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Published on: October 22, 2015
Anorexia nervosa and perfectionism: A meta-analysis
Sophie C Dahlenburg1, David H Gleaves1, Amanda D Hutchinson1
1University of South Australia, Adelaide, South Australia, Australia.
Individuals with anorexia nervosa (AN) exhibit higher maladaptive perfectionism than non-clinical groups and those with other psychiatric diagnoses. Maladaptive perfectionism is also linked to bulimia nervosa (BN).
Area of Science:
- Psychiatry
- Clinical Psychology
- Eating Disorder Research
Background:
- Perfectionism is frequently studied in anorexia nervosa (AN).
- However, comparisons of perfectionism levels between AN, other eating disorders, and other psychiatric diagnoses are lacking.
- This meta-analysis addresses this gap in the literature.
Purpose of the Study:
- To compare perfectionism (maladaptive and adaptive) in individuals with AN against non-clinical groups, individuals with other eating disorders (e.g., bulimia nervosa [BN]), and individuals with other psychiatric diagnoses.
- To investigate the association of maladaptive perfectionism in AN and BN.
Main Methods:
- A systematic review and meta-analysis adhering to PRISMA guidelines.
- Included 23 studies with 3,561 female participants.
- Compared perfectionism scores in AN patients versus non-clinical, BN, and other psychiatric diagnosis groups.
Main Results:
- Individuals with AN showed significantly higher maladaptive perfectionism than non-clinical groups (g=1.00) and other psychiatric diagnosis groups (g=0.41).
- AN patients also exhibited higher adaptive perfectionism than non-clinical groups (g=1.24).
- No statistically significant difference in maladaptive perfectionism was found between AN and BN groups.
Conclusions:
- Maladaptive perfectionism is a significant characteristic of AN, exceeding levels found in non-clinical and other psychiatric populations.
- Findings suggest maladaptive perfectionism is associated with both AN and BN, despite non-significant direct comparisons between these two groups.
- Publication bias may influence comparisons with the other psychiatric diagnosis group.
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