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01-10-2011 | Original Article

The Relationship between Disordered Eating, Perceived Parenting, and Perfectionistic Schemas

Auteurs: Suzanne Deas, Kevin Power, Paula Collin, Alex Yellowlees, David Grierson

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2011

Abstract

There is currently no clear understanding of the ways in which predisposing and maintaining variables exert their influence on eating attitudes and behaviours. This study investigated two potentially meaningful variables: parental bonding and perfectionistic schemas. Both variables have been implicated in the onset and maintenance of anorexia nervosa (e.g. Bruch 1978; Davis et al. 2000). A cross-sectional design was employed, comprising three separate groups: 40 individuals with anorexia nervosa, 44 depressed and/or anxious individuals, and 78 university students. All participants completed the Eating Disorders Examination (either the interview or self-report format; Fairburn and Cooper 1993; Fairburn and Beglin 1994), the Parental Bonding Instrument (PBI-S; Pedersen 1994), and the Young Schema Questionnaire (YSQ-S; Young 1998). Significant between group differences emerged on all three measures. Participants with anorexia had significantly higher scores than both comparison groups on the measure of disordered eating, they generally perceived their parents as less caring and more controlling, and they also endorsed a greater number of maladaptive schemas. The schemas that showed the greatest differences included those relating to perfectionism (e.g. ‘unrelenting standards’). Significant correlations between variables were revealed within each group, with the coefficients amongst the anorexia group being highly significant and generally stronger than those in the control groups. No mediating effects were found when data were subject to path analysis. The study’s hypotheses were partially met, in that negative parenting and perfectionistic schemas differentiated individuals with anorexia from comparison groups. However, it seems that perfectionistic schemas do not mediate between perceptions of parenting and disordered eating in those with anorexia.

vorige artikel Clinical Correlates and Treatment Response of the Yale-Brown Obsessive Compulsive Scale Auxiliary Items

volgende artikel Attention Allocation and Incidental Recognition of Emotional Information in Dysphoria

Ainsworth, M. D. S., Bell, S. M., & Stayton, D. J. (1975). Infant-mother attachment and social development: Socialisation as a product of reciprocal responsiveness to signals. In M. Richards (Ed.), The integration of the child into a social world. Cambridge: Cambridge University Press.

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

Baranoff, J., Oei, T. P. S., Cho, S. H., & Kwon, S. (2006). Factor structure and internal consistency of the young schema questionnaire (short form) in Korean and Australian samples. Journal of Affective Disorders, 93, 133–140.PubMedCrossRef

Bardone-Cone, A. M., Sturm, K., Lawson, M. A., Robinson, D. P., & Smith, R. (2010). Perfectionism across stages of recovery from eating disorders. International Journal of Eating Disorders, 43, 139–148.PubMed

Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.PubMedCrossRef

Bastiani, A. M., Rao, R., Weltzin, T., & Kaye, W. H. (1995). Perfectionism in anorexia nervosa. International Journal of Eating Disorders, 17, 147–152.PubMedCrossRef

Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.

Beresin, E. V., Gordon, C., & Herzog, D. B. (1989). The process of recovering from anorexia nervosa. Journal of American Academy of Psychoanalysis, 17, 103–130.

Beumont, P. J. V., Kopec-Schrader, E., & Talbot, P. (1994). Measuring specific psychopathology of eating disorder patients. Australian and New Zealand Psychiatry, 27, 506–511.CrossRef

Beumont, P. J. V., Kopec-Schrader, E., & Touyz, S. W. (1995). Defining subgroups of dieting disorder patients by means of the eating disorders examination (EDE). British Journal of Psychiatry, 166(4), 472–474.PubMedCrossRef

Binford, R. B., Le Grange, D., & Jellar, C. C. (2005). Eating disorders examination versus eating disorders examination-questionnaire in adolescents with full and partial-syndrome bulimia nervosa and anorexia nervosa. International Journal of Eating Disorders, 37, 44–49.PubMedCrossRef

Bizeul, C., Brun, J. M., & Rigaud, D. (2003). Depression influences the EDI scores in anorexia nervosa patients. European Psychiatry, 18, 119–123.PubMedCrossRef

Black, C. M. D., & Wilson, G. T. (1996). Assessment of eating disorders: Interview versus questionnaire. International Journal of Eating Disorders, 20, 43–50.PubMedCrossRef

Blatt, S. J., Zuroff, D. C., Bondi, C. M., Sanislow, C. A., & Pilkonis, P. A. (1998). When and how perfectionism impedes the brief treatment of depression: further analyses of the national institute of mental health treatment of depression collaborative research program. Journal of Consulting and Clinical Psychology, 66, 423–428.PubMedCrossRef

Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation: Anxiety and anger. New York: Basic Books.

Bruch, H. (1978). The golden cage: The enigma of anorexia nervosa. Cambridge, MA: Harvard University Press.

Bulik, C., Sullivan, P. F., Fear, J. L., & Puckering, A. (2000). Outcome of anorexia nervosa: eating attitudes, personality, and parental bonding. International Journal of Eating Disorders, 28, 139–147.PubMedCrossRef

Burns, D. D. (1980). Feeling good: The new mood therapy. New York: New American Library.

Byely, L., Archibald, A. B., Graber, J., & Brooks-Gunn, J. (2000). A prospective study of familial and social influences on girls’ body image and dieting. International Journal of Eating Disorders, 28, 155–164.PubMedCrossRef

Calam, R., Waller, G., Slade, P., & Newton, T. (1990). Eating disorders and perceived relationships with parents. International Journal of Eating Disorders, 9, 479–485.CrossRef

Casper, R. C., & Troiani, M. (2001). Family functioning in anorexia nervosa differs by subtype. International Journal of Eating Disorders, 30, 338–342.PubMedCrossRef

Chambers, J., Power, K., Loucks, N., & Swanson, V. (2001). The interaction of perceived maternal and paternal parenting styles and their relation with the psychological distress and offending characteristics of incarcerated young offenders. Journal of Adolescence, 24, 209–227.PubMedCrossRef

Cohen, J. (1992). Quantitative methods in psychology: A power primer. Psychological Bulletin, 112, 155–159.PubMedCrossRef

Cortina, J. M. (1993). What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology, 78, 98–104.CrossRef

Davis, C. (1997). Normal and neurotic perfectionism in eating disorders: an interactive model. International Journal of Eating Disorders, 22, 421–426.PubMedCrossRef

Davis, C., Claridge, G., & Fox, J. (2000). Not just a pretty face: physical attractiveness and perfectionism in the risk for eating disorders. International Journal of Eating Disorders, 27, 67–73.PubMedCrossRef

Duggan, C., Sham, P., Minne, C., Lee, A., & Murray, R. (1998). Quality of parenting and vulnerability to depression: results from a family study. Psychological Medicine, 28, 185–191.PubMedCrossRef

Enns, M. W., Cox, B. J., & Clara, I. (2002). Parental bonding and adult psychopathology: Results from the US national comorbidity survey. Psychological Medicine, 32, 997–1008.PubMedCrossRef

Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: interview or self-report questionnaire? International Journal of Eating Disorders, 16, 363–370.PubMed

Fairburn, C. G., & Cooper, Z. (1993). The Eating Disorders Examination. In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment and treatment (12th ed., pp. 317–360). New York: Guilford Press.

Fairburn, C. G., Cooper, Z., Doll, H. A., & Welch, S. (1999). Risk factors for anorexia nervosa: three integrated case-control comparisons. Archives of General Psychiatry, 56, 468–476.PubMedCrossRef

Field, A. (2005). Discovering statistics using SPSS (2nd ed.). London: Sage Publications Ltd.

Garner, D. M., & Bemis, K. M. (1982). A cognitive-behaviorial approach to anorexia nervosa. Cognitive Therapy and Research, 6, 123–150.CrossRef

Garner, D. M., & Garfinkel, P. E. (1979). The eating attitudes test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–279.PubMedCrossRef

Garner, D., Olmsted, M., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15–34.CrossRef

Garner, D. M., Vitousek, K. M., & Pike, K. M. (1997). Cognitive-behavioural therapy for anorexia and bulimia nervosa. In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of treatment for eating disorders (2nd ed., pp. 94–144). New York: Guilford.

Gillham, J. E., Putter, P., & Kash, V. M. (2007). The effects of sad mood on reports of parents’ caregiving behaviours. Journal of Psychopathology and Behaviorial Assessment, 29, 125–133.CrossRef

Halmi, K., Sunday, S. R., Stober, M., Kaplan, A., Woodside, D. B., Fichter, M., et al. (2000). Perfectionism in anorexia nervosa: Variation by clinical subtype, obsessionality, and pathological eating behaviour. American Journal of Psychiatry, 157, 1799–1805.PubMedCrossRef

Hamachek, D. E. (1978). Psychodynamics of normal and neurotic perfectionism. Psychology, 15, 27–33.

Haudek, C., Rorty, M., & Henker, B. (1999). The role of ethnicity and parental bonding in the eating and weight concerns of Asian-American and Caucasian college women. International Journal of Eating Disorders, 25, 425–433.PubMedCrossRef

Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the self and social contexts: conceptualisation, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456–470.PubMedCrossRef

Kline, P. (1999). The handbook of psychological testing (2nd ed.). London: Routledge.

Leung, N., Thomas, G., & Waller, G. (2000). The relationship between parental bonding and core beliefs in anorexic and bulimic women. British Journal of Clinical Psychology, 39, 205–213.PubMedCrossRef

Lilenfeld, L., Stein, D., Bulik, C. M., Strober, M., Plotnicov, K., Pollice, C., et al. (2000). Personality traits among currently eating disordered, recovered and never ill first-degree female relatives of bulimic and control women. Psychological Medicine, 30, 1399–1410.PubMedCrossRef

Luce, K. H., & Crowther, J. H. (1999). The reliability of the eating disorder examination–self-report questionnaire version (EDE-Q). International Journal of Eating Disorders, 25, 349–351.PubMedCrossRef

MacBrayer, E. K., Smith, G. T., McCarthy, D. M., Demos, S., & Simmons, J. (2001). The role of family of origin food-related experiences in bulimic symptomatology. International Journal of Eating Disorders, 30, 149–160.PubMedCrossRef

MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007). Mediation Analysis. Annual Review of Psychology, 58, 593–614.PubMedCrossRef

McCourt, J., & Waller, G. (1995). Developmental role of perceived parental control in the eating psychopathology of Asian and Caucasian schoolgirls. International Journal of Eating Disorders, 17, 277–282.PubMedCrossRef

Ogden, J., & Steward, J. (2000). The role of the mother-daughter relationship in explaining weight concern. International Journal of Eating Disorders, 28, 78–83.PubMedCrossRef

Orimoto, L., & Vitousek, K. (1992). Anorexia nervosa and bulimia nervosa. In P. W. Wilson (Ed.), Principles and practices of relapse prevention (pp. 85–127). New York: Guilford Press.

Pacht, A. R. (1984). Reflections on perfection. American Psychologist, 39, 386–390.CrossRef

Palmer, R. L., Oppenheimer, R., & Marshall, P. D. (1988). Eating-disordered patients remember their parents: A study using the parental-bonding instrument. International Journal of Eating Disorders, 7(1), 101–106.CrossRef

Parker, G. (1983). Parental overprotection: A risk factor in psychosocial development. New York: Grune & Stratton.

Parker, G., Tupling, H., & Brown, L. B. (1979). A parental bonding instrument. British Journal of Medical Psychology, 52, 1–10.CrossRef

Pedersen, W. (1994). Parental relations, mental health, and delinquency in adolescents. Adolescence, 29(116), 975–991.PubMed

Schmidt, N. B., Joiner, T. E., Young, J. E., & Telch, M. J. (1995). The schema questionnaire: Investigation of psychometric properties and the hierarchical structure of a measure of maladaptive schemas. Cognitive Therapy and Research, 19(3), 295–321.CrossRef

Shafran, R., & Mansell, W. (2001). Perfectionism and psychopathology: a review of research and treatment. Clinical Psychology Review, 21(6), 879–996.PubMedCrossRef

Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: a cognitive-behavioural analysis. Behaviour Research and Therapy, 40, 773–791.PubMedCrossRef

Slade, P. D. (1982). Towards a functional analysis of anorexia nervosa and bulimia nervosa. British Journal of Clinical Psychology, 21, 167–179.PubMedCrossRef

Spencer, E. A., Appleby, P. N., Davey, G. K., & Key, T. J. (2002). Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutrition, 5, 561–565.PubMedCrossRef

Srinivasagam, N., Kaye, W., Plotnicov, K., Greeno, C., Weltzin, T., & Rao, R. (1995). Persistent perfectionism, symmetry, and exactness after long-term recovery from anorexia nervosa. American Journal of Psychiatry, 152, 1630–1634.PubMed

Sutandar-Pinnock, K., Woodside, D. B., Carter, J. C., Olmsted, M. P., & Kaplan, A. S. (2003). Perfectionism in anorexia nervosa: a 6–24-month follow-up study. International Journal of Eating Disorders, 33, 225–229.PubMedCrossRef

Swanson, H., Power, K., Collin, P., Deas, S., Paterson, G., Grierson, D., et al. (2010). The relationship between parental bonding, social problem solving and eating pathology in an anorexic inpatient sample. European Eating Disorders Review, 18, 22–32.PubMedCrossRef

Tozzi, F., Sullivan, P. F., Fear, J. L., McKenzie, J., & Bulik, C. M. (2003). Causes and recovery in anorexia nervosa: The patient’s perspective. International Journal of Eating Disorders, 33, 143–154.PubMedCrossRef

Turner, H. M., Rose, K. S., & Cooper, M. J. (2005). Parental bonding and eating disorder symptoms in adolescents: the mediating role of core beliefs. Eating Behaviours, 6, 113–118.CrossRef

Tyrka, A. R., Waldron, I., Graber, J. A., & Brooks-Gunn, J. (2002). Prospective predictors of the onset of anorexic and bulimic syndromes. International Journal of Eating Disorders, 32, 282–290.PubMedCrossRef

Waller, G., Wood, A., Miller, J., & Slade, P. D. (1992). The development of neurotic perfectionism: a risk factor for unhealthy eating attitudes. British Review of Bulimia and Anorexia Nervosa, 6, 57–62.

Waller, G., Meyer, C., & Ohanian, V. (2001). Psychometric properties of the long and short versions of the young schema questionnaire: Core beliefs among bulimic and comparison women. Cognitive Therapy and Research, 25(2), 137–147.CrossRef

Walters, E., & Kendler, K. S. (1995). Anorexia nervosa and anorexic-like syndromes in a population-based female twin sample. American Journal of Psychiatry, 152, 64–71.PubMed

Ward, A., Ramsay, R., Turnbull, S., Benedettini, M., & Treasure, J. (2000). Attachment patterns in eating disorders: Past in the present. International Journal of Eating Disorders, 28, 370–376.PubMedCrossRef

Welburn, K., Dagg, P., Coristine, M., & Pontefract, A. (2000). Schematic change as a result of an intensive group-therapy day-treatment program. Psychotherapy, 37(2), 189–195.CrossRef

Wilhelm, K., Niven, H., Parker, G., & Hadzi-Pavlovic, D. (2005). The stability of the parental bonding instrument over a 20-year period. Psychological Medicine, 35, 387–393.PubMedCrossRef

Young, J. E. (1990). Cognitive therapy for personality disorder: A schema-focused approach. Sarasota, FL: Professional Resource Exchange, Inc.

Young, J. E. (1994). Cognitive therapy for personality disorder: A schema-focused approach (2nd ed.). Sarasota, FL: Professional Resource Exchange, Inc.

Young, J. E. (1998). The young schema questionnaire: Short form. Available in electronic form at http://schematherapy.com/id54.http.

Young, J. E., Klosko, J. S., & Weishaar, M. J. (2003). Schema therapy: A practitioner’s guide. New York: Guilford Press.

Titel: The Relationship between Disordered Eating, Perceived Parenting, and Perfectionistic Schemas
Auteurs: Suzanne Deas
Kevin Power
Paula Collin
Alex Yellowlees
David Grierson
Publicatiedatum: 01-10-2011
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 5/2011
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-010-9319-x

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