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

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 th...

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Bibliographic Details
Published in:Journal of psychopathology and behavioral assessment 2018-12, Vol.40 (4), p.691-700
Main Authors: Haynos, Ann F., Utzinger, Linsey M., Lavender, Jason M., Crosby, Ross D., Cao, Li, Peterson, Carol B., Crow, Scott J., Wonderlich, Stephen A., Engel, Scott G., Mitchell, James E., Le Grange, Daniel, Goldschmidt, Andrea B.
Format: Article
Language:English
Subjects:
Affective symptoms
Anorexia
Anxiety
Behavioral Science and Psychology
Clinical Psychology
Clinical significance
Clinical standards
Cognitive therapy
Eating disorders
Ecological momentary assessment
Emotional disorders
Etiology
Generalized linear models
Linear analysis
Mental depression
Perfectionism
Personality and Social Psychology
Positive emotions
Psychology
Purging
Questionnaires
Subtypes
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Summary: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  
ISSN:0882-2689
1573-3505
DOI:10.1007/s10862-018-9672-8