Bulimic symptomatology: the role of adaptive perfectionism, shape and weight concern, and self-esteem |
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| Authors: | Watson Hunna J Steele Anna L Bergin Jacqueline L Fursland Anthea Wade Tracey D |
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| Affiliation: | aCentre for Clinical Interventions, 223 James St, Northbridge, Western Australia 6003, Australia;bSchool of Paediatrics and Child Health, The University of Western Australia, 35 Stirling Hwy, Crawley, Western Australia 6009, Australia;cSchool of Psychology, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia |
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| Abstract: | 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. |
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| Keywords: | Bulimic symptoms Perfectionism Body dissatisfaction Self-esteem Eating disorders |
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