Author:

Keywords:

Social Sciences, Science & Technology, Life Sciences & Biomedicine, Psychology, Clinical, Psychiatry, Psychology, maladaptive schema domains, perfectionism, eating disorders, body image concerns, COGNITIVE-BEHAVIOR THERAPY, CORE BELIEFS, RISK-FACTORS, CLINICAL PERFECTIONISM, ANOREXIA-NERVOSA, PSYCHOPATHOLOGY, QUESTIONNAIRE, ATTITUDES, SYMPTOMS, TRAITS, Adolescent, Adult, Anorexia Nervosa, Body Dysmorphic Disorders, Body Image, Bulimia Nervosa, Feeding and Eating Disorders, Female, Humans, Personal Autonomy, Personality Disorders, Self Concept, Surveys and Questionnaires, Young Adult, 1103 Clinical Sciences, 1701 Psychology, Clinical Psychology, 3202 Clinical sciences, 3210 Nutrition and dietetics, 5203 Clinical and health psychology

Abstract:

Both maladaptive schemas (MS) and perfectionism have been associated with eating pathology. However, previous research has not examined these variables simultaneously and has not studied possible mediating relationships between MS and multidimensional perfectionism for body image concerns in eating disorder (ED) patients. Eighty-eight female ED patients completed the Young Schema Questionnaire, the Frost Multidimensional Perfectionism Scale, and the Body Attitude Test. Body image concerns were found to be positively related to Personal Standards (PS) and Evaluative Concerns (EC) perfectionism and all five schema domains. PS Perfectionism was positively associated with Disconnection, Other-directedness, and Overvigilance. EC Perfectionism was positively related to Disconnection, Impaired Autonomy, Other-directedness, and Overvigilance. Moreover, EC perfectionism was found to be a significant mediator in the relationship between the schema domains Impaired Autonomy and Overvigilance and body image concerns. These findings denote the importance to address both core beliefs and perfectionism in ED treatment.