An examination of early childhood perfectionism across anorexia nervosa subtypes

International Journal of Eating Disorders - Tập 45 Số 6 - Trang 800-807 - 2012
Katherine A. Halmi1, Dara Bellace1, Samantha Berthod1, Samiran Ghosh1, Wade H. Berrettini2, Harry Brandt3, Cynthia M. Bulik4, Steve Crawford3, Manfred M. Fichter5,6, Craig L. Johnson7, Allan S. Kaplan8,9,10, Walter H. Kaye11, Laura M. Thornton4, Janet Treasure12, D. Blake Woodside13,14, Michael Strober15
1Department of Psychiatry, Weill Cornell Medical College, New York
2Department of Psychiatry, Center of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, Pennsylvania
3Department of Psychiatry, Sheppard Pratt Health System, Towson, Maryland
4Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
5Department of Psychiatry, University of Munich (LMU), Munich, Germany
6Roseneck Hospital for Behavioral Medicine, Prien, Germany
7Center for Eating Recovery, Denver, Colorado
8Center for Addiction and Mental Health, Toronto, Canada
9Institute of Medical Science, University of Toronto, Toronto, Canada
10Toronto General Hospital, Toronto, Canada
11Eating Disorder Research and Treatment Program, Department of Psychiatry, University of California San Diego, La Jolla, California
12Department of Academic Psychiatry, Kings College London, Institute of Psychiatry, London, United Kingdom
13Department of Psychiatry, University of Toronto, Toronto, Canada
14Program for Eating Disorders, Toronto General Hospital, Toronto, Canada
15Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California at Los Angeles, California

Tóm tắt

AbstractObjective:To examine childhood perfectionism in anorexia nervosa (AN) restricting (RAN), purging (PAN), and binge eating with or without purging (BAN) subtypes.Method:The EATATE, a retrospective assessment of childhood perfectionism, and the eating disorder inventory (EDI‐2) were administered to 728 AN participants.Results:EATATE responses revealed general childhood perfectionism, 22.3% of 333 with RAN, 29.2% of 220 with PAN, and 24.8% of 116 with BAN; school work perfectionism, 31.2% with RAN, 30.4% with PAN, and 24.8% with BAN; childhood order and symmetry, 18.7% with RAN, 21.7% with PAN, and 17.8% with BAN; and global childhood rigidity, 42.6% with RAN, 48.3% with PAN and 48.1% with BAN. Perfectionism preceded the onset of AN in all subtypes. Significant associations between EDI‐2 drive for thinness and body dissatisfaction were present with four EATATE subscales.Discussion:Global childhood rigidity was the predominate feature that preceded all AN subtypes. This may be a risk factor for AN. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012; 45:800–807)

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International Journal of Eating Disorders

Tập 45 Số 6

800-807

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