affective disturbances, but elevated eating disorder symptoms. Results support the clinical significance of subtyping according to perfectionism dimensions in AN. Research is needed to determine if perfectionism subtyping can enhance individualized treatment targeting in AN.

vorige artikel Loneliness and Attitudes toward Aloneness in Belgian Adolescents: Measurement Invariance across Language, Age, and Gender Groups

volgende artikel Self-Critical Perfectionism, Daily Interpersonal Sensitivity, and Stress Generation: a Four-Year Longitudinal Study

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Titel: Subtypes of Adaptive and Maladaptive Perfectionism in Anorexia Nervosa: Associations with Eating Disorder and Affective Symptoms
Auteurs: Ann F. Haynos
Linsey M. Utzinger
Jason M. Lavender
Ross D. Crosby
Li Cao
Carol B. Peterson
Scott J. Crow
Stephen A. Wonderlich
Scott G. Engel
James E. Mitchell
Daniel Le Grange
Andrea B. Goldschmidt
Publicatiedatum: 06-04-2018
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 4/2018
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-018-9672-8

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