The role of compulsive exercise in the relationship between perfectionism and eating disorder pathology in underweight adolescents with eating disorders.
Autor: | Cresswell C; Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia., Watson HJ; Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia; Department of Psychiatry, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, United States; Division of Pediatrics, School of Medicine, The University of Western Australia, Perth, Australia., Jones E; Eating Disorders Program, Child and Adolescent Health Service, Perth, Australia., Howell JA; Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia; Centre for Clinical Interventions, Perth, Australia., Egan SJ; Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia; enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia. Electronic address: s.egan@curtin.edu.au. |
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Jazyk: | angličtina |
Zdroj: | Eating behaviors [Eat Behav] 2022 Dec; Vol. 47, pp. 101683. Date of Electronic Publication: 2022 Nov 14. |
DOI: | 10.1016/j.eatbeh.2022.101683 |
Abstrakt: | Perfectionism has a strong association with eating disorders. Research in non-clinical adults has suggested that perfectionism has both direct and indirect effects on eating disorder symptoms, and that compulsive exercise is a potential mediator. The aim of this study was to understand whether perfectionism is associated with eating disorder symptoms, both directly and indirectly through compulsive exercise in underweight adolescents with eating disorders. Participants were 149 female adolescents (M = 14.90 years, age range 13-17) with eating disorders from the Helping to Outline Paediatric Eating Disorders (HOPE) Project, an ongoing, registry study of individuals consecutively referred individuals to a statewide eating disorder service. The majority had a diagnosis of anorexia nervosa restricting type (66 %), followed by unspecified feeding or eating disorder (21 %), and anorexia nervosa binge-eating purging type (13 %). To test the model, path analyses with bootstrapping were conducted. All paths were statistically significant, including the indirect effect from perfectionism to eating disorder pathology via the mediator of compulsive exercise, and the direct effect of perfectionism on eating disorder pathology. Overall, this research provides further evidence that compulsive exercise may be one factor that can explain the relationship between perfectionism and eating disorder symptoms. Future research should seek to determine the relative efficacy of approaches for the treatment of eating disorders in adolescents which target perfectionism and compulsive exercise. Competing Interests: Declaration of competing interest None. (Copyright © 2022 Elsevier Ltd. All rights reserved.) |
Databáze: | MEDLINE |
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