The Eating Disorders Continuum,Self‐Esteem,and Perfectionism

Among 261 undergraduate women, increased severity of eating disorders along a continuum was associated with decreased self‐esteem, increased perfectionism, and increased scores on 7 subscales of the Eating Disorders Inventory‐2. Women with eating disorders differed from both symptomatic women and asymptomatic women on all variables, whereas symptomatic women differed from asymptomatic women only on self‐esteem, perfectionism, ineffectiveness, body dissatisfaction, and interoceptive awareness. Discriminant analysis correctly classified 45.2% of the women with eating disorders and 59% of the overall sample.     

Perfectionism and Eating Attitudes In Competitive Rowers: Moderating Effects of Body Mass,Weight Classification and Gender

Abstract

One purpose of the present research was to determine the relationship between perfectionism and eating attitudes among national level rowers. A second purpose was to determine if body mass, weight classification and gender moderate perfectionism-eating attitude relations. Rowers from New Zealand and Australia (W=449) completed the Positive and Negative Perfectionism Scale (PANPS; Terry-Short, Owens, Slade and Dewey, 1995), the Eating Attitude Test-40 (EAT-40; Garner and Garfinkel, 1979), and the Short Form of the Marlowe-Crowne Social Desirability Scale (MC-SDS; Reynolds, 1982). In addition, a Body Mass Index (BMI) was calculated from the height and weight measurements of each participant. Hierarchical multiple regression analyses showed that, after accounting for social desirability effects. Negative (unhealthy) Perfectionism scores were positively related to disturbed eating attitude scores, whereas Positive (healthy) Perfectionism scores were unrelated to disturbed eating attitude scores. In addition, body mass, weight classification and gender operated in a conjunctive fashion to produce a maximum moderator effect. That is, relations between Negative Perfectionism and disturbed eating attitudes were strongest for female lightweight rowers with higher BMI scores. Recommendations for future research are discussed.     

To Know Another Inside and Out: Linking Psychic and Somatic Experience in Eating Disorders

ABSTRACT

This article explores the role of the body in the psychoanalytic treatment of eating disorders from a relational and developmental perspective. Many who struggle with eating disorders and related issues have had early experiences that adversely affected the development of flexible, adaptive self-regulation, including the ability to experience affects as psychic states that can be safely shared in the context of a relationship. Because of their difficulty symbolizing and expressing feelings, patients with eating disorders often experience affects as somatic problems, for which they seek somatic solutions. Tuning in to patients’ bodily experience can open up pathways for accessing and, eventually, verbalizing and reflecting on internal states in the therapeutic relationship. As shown through a detailed case illustration, the therapist can discover and engage aspects of the intersubjective matrix that may not meet the eye by attending to his or her own bodily experiences and associations in and out of sessions.     

Adults' Efficacy and Control Beliefs Regarding Memory and Aging: Separating General from Personal Beliefs

This study examined beliefs about memory in 307 18-93 year-old community-dwelling adults. Two new questionnaires, the General Beliefs about Memory (GBMI) and the Personal Beliefs about Memory (PBMI) Instruments, were used to compare and contrast beliefs about memory in the general population of adults from beliefs about one's own memory. Both questionnaires used a graphic rating scale format to obtain more refined responses. The GBMI showed that, on average, all age groups perceived the average adult as experiencing curvilinear decline over the adult life span for multiple aspects of memory, with the greatest changes believed to occur after age 40. Beliefs about different specific types of memory were consistent with lay beliefs and with empirical results regarding aging and memory (e.g., memory for names was perceived to decline more rapidly than memory for faces). In contrast to earlier studies, small but significant age differences between young, middle-aged, and older respondents regarding beliefs about rates of memory aging were identified. Results for the PBMI indicated that personal beliefs were strongly related to, but distinct from, general beliefs. Older adults believed themselves to be lower in memory efficacy, to have declined more than younger adults, and to have less personal control over memory, as in earlier research.     

An Assessment of Ethnocultural Beliefs Regarding the Causes of Birth Defects and Genetic Disorders

With the expansion of genetic services to various cultural groups, genetic counselors encounter clients who hold diverse beliefs inscribed by their culture about health conditions. Thus, clients may attribute the cause of a birth defect or genetic condition to a culturally-based health belief. This present study was conducted as a pilot study in order to assess the beliefs about the causes of birth defects and genetic disorders held by women of different ethnocultural backgrounds. This study proposed that women who do not have a family history of a disorder will differ in their knowledge about the cause of a birth defect or genetic disorder compared to women who have an affected child. In addition, this study determined to what extent culturally-based health beliefs are attributed to being the cause of a birth defect or genetic disorder in the 1990s.     

Perfectionism in Pediatric Anxiety and Depressive Disorders

Although perfectionism has been identified as a factor in many psychiatric disorders across the life span, it is relatively understudied in pediatric anxiety and depressive disorders. Furthermore, there exists little cohesion among previous research, restricting the conclusions that can be made across studies. In this review, research associating perfectionism with pediatric anxiety and depression is examined and a framework is presented synthesizing research to date. We focus on detailing the current understanding of how perfectionism develops and interacts with other developmental features characteristic of anxiety and depression in children and potential pathways that result in anxiety and depressive disorders. This includes: how perfectionism is measured in children, comparisons with relevant adult literature, the development of perfectionism in children and adolescents, mediators and moderators of the link between perfectionism and anxiety and depression, and the role of perfectionism in treatment and prevention of these disorders. We also present research detailing perfectionism across cultures. Findings from these studies are beginning to implicate perfectionism as an underlying process that may contribute broadly to the development of anxiety and depression in a pediatric population. Throughout the review, difficulties, limitations, and gaps in the current understanding are presented while offering suggestions for future research.     

Body Covering and Body Image: A Comparison of Veiled and Unveiled Muslim Women,Christian Women,and Atheist Women Regarding Body Checking,Body Dissatisfaction,and Eating Disorder Symptoms

Although Islam is the fastest growing religion worldwide, only few studies have investigated body image in Muslim women, and no study has investigated body checking. Therefore, the present study examined whether body image, body checking, and disordered eating differ between veiled and unveiled Muslim women, Christian women, and atheist women. While the groups did not differ regarding body dissatisfaction, unveiled Muslim women reported more checking than veiled Muslim and Christian women, and higher bulimia scores than Christian. Thus, prevention against eating disorders should integrate all women, irrespective of religious affiliation or veiling, with a particular focus on unveiled Muslim women.     

Spirituality and Ten False Beliefs and Pursuits of Women With Eating Disorders: Implications for Counselors

Women with eating disorders often struggle with deep spiritual conflicts that can be a major impediment to their recovery. On the basis of clinical experience with more than 350 women in an inpatient eating disorder treatment facility, the authors describe 10 false beliefs that women with eating disorders may hold; the authors explain how the pursuit of these beliefs can prevent the women from connecting with God and with others in genuine ways. The authors also suggest some therapeutic strategies that may help women with eating disorders find a healing and helpful spiritual perspective.     

Associations Between Impulsivity and Body Dissatisfaction in Females at Risk for Developing Eating Disorders

Sixty-one women (40 at-risk for an eating disorder based on the Screening Instrument for Identifying Individuals at Risk for Developing Anorexia and Bulimia Nervosa, SCANS) completed a self-report packet of questionnaires concerning executive function, impulsive behavior, mood, anxiety, delayed discounting and measures of body image dissatisfaction. Results revealed that the at-risk group were more depressed, had lower motivation, displayed more empathy, were more anxious (state and trait) and had a greater impulse behavior of urgency.     

Perfectionism,Distress, and Irrational Beliefs in High School Students: Analyses with an Abbreviated Survey of Personal Beliefs for Adolescents

The current study examined the associations between dimensions of perfectionism and irrational beliefs in an adolescent sample. In addition, we tested the association between psychological distress and irrational beliefs in adolescents and we evaluated the feasibility of creating a modified version of the Survey of Personal Beliefs for use with adolescents. A sample of 250 adolescents (108 males, 142 females) completed the Child-Adolescent Perfectionism Scale, the Survey of Personal Beliefs, and the CES-D Depression Scale. Initial psychometric analyses yielded an abbreviated 30-item Survey of Personal Beliefs with adequate internal consistency for four of the five subscales. Our results showed that self-oriented perfectionism was associated significantly with all five irrational belief subscales, while the associations between socially prescribed perfectionism and irrational belief subscales were much smaller in magnitude. Self-oriented perfectionism, socially prescribed perfectionism, and irrational beliefs were all associated significantly with elevated distress among adolescents, and irrational beliefs predicted unique variance in distress, over and above the variance attributable to the trait perfectionism dimensions. The findings confirmed the association between perfectionism and irrational beliefs and their respective roles in psychological distress among adolescents.     

Moving From Efficacy to Effectiveness in Eating Disorders Prevention: The Sorority Body Image Program

Although eating disorders prevention research has begun to produce programs with demonstrated efficacy, many such programs simply target individuals as opposed to engaging broader social systems (e.g., schools, sororities, athletic teams) as participant collaborators in eating disorders prevention. Yet, social systems ultimately will be responsible for the real-world delivery of eating disorder prevention programs, suggesting that an important issue has yet to be addressed. Namely, it is unclear to what degree efficacious individual-focused eating disorder prevention programs remain effective when incorporated into critical social systems under real-world conditions. Over the past 5 years, we have collaborated with the campus sororities in the development of a sustainable eating disorders prevention program that is based on the prevention efficacy literature. This paper describes both challenges and helpful strategies that we encountered in tailoring an evidence-based eating disorders prevention program to the needs of a relevant social system.     

Supervision for Counselors Working With Eating Disorders Groups: Countertransference Issues Related to Body Image,Food, and Weight

Because of similarities in age, education, and background, group counselors and members of eating disorders groups may easily identify and connect with each other. Although it can be positive, such overidentification may also create countertransference issues and demand attention in supervision. A model of supervision based on parallel process is presented to address these issues. The article describes (a) societal values related to eating disorders and countertransference; (b) specific themes in eating disorder groups and their impact on group process; (c) examples of countertransference related to body image, food, and weight; and (d) guidelines for supervision of female counselors working with eating disorders groups.     

Knowledge, Attitudes, and Beliefs of Arab-American Women Regarding Inherited Cancer Risk

The increasing incidence of breast cancer in the Arab world, coupled with a relatively early age of onset, raises concern for the presence of hereditary risk factors in this population. However, due to potential structural and cultural barriers, Arab Americans make up the smallest percentage of individuals tested for Hereditary Breast and Ovarian Cancer Syndrome in the United States. The objectives of this qualitative pilot focus group of 13 Arab-American women were to explore attitudes, knowledge and beliefs regarding hereditary breast cancer in the Arab-American community in metropolitan Detroit, identify barriers that would prevent women from seeking hereditary cancer screening/testing and determine who women would talk to about inherited cancer. Results indicated that cultural beliefs and personal experiences with cancer influenced the women’s perspectives on hereditary cancer risk. A high level of secrecy about cancer within Arab-American families was present, which may prevent accurate risk assessment and referral for genetic services. Other identified barriers that may influence hereditary risk assessment included stigma, fears and misconceptions of cancer. While these barriers were present, participants also expressed a strong need for education and tailored cancer risk information for their community.     

Body Shame and Disordered Eating in Adolescents

This study aimed to examine the predictive utility of body shame on eating behaviors in adolescents, while controlling for age, sex and body mass index (BMI). Participants were 400 Croatian adolescent girls and boys who completed self-report questionnaires assessing body shame and eating behaviors. Results showed that the mean eating behaviors score and the mean body shame score were significantly higher in females compared to males. Body shame explained statistically significant amount of eating behaviors variance after controlling for age, sex and BMI. Participants’ age and BMI did not play a role as significant predictors of eating behaviors. Implications for future research, including the importance of prospective longitudinal designs, are discussed.     

Parental Psychological Control,Attachment Insecurity and Body Shame: How Relational Factors Impact Disordered Eating

Journal of Child and Family Studies - Family relationships are a critical factor in the etiology and maintenance of disordered eating (DE). Attachment theory provides a framework for how relational...     

Caretaking,Separation From Parents,and the Development of Eating Disorders

The authors investigated the relationship between the cognitive and behavioral indicators of eating disorders and characteristics of codependency, including exaggerated caretaking and constricted emotion. In addition, the role of family environment was investigated through an assessment of separation from parents. College women who displayed more codependent characteristics evidenced higher levels of eating disordered behavior and conflictual separation from parents. The findings suggest that codependency may serve as an additional variable in the relationship between eating disorders and separation/individuation difficulties. Implications for counseling with college women are discussed.     

Irrational and Evaluative Beliefs in Individuals with Anger Disorders

Evaluative beliefs have long been regarded as hot cognitions fundamental to the arousal of emotion. Previous research on anger has predominantly focused on inferential beliefs, with explorations of evaluative beliefs largely ignored. Therefore, this paper presents an investigation of the nature of evaluative beliefs in individuals with anger disorders. To investigate the experimental hypotheses that individuals with anger disorders will report high levels of hostile related evaluative beliefs, two methodologies were applied to a clinical sample of individuals with anger disorders. Individuals with anger disorders reported hostile evaluative beliefs, but interestingly it was evident that such individuals endorsed high levels of negative self-evaluation. The implications of these findings for future research and clinical work are discussed.