Bulimic symptomatology: the role of adaptive perfectionism, shape and weight concern, and self-esteem

An interactive model implicating high perfectionism, high weight and shape concern, and low self-esteem in the onset and maintenance of bulimic symptoms ( [Bardone et?al., 2000] and [Vohs et?al., 1999] ) has received mixed support. This study aimed to replicate the cross-sectional model in a clinical sample of women with eating disorders, and to investigate whether the model could predict changes in binge eating and purging at the end of treatment. Eating disorder outpatients (n = 353) completed measures of perfectionism, weight/shape concern, self-esteem, and bulimic symptoms at pre-treatment and discharge. Contrary to the hypotheses, the three-way interaction did not predict binge eating or purging cross-sectionally or prospectively as a moderator of psychotherapy outcome. It was concluded that the robustness of the interactive model seems questionable and may be impacted by an inadequate conceptualization of the perfectionism construct.     

Perfectionism, perceived weight status, and self-esteem interact to predict bulimic symptoms: a model of bulimic symptom development

An interactive model of perfectionism, perceived weight status, and self-esteem was tested on 342 female undergraduates to predict bulimic symptoms. Using a longitudinal design, the authors tested the model on data collected at 2 points: the spring of participants' senior year of high school and during participants' first year of college. The authors hypothesized and found that self-esteem moderates the interaction between perfectionism and perceived weight status in predicting bulimic symptoms. Women who are high in perfectionism and who consider themselves overweight exhibit bulimic symptoms only if they have low self-esteem (i.e., if they doubt they can attain their high body standards). High self-esteem women with the same diathesis-stress conditions are less likely to exhibit bulimic symptoms. These findings clarify the role of perfectionism in bulimic symptomatology.     

A test of an interactive model of bulimic symptomatology in adult women

An interactive model of bulimic symptom development, first suggested by Vohs et al. (1999), was tested in adult women (mean age = 45.19). The following hypothesis was examined in a longitudinal design over 2.5 years: Women high in perfectionism, low in self-esteem, and who perceive themselves as overweight would be the most likely to experience an increase in bulimic symptoms. Results supported the model with regard to maintenance and exacerbation, but not onset, of bulimic symptoms. Furthermore, the interactive model was tested to see if it showed specificity to bulimic, versus depressive or anxious, symptoms. Some support for the model's specificity to bulimic symptoms was observed; however, the increase of anxious symptoms was also observed. Clinical and theoretical implications are discussed.     

Self-oriented and socially prescribed perfectionism dimensions and their associations with disordered eating

This study examined the relationship between self-oriented and socially prescribed dimensions of perfectionism (using two measures of perfectionism) and disordered eating assessed across multiple time points in a sample of young women. Study participants (n=406) reported on their levels of perfectionism and on their subsequent patterns of dieting and bulimic symptoms. Self-oriented perfectionism was strongly linked to dietary restraint, whether using the theoretically derived perfectionism dimensions from the Multidimensional Perfectionism Scale (MPS) [Hewitt, P.L., & Flett, G.L. (1991a). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456-470] or the dimensions derived from the Perfectionism subscale of the Eating Disorder Inventory (EDI) [Garner, D. M., Olmsted, M. P., & 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]. A less clear-cut pattern emerged when bulimic symptoms were investigated, with both self-oriented (MPS and EDI) and socially prescribed perfectionism (MPS) being associated with bulimic symptoms. After controlling for negative affect, only a self-oriented dimension of perfectionism predicted unique variance in bulimic symptoms. What constitutes maladaptive perfectionism, concerns about using EDI-Perfectionism dimensions interchangeably with MPS dimensions, and future directions are discussed.     

Perfectionistic Automatic Thoughts,Trait Perfectionism,and Bulimic Automatic Thoughts in Young Women

The current research examined the associations among perfectionistic automatic thoughts, trait perfectionism, negative automatic thoughts, and bulimic automatic thoughts. A non-clinical sample of 94 undergraduate women completed the Perfectionism Cognitions Inventory, the Multidimensional Perfectionism Scale, the Automatic Thoughts Questionnaire, and the Bulimic Automatic Thoughts Test. Correlational tests revealed that two automatic thoughts measures (perfectionistic automatic thoughts and negative automatic thoughts) and two trait perfectionism measures (self-oriented and socially prescribed perfectionism) were associated significantly with bulimic automatic thoughts with the strongest association being between perfectionistic automatic thoughts and bulimic automatic thoughts. Regression analyses showed that perfectionistic thoughts predicted unique variance in bulimic thoughts beyond variance attributable to trait perfectionism and negative automatic thoughts. The findings are discussed in terms of the need to incorporate an explicit focus on perfectionistic automatic thoughts into treatment interventions and conceptual models of perfectionism and eating disorders.     

Predicting bulimic symptoms: an interactive model of self-efficacy, perfectionism, and perceived weight status

An interactive model of perfectionism, perceived weight status, and self-efficacy was tested on 406 women to predict the bulimic symptoms of binge eating and inappropriate compensatory behaviors separately. This longitudinal study assessed hypothesized vulnerabilities of high perfectionism and low self-efficacy and the stressor of feeling overweight at Time 1 and then gathered weekly assessments of binge eating, vomiting, laxative use, fasting, and diet pill use for 11 weeks. As predicted, results showed that perfectionism, weight perception, and self-efficacy interacted to prospectively predict binge eating. In particular, women high in perfectionism who felt they were overweight and who had low self-efficacy reported the most number of weeks of binge eating. This interactive model did not predict inappropriate compensatory behaviors. Future directions and clinical implications are discussed.     

Preoccupied attachment,need to belong,shame, and interpersonal perfectionism: An investigation of the Perfectionism Social Disconnection Model

According to the Perfectionism Social Disconnection Model, interpersonal components of perfectionism (i.e., socially prescribed perfectionism, perfectionistic self-presentation) develop when individuals exhibit an inordinate need for belongingness and shame as a result of early attachment insecurity and/or a lack of emotional attunement in the caregiver–child relationship. This study hence examined the mediating effects of the need to belong and shame on the relationships between insecure attachment and interpersonal perfectionism. A sample of 513 undergraduates completed self-report measures including trait perfectionism, perfectionistic self-presentation, shame, the need for belongingness, and attachment styles. As hypothesized, socially prescribed perfectionism and perfectionistic self-presentation were both positively associated with the need to belong, shame, and insecure attachment styles. Furthermore, results from multiple mediation analyses indicated that the associations between preoccupied attachment and interpersonal components of perfectionism were mediated by a strong need for belongingness and shame. The present study hence provides further empirical support for the Perfectionism Social Disconnection Model and highlights the importance of examining the quality of attachment relationships for individuals with elevated interpersonal perfectionism.     

Perfectionism and athlete engagement: A multi-sample test of the 2 × 2 model of perfectionism

Few studies have examined how perfectionism relates to athlete engagement. In addition, the studies that do exist have focused on the main effects of dimensions of perfectionism as opposed to their interactive effects. The first purpose of the study was therefore to examine the interactive effects of dimensions of perfectionism in predicting athlete engagement and, in doing so, test the hypotheses of the 2 × 2 model of perfectionism. The second purpose of the study was to examine whether support for the 2 × 2 model depended on the instrument used to measure perfectionism. Three samples of junior and adult athletes from various sports (total N = 730) completed measures of perfectionism indicative of personal standards perfectionism (PSP) and evaluative concerns perfectionism (ECP) (HF-Multidimensional Perfectionism Scale, Cox, Enns, & Clara, 2002; Sport-Multidimensional Perfectionism Scale-2, Gotwals & Dunn, 2009; Multidimensional Inventory of Perfectionism for Sport, Stoeber et al. 2007), as well as a measure of athlete engagement (Athlete Engagement Questionnaire, Lonsdale, Hodge & Jackson, 2007). Moderated regression analyses provided support for the hypotheses of the 2 × 2 model for some facets of engagement but not others. Generally, pure PSP (high PSP/low ECP) was associated with the highest levels of athlete engagement and pure ECP (low PSP/high ECP) was associated with the lowest levels of athlete engagement. Support for the 2 × 2 model also differed depending on the instrument used to measure perfectionism. Overall, the findings suggest that the 2 × 2 model may explain differences between athletes in levels of engagement. However, these differences will depend on which indicators of PSP and ECP are examined.     

Perfectionistic self-presentation, socially prescribed perfectionism, and suicide in youth: a test of the perfectionism social disconnection model

The role of interpersonal components of perfectionism in suicide outcomes among youth was assessed and the Perfectionism Social Disconnection Model (PSDM) was tested by determining whether the links between socially prescribed perfectionism (SPP) and perfectionistic self-presentation (PSP) and suicide outcomes are mediated by experiences of social disconnection, as indicated by social hopelessness and being bullied. PSP, trait perfectionism, suicide outcomes, and experiences of being bullied and social hopelessness were measured in 152 psychiatric outpatient children and adolescents. Correlational tests confirmed that PSP and SPP were associated with suicide outcomes and these interpersonal perfectionism components were associated significantly with bullying and social hopelessness. Support was also obtained for the PSDM. The relationship between the PSP facets, particularly nondisplay of imperfections, and suicide outcomes were mediated by being bullied. Additionally, the relationship between all interpersonal components of perfectionism and suicide risk was mediated by social hopelessness. Theoretical and clinical implications of interpersonal components of perfectionism and social disconnection in suicide outcomes for youth are discussed.     

The relationship between multidimensional perfectionism and psychological need thwarting in junior sports participants

Objectives

Perfectionism is thought to energise high quantities of motivation; however, its wider influence on the quality of the motivation exhibited by athletes is less clear. The purpose of this study was to examine the multivariate and univariate relationship between multidimensional perfectionism (perfectionistic concerns and perfectionistic striving) and perceived psychological need thwarting. Perfectionistic concerns was assessed via sub-dimensions of socially prescribed perfectionism, concern over mistakes, doubts about actions, parental pressure and coach pressure. Perfectionistic striving was assessed via sub-dimensions of self-oriented perfectionism, other-oriented perfectionism, personal standards and a need for organisation.

Design

A cross-sectional, survey-based design was employed.

Method

One hundred and ninety-nine junior sports participants were recruited from after-school sports clubs and completed measures of multidimensional perfectionism and psychological need thwarting.

Results

Canonical correlation analyses revealed that higher levels of perfectionistic concerns were associated with higher levels of perceived psychological need thwarting. Analogously, lower levels of perfectionistic striving were associated with lower levels of perceived psychological need thwarting. Regression analyses revealed that the relative importance of individual sub-dimensions of perfectionism differed depending on the facet of psychological need thwarting being assessed. Perceptions of parental pressure, coach pressure and concern over mistakes emerged as especially important.

Conclusion

Overall, the findings indicate that while perfectionism may contribute to high levels of behavioural investment, it may also impoverish the necessary support required for the fulfilment of psychological needs.     

Self-control mediates the link between perfectionism and stress

The relationship between perfectionism and stress is well-established. Recent research has focused on identifying the mediators of this link. Starting from a multidimensional perspective on perfectionism, we investigated the role of self-control and found it to be a mediator between perfectionism and stress in a sample of university freshmen. Further, perfectionistic concerns (i.e., discrepancy; Slaney et al. 2001) were positively correlated with stress, whereas perfectionistic strivings (i.e., high standards; Slaney et al. 2001) were negatively correlated with stress. Practical implications regarding overcoming maladaptive perfectionism are discussed.     

心理病理学视野中的完美主义自我展示

完美主义自我展示是完美主义者在人际过程中为向他人展示自己非现实的、固定化的完美形象而进行的印象整饰过程。本文在简要阐述完美主义特征与澄清完美主义自我展示概念基础上,重点梳理和剖析了完美主义自我展示对抑郁、焦虑、社交恐惧、饮食障碍及人格障碍等常见心理病理现象的影响,并分析了其影响机制,最后,就深化该领域的研究提出了总结和展望。     

The role of perfectionism in cognitive behaviour therapy outcomes for clinically anxious children

The main aim of this study was to determine whether pre-treatment levels of child perfectionism impacted on anxiety treatment outcomes for school-aged children. In addition, it was investigated whether child perfectionism decreased following treatment for anxiety. Participants were sixty-seven clinically anxious children aged 6–13 years (female = 34; majority Caucasian) who were enrolled in a group-based cognitive behaviour therapy program, and their parents. They completed self-report questionnaires on anxiety and depressive symptoms and were administered a diagnostic interview to determine the type and clinician rated severity of anxiety and related disorders pre- and post-treatment and at 6-month follow-up. Self- and parent-rated perfectionism were also measured pre-treatment, while a subset of children completed perfectionism measures post-treatment as well. Self-Oriented Perfectionism, but not Socially Prescribed Perfectionism, predicted poorer self-reported treatment outcome (higher levels of anxiety symptoms) immediately following treatment and at 6-month follow-up when using a multi-informant approach. Additionally, both Self-Oriented and Socially Prescribed child perfectionism significantly reduced immediately following treatment. Despite reductions in child perfectionism following anxiety treatment, higher Self-Oriented Perfectionism may impact negatively on child anxiety treatment outcome.     

The multidimensional structure of perfectionism in clinically distressed and college student samples

Confirmatory factor analysis was used to evaluate 2 multidimensional measures of perfectionism (R. O. Frost, P. Marten, C. Lahart, & R. Rosenblate, 1990; P. L. Hewitt & G. L. Flett, 1991). On a first-order level, support was found for Hewitt and Flett's (1991) original 3-factor conceptualization of perfectionism, although only for an empirically derived 15-item subset. Support was also obtained for 5 of the 6 dimensions proposed by R. O. Frost et al. (1990), but the model only displayed good fit when a refined scale containing 22 of the original 35 items was used. A second-order analysis found evidence for 2 higher-order factors of adaptive and maladaptive perfectionism. Perfectionism dimensions correlated in expected directions with personality domains, symptom distress, and academic achievement. The brief measures of perfectionism also retained the construct-related validity displayed by the full-item versions.     

How does perfectionism affect academic achievement? Examining the mediating role of accurate self-assessment

Perfectionism, a multidimensional disposition encompassing both positive and negative attributes, has been widely examined in a number of different fields, one of which is academics. However, results of research on the precise connection between perfectionism and academic success remain largely inconclusive. The present study, therefore, attempted to identify this underlying mechanism by examining the mediating role of accurate self-assessment in the relationship between perfectionism and academic achievement of college students. The results revealed that while perfectionistic concerns and strivings did not directly affect academic achievement, their indirect effects were statistically significant. Perfectionistic concerns negatively predicted academic achievement through inaccurate self-assessment, whereas perfectionistic strivings positively predicted academic achievement through accurate self-assessment. These findings are expected to promote a practical and balanced understanding of academic perfectionism by explaining the relationship between the sub-dimensions of perfectionism and academic achievement.     

A preliminary look at loneliness as a moderator of the link between perfectionism and depressive and anxious symptoms in college students: does being lonely make perfectionistic strivings more distressing?

An integrative model involving perfectionism [Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456-470] and loneliness as predictors of depressive and anxious symptoms was proposed and tested in 383 college students. Beyond the expected additive influences of the two predictors in the prediction of symptoms, loneliness was also hypothesized to moderate the link between perfectionism and symptoms. Results indicated that other-oriented perfectionism predicted anxious symptoms, whereas socially prescribed perfectionism predicted both depressive and anxious symptoms. Loneliness was found to add incremental validity to these predictions. Moreover, the Perfectionism x Loneliness interaction was found to further augment the prediction of depressive and anxious symptoms. These findings are taken to offer support for a more contextual model of perfectionism. Some implications of the present findings are discussed.     

Perfectionism,discrepancies, and depression: Testing the perfectionism social disconnection model in a short-term,four-wave longitudinal study

Perfectionistic concerns (i.e., negative reactions to failures, exaggerated concerns over others’ criticism and expectations, and nagging self-doubts) are linked to social disconnection and depressive symptoms. According to the perfectionism social disconnection model, perfectionistic concerns contribute to social disconnection (i.e., feeling rejected, excluded, and unwanted by others) which, subsequently, contributes to depressive symptoms. The social world is replete with chances for interpretations. In interpreting their social worlds, people high in perfectionistic concerns tend to perceive interpersonal discrepancies, a distressing form of social disconnection that involves perceptions of others as dissatisfied with them and as disapproving of them. These interpretations are also conceptualized as having depressing consequences for people high in perfectionistic concerns. This study tested whether perceived interpersonal discrepancies mediate the relation between perfectionistic concerns and depressive symptoms; 240 participants were recruited and this mediational model was tested with a four-wave, 4-week longitudinal design. Structural equation modeling with bootstrapped tests of mediation indicated the perfectionistic concerns-depressive symptoms relationship was mediated by interpersonal discrepancies (even after controlling for perfectionistic strivings). People high in perfectionistic concerns perceive others as dissatisfied with them and as disapproving of them. Feeling rejected, excluded, and unwanted by others, people high in perfectionistic concerns are vulnerable to depression.     

Clarifying the construct of perfectionism

The construct of perfectionism is related to many important outcome variables. However, the term perfectionism has been defined in many different ways, and items comprising the different existing scales appear to be very different in content. The overarching aim of the present set of studies was to help clarify the specific unidimensional personality constructs that contribute to perfectionistic behavior. First, trained raters reliably sorted items from existing measures of perfectionism into nine dimensions. An exploratory factor analysis, followed by a confirmatory factor analysis on an independent sample, resulted in a 9-scale, 61-item measure, called the Measure of Constructs Underlying Perfectionism. The nine scales were internally consistent and stable across time, and they were differentially associated with relevant measures of personality in theoretically meaningful ways.     

Personal and family perfectionism of Taiwanese college students: relationships with depression, self-esteem, achievement motivation, and academic grades

An increasing number of perfectionism studies have been conducted across different countries outside of the Western framework. Using an international egalitarian approach that adopts indigenous frameworks and concepts from the cultural context of the population studied is imperative. This study examines different groups of perfectionists with a sample of 348 Taiwanese college students, emphasizing the collectivistic culture. In particular, this is a follow-up study to further explore characteristics of a group with low standards/high discrepancy--a feeling that they are not good enough despite having low standards--found in a previous study with Taiwanese students. More specifically, this study investigates whether the source of the high discrepancy scores among this group is related to having higher perfectionistic standards from their family. Perfectionism was examined not only from a personal/individualistic perspective, but also from a familistic dimension to reflect Taiwanese collectivistic cultural values. Results partially supported the hypotheses--this group reported having higher family discrepancy, but not family standards, than nonperfectionists. However, this group of participants reported lower academic grades, which implies the possibility of their discrepancy being associated with poorer performance. Four cluster groups--adaptive perfectionists, maladaptive perfectionists, nonperfectionists, and those with low standards/high discrepancy--were compared on their levels of depression, self-esteem, achievement motivation, and academic grades. Maladaptive perfectionists reported the highest depression level, while adaptive perfectionists reported the highest self-esteem. Results also show that aspects of personal perfectionism and family perfectionism related to self-esteem differently among this sample. Findings and implications are discussed with consideration of the collectivistic cultural context in Taiwan.     

Peer influence on bulimic symptoms in college students

This longitudinal study examined the influence of peer selection and socialization on bulimic symptoms in college students. Ninety-eight participants completed measures of bulimic symptoms, self-esteem, perfectionism, and impulsivity in the spring and fall of 2003. Peer influence was assessed by examining similarity among selected peers, unselected peers, and nonpeers over time. Among selected peers, bulimic symptoms demonstrated patterns of socialization, self-esteem and perfectionism demonstrated patterns of selection, and these personality traits longitudinally predicted changes in bulimic symptoms. Unselected peers demonstrated no similarity for bulimia, self-esteem, or perfectionism, but they did evidence socialization for impulsivity. The findings support an etiological model that integrates social and individual risk factors in creating environments that influence disordered eating among college students.