1. Bulimic symptomatology: The role of adaptive perfectionism, shape and weight concern, and self-esteem
- Author
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Watson, Hunna J., Steele, Anna L., Bergin, Jacqueline L., Fursland, Anthea, and Wade, Tracey D.
- Subjects
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BULIMIA , *SELF-esteem , *EATING disorders , *CROSS-sectional method , *PSYCHOTHERAPY , *HEALTH outcome assessment , *MATHEMATICAL models - Abstract
Abstract: An interactive model implicating high perfectionism, high weight and shape concern, and low self-esteem in the onset and maintenance of bulimic symptoms () has received mixed support. This study aimed to replicate the cross-sectional model in a clinical sample of women with eating disorders, and to investigate whether the model could predict changes in binge eating and purging at the end of treatment. Eating disorder outpatients (n =353) completed measures of perfectionism, weight/shape concern, self-esteem, and bulimic symptoms at pre-treatment and discharge. Contrary to the hypotheses, the three-way interaction did not predict binge eating or purging cross-sectionally or prospectively as a moderator of psychotherapy outcome. It was concluded that the robustness of the interactive model seems questionable and may be impacted by an inadequate conceptualization of the perfectionism construct. [Copyright &y& Elsevier]
- Published
- 2011
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