Perfectionism in Eating Disorders: Are Long-Term Outcomes Influenced by Extent and Changeability in Initial Perfectionism?

Autor:	Petersson S; Department of Psychology, Lund University and AnorexiBulimiCenter, Division of Psychiatry, Kalmar County Council, S-391 85 Kalmar, Sweden., Clinton D; Department of Clinical Neuroscience, Karolinska Institutet, Norra Stationsgatan 69, S-113 64 Stockholm, Sweden., Brudin L; Department of Clinical Physiology, Kalmar County Council, S-391 85 Kalmar, Sweden., Perseius KI; Department of Clinical Neuroscience (CNS), Red Cross University College, Box 55676, S-102 15 Stockholm, Sweden., Norring C; Department of Clinical Neuroscience, Karolinska Institutet, Norra Stationsgatan 69, S-113 64 Stockholm, Sweden.
Jazyk:	angličtina
Zdroj:	Journal for person-oriented research [J Pers Oriented Res] 2018 Aug 10; Vol. 4 (1), pp. 1-14. Date of Electronic Publication: 2018 Aug 10 (Print Publication: 2018).
DOI:	10.17505/jpor.2018.01
Abstrakt:	Purpose: Perfectionism has been found to predict outcomes in the treatment of eating disorders (ED). In the present study, we took advantage of longitudinal data to: a) investigate whether there are different patterns of perfectionism during the first six months after admission in a clinical sample of patients with ED, and b) describe how these patterns are related to long-term outcome. Methods: A sample of patients (N=294) from the Coordinated Evaluation and Research at Specialized Units for Eating Disorders database was divided into clusters according to perfectionism patterns measured with the EDI-2 perfectionism scale at baseline, and six months in treatment. Cluster analysis was performed on the extent and perseverance/changeability of self-oriented and socially described perfectionism. Outcome was measured with the EDI-2 and the SCL-63. Frequencies of eating disorder diagnoses were investigated. Results: Five clusters were identified. Low perfectionism was associated with lower levels of ED and psychiatric symptomatology at baseline. There were no significant differences between clusters on outcome variables at 36-month follow-up. Conclusions: Results indicated better psychiatric and psychological health three years after the initial measure. Patterns of relations between the extent and possible changes of perfectionism, measured with the EDI-P at baseline and after six months, did not appear to be associated with long-term outcomes on psychiatric health ratings. Competing Interests: The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© Person-Oriented Research.)
Databáze:	MEDLINE
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