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Perfectionism in anorexia nervosa

A M Bastiani1, R Rao, T Weltzin

  • 1University of Pittsburgh, School of Medicine, PA, USA.

The International Journal of Eating Disorders
|March 1, 1995
PubMed
Summary

Perfectionism is common in anorexia nervosa and persists after weight gain. This self-imposed trait may hinder treatment and lead to relapse, suggesting new assessment scales could track progress.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Eating Disorders

Background:

  • Perfectionism is widely recognized in anorexia nervosa patients.
  • Limited research has characterized the specific nature of perfectionism in this population.

Purpose of the Study:

  • To assess perfectionism in patients with anorexia nervosa using novel multidimensional instruments.
  • To investigate whether perfectionism changes after weight restoration.

Main Methods:

  • Development and application of two new multidimensional scales to measure perfectionism.
  • Assessment of underweight, malnourished anorexia nervosa patients.

Main Results:

  • Both scales confirmed high levels of perfectionism in anorexia nervosa patients.
  • Perfectionism scores remained elevated even after successful weight restoration.
  • Patients perceived their perfectionism as self-imposed, not externally driven.

Conclusions:

  • Perfectionism is a persistent, self-driven trait in anorexia nervosa.
  • This trait may be linked to rigid, obsessive behaviors contributing to treatment resistance and relapse.
  • The developed scales may aid in evaluating treatment response in anorexia nervosa.

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