Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-26T15:58:11.911Z Has data issue: false hasContentIssue false

Perfecting Weight Restriction: The Moderating Influence of Body Dissatisfaction on the Relationship Between Perfectionism and Weight Control Practices

Published online by Cambridge University Press:  13 August 2014

Caroline Leanne Donovan*
Affiliation:
School of Applied Psychology and Griffith Health Institute, Griffith University, Brisbane, Queensland, Australia
Dianne Chew
Affiliation:
School of Psychology, University of Queensland, Brisbane, Queensland, Australia
Rhiannon Penny
Affiliation:
School of Psychology, University of Queensland, Brisbane, Queensland, Australia
*
Address for correspondence: Dr Caroline Donovan, School of Applied Psychology & Griffith Health Institute, Griffith University, Mt Gravatt Campus, 176 Messines Ridge Rd, Mt Gravatt QLD 4122, Australia. Email: c.donovan@griffith.edu.au
Get access

Abstract

This study explored the moderating effect of body dissatisfaction (BD) on the relationship between perfectionism and weight restricting and control behaviours (WRCBs). A sample of 167 female undergraduates completed self-report measures of perfectionism, BD and WRCBs. BD was not found to moderate the relationship between either perfectionism and dieting, or perfectionism and exercise. Instead, BD uniquely predicted both dieting and exercise, as did the perfectionism dimensions of self-oriented perfectionism, concern over mistakes, parental standards, and organisation. BD moderated the relationship between perfectionism and purging for analyses involving self-oriented perfectionism, concern over mistakes, and doubts about actions, such that there was a significant positive association between perfectionism and purging when BD was high but not low. Perfectionism and BD are important in different ways to WRCBs. The importance of measuring multiple dimensions of perfectionism and differentiating between the various types of WRCBs is highlighted.

Type
Standard Papers
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ackard, D.M., Croll, J.K., & Kearney-Cooke, A. (2002). Dieting frequency among college females: Association with disordered eating, body image, and related psychological problems. Journal of Psychosomatic Research, 52 (3), 129136. doi:10.1016/s0022-3999(01)00269-0CrossRefGoogle ScholarPubMed
Aiken, L.S., & West, S.G. (2000). Multiple regression. Encyclopedia of psychology. Washington, DC: American Psychological Association.Google Scholar
Anshel, M.H., & Seipel, S.J. (2006). Relationships between dimensions of perfectionism and exercise behavior among college students. International Journal of Sport and Exercise Psychology, 4 (1), 2542. doi:10.1080/1612197x.2006.9671782Google Scholar
Bardone-Cone, A.M., Wonderlich, S.A., Frost, R.O., Bulik, C.M., Mitchell, J.E., Uppala, S., & Simonich, H. (2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychology Review, 27 (3), 384405. doi:10.1016/j.cpr.2006.12.005Google Scholar
Bastiani, A.M., Rao, R., Weltzin, T., & Kaye, W.H. (1995). Perfectionism in anorexia nervosa. International Journal of Eating Disorders, 17 (2), 147152. doi:10.1002/1098-108x(199503)17:2<147::aid-eat2260170207>3.0.co;2-x3.0.CO;2-X>CrossRefGoogle ScholarPubMed
Brannan, M.E., & Petrie, T.A. (2008). Moderators of the body dissatisfaction-eating disorder symptomatology relationship: Replication and extension. Journal of Counseling Pyschology, 55 (2), 263275. doi:10.1037/0022-0167.55.2.263CrossRefGoogle Scholar
Brewerton, T.D., Stellefson, E.J., Hibbs, N., Hodges, E.L., & Cochrane, C.E. (1995). Comparison of eating disorder patients with and without compulsive exercising. International Journal of Eating Disorders, 17 (4), 413416. doi:10.1002/1098-108x(199505)17:4<413::aid-eat2260170414>3.0.co;2-0Google Scholar
Bruch, H. (1973). Thin fat people. Journal of the Amercian Women's Medical Association, 28 (4), 187188.Google Scholar
Castro-Fornieles, J., Gual, P., Lahortiga, F., Gila, A., Casulà, V., Fuhrmann, C., . . . Toro, J. (2007). Self-oriented perfectionism in eating disorders. International Journal of Eating Disorders, 40 (6), 562568. doi:10.1002/eat.20393CrossRefGoogle ScholarPubMed
Cockell, S.J., Hewitt, P.L., Seal, B., Sherry, S., Goldner, E.M., Flett, G.L., & Remick, R.A. (2002). Trait and self-presentational dimensions of perfectionism among women with anorexia nervosa. Cognitive Therapy and Research, 26 (6), 745758. doi:10.1023/a:1021237416366Google Scholar
Coen, S., & Ogles, B.M. (1993). Psychological characteristics of the obligatory runner: A critical examination of the anorexia analogue hypothesis. Journal of Sport & Exercise Psychology, 15 (3), 338354.Google Scholar
Downey, C.A., & Chang, E.C. (2007). Perfectionism and symptoms of eating disturbances in female college students: Considering the role of negative affect and body dissatisfaction. Eating Behaviors, 8 (4), 497503. doi:10.1016/j.eatbeh.2007.02.002Google Scholar
Fairburn, C.G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A ‘transdiagnostic’ theory and treatment. Behaviour Research and Therapy, 41 (5), 509528. doi:10.1016/s0005-7967(02)00088-8Google Scholar
Fairburn, C.G., Welch, S.L., Doll, H.A., Davies, B.A., & O’Connor, M.E. (1997). Risk factors for bulimia nervosa: A community-based case-control study. Arch Gen Psychiatry, 54 (6), 509517. doi:10.1001/archpsyc.1997.01830180015003CrossRefGoogle ScholarPubMed
Forbush, K., Heatherton, T.F., & Keel, P.K. (2007). Relationships between perfectionism and specific disordered eating behaviors. International Journal of Eating Disorders, 40 (1), 3741. doi:10.1002/eat.20310Google Scholar
Frost, R.O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14 (5), 449468. doi:10.1007/bf01172967Google Scholar
Garner, D.M. (1991). Eating disorder inventory-2: Professional Manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
Garner, D.M., Olmstead, M.P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2 (2), 1534.Google Scholar
Garner, D.M., Olmsted, M., Polivy, J., & Garfinkel, P. (1984). Comparison between weight-preoccupied women and anorexia nervosa. Psychosomatic Medicine, 46 (3), 255266.CrossRefGoogle ScholarPubMed
Ghaderi, A. (2003). Structural modeling analysis of prospective risk factors for eating disorder. Eating Behaviors, 3 (4), 387396. doi:10.1016/s1471-0153(02)00089-2Google Scholar
Goldman, A.C., Govindaraj, S., Franco, R.A., & Lim, J. (2001). Facial purpura. The Laryngoscope, 111 (2), 207212. doi:10.1097/00005537-200102000-00004Google Scholar
Gowers, S.G., & Shore, A. (2001). Development of weight and shape concerns in the aetiology of eating disorders. The British Journal of Psychiatry, 179 (3), 236242. doi:10.1192/bjp.179.3.236Google Scholar
Gulker, M.G., Laskis, T.A., & Kuba, S.A. (2001). Do excessive exercisers have a higher rate of obsessive-compulsive symptomatology? Psychology, Health & Medicine, 6 (4), 387398. doi:10.1080/13548500126535CrossRefGoogle Scholar
Hall, H.K., Kerr, A.W., Kozub, S.A., & Finnie, S.B. (2007). Motivational antecedents of obligatory exercise: The influence of achievement goals and multidimensional perfectionism. Psychology of Sport and Exercise, 8 (3), 297316. doi:10.1016/j.psychsport.2006.04.007Google Scholar
Halmi, K.A., Sunday, S.R., Strober, M., & Kaplan, A. (2000). Perfectionism in anorexia nervosa: Variation by clinical subtype, obsessionality, and pathological eating behavior. The American Journal of Psychiatry, 157 (11), 17991805.CrossRefGoogle ScholarPubMed
Hewitt, P.L., Flett, G.L., & Ediger, E. (1995). Perfectionism traits and perfectionistic self-presentation in eating disorder attitudes, characteristics, and symptoms. International Journal of Eating Disorders, 18 (4), 317326.3.0.CO;2-2>CrossRefGoogle ScholarPubMed
Hewitt, P.L., Flett, G.L., Turnbull-Donovan, W., & Mikail, S.F. (1991). The Multidimensional Perfectionism Scale: Reliability, validity and psychometric properties in psychiatric samples. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3 (3), 464468. doi:10.1037/1040-3590.3.3.464Google Scholar
Hsu, L.K.G. (1996). Epidemiology of the eating disorders. Psychiatric Clinics of North America, 19 (4), 681700. doi:10.1016/s0193-953x(05)70375-0CrossRefGoogle ScholarPubMed
Joiner, T.E., & Schmidt, N.B. (1995). Dimensions of perfectionism, life stress, and depressed and anxious symptoms: Prospective support for diathesis-stress but not specific vulnerability among male undergraduates. Journal of Social and Clinical Psychology, 14 (2), 165183. doi:10.1521/jscp.1995.14.2.165Google Scholar
Kaye, W.H., Barbarich, N C., Putnam, K., Gendall, K.A., Fernstrom, J., Fernstrom, M., . . . Kishore, A. (2003). Anxiolytic effects of acute tryptophan depletion in anorexia nervosa. International Journal of Eating Disorders, 33 (3), 257267. doi:10.1002/eat.10135Google Scholar
Kenardy, J., Brown, W.J., & Vogt, E. (2001). Dieting and health in young Australian women. European Eating Disorders Review, 9 (4), 242254. doi:10.1002/erv.388Google Scholar
Lasater, L.M., & Mehler, P.S. (2001). Medical complications of bulimia nervosa. Eating Behaviors, 2 (3), 279292. doi 10.1016/s1471-0153(01)00036-8Google Scholar
Lethbridge, J., Watson, H.J., Egan, S.J., Street, H., & Nathan, P.R. (2011). The role of perfectionism, dichotomous thinking, shape and weight overvaluation, and conditional goal setting in eating disorders. Eating Behaviors, 12 (3), 200206. doi:10.1016/j.eatbeh.2011.04.003Google Scholar
McLaren, L., Gauvin, L., & Steiger, H. (2001). A two-factor model of disordered eating. Eating Behaviors, 2(1), 5165. doi:10.1016/s1471-0153(00)00023-4CrossRefGoogle ScholarPubMed
McVey, G.L., Pepler, D., Davis, R., Flett, G.L., & Abdolell, M. (2002). Risk and protective factors associated with disordered eating during early adolescence. The Journal of Early Adolescence, 22 (1), 7595. doi:10.1177/0272431602022001004Google Scholar
Moor, S., Vartanian, L.R., Touyz, S.W., & Beumont, P.J.V. (2004). Psychopathology of EDNOS patients: To whom do they compare? Clinical Psychologist, 8 (2), 7075. doi:10.1080/1328420041233130436CrossRefGoogle Scholar
National Center for Health Statistics & National Center for Chronic Disease and Health Promotion. (2011). Obesity: Halting the epidemic by making health easier. Retrieved from http://www.cdc.gov/chronicdisease/index.htmGoogle Scholar
Neumark-Sztainer, D., Wall, M., Larson, N.I., Eisenberg, M.E., & Loth, K. (2011). Dieting and disordered eating behaviors from adolescence to young adulthood: Findings from a 10-year longitudinal study. Journal of the American Dietetic Association, 111 (7), 10041011.Google Scholar
Neumark-Sztainer, D., Wall, M., Story, M., & Standish, A.R. (2012). Dieting and unhealthy weight control behaviors during adolescence: Associations with 10-year changes in Body Mass Index. The Journal of Adolescent Health, 50 (1), 8086.CrossRefGoogle ScholarPubMed
Newton, J.T., & Travess, H.C. (2000). Oral complications. European Eating Disorders Review, 8 (2), 8387.Google Scholar
Pearson, C.A., & Gleaves, D.H. (2006). The multiple dimensions of perfectionism and their relation with eating disorder features. Personality and Individual Differences, 41 (2), 225235. doi:10.1016/j.paid.2006.01.013CrossRefGoogle Scholar
Peñas-Lledó, E., Vaz Leal, F.J., & Waller, G. (2002). Excessive exercise in anorexia nervosa and bulimia nervosa: Relation to eating characteristics and general psychopathology. International Journal of Eating Disorders, 31 (4), 370375. doi:10.1002/eat.10042Google Scholar
Pratt, E.M., Telch, C.F., Labouvie, E.W., Wilson, G.T., & Agras, W.S. (2001). Perfectionism in women with binge eating disorder. International Journal of Eating Disorders, 29 (2), 177186.Google Scholar
Ricciardelli, L.A., & McCabe, M.P. (2003). Sociocultural and individual influences on muscle gain and weight loss strategies among adolescent boys and girls. Psychology in the Schools, 40 (2), 209224. doi:10.1002/pits.10075CrossRefGoogle Scholar
Rogers, L., Resnick, M.D., Mitchell, J.E., & Blum, R.W. (1997). The relationship between socioeconomic status and eating-disordered behaviors in a community sample of adolescent girls. International Journal of Eating Disorders, 22 (1), 1523.Google Scholar
Ruggiero, G.M., Levi, D., Ciuna, A., & Sassaroli, S. (2003). Stress situation reveals an association between perfectionism and drive for thinness. International Journal of Eating Disorders, 34 (2), 220226. doi:10.1002/eat.10191Google Scholar
Seigel, K., & Hetta, J. (2001). Exercise and eating disorder symptoms among young females. Eating and Weight Disorders, 6 (1), 3239.CrossRefGoogle ScholarPubMed
Shafran, R., Cooper, Z., & Fairburn, C.G. (2002). Clinical perfectionism: A cognitive behavioural analysis. Behaviour Research and Therapy, 40 (7), 773791.Google Scholar
Sherry, S.B., Hewitt, P.L., Besser, A., McGee, B.J., & Flett, G.L. (2004). Self-oriented and socially prescribed perfectionism in the Eating Disorder Inventory Perfectionism subscale. International Journal of Eating Disorders, 35 (1), 6979. doi:10.1002/eat.10237Google Scholar
Steele, A.L., O’Shea, A., Murdock, A., & Wade, T.D. (2011). Perfectionism and its relation to overevaluation of weight and shape and depression in an eating disorder sample. International Journal of Eating Disorders, 44 (5), 459464. doi:10.1002/eat.20817Google Scholar
Stice, E., & Agras, W. S. (1998). Predicting onset and cessation of bulimic behaviors during adolescence: A longitudinal grouping analysis. Behavior Therapy, 29 (2), 257276. doi:10.1016/s0005-7894(98)80006-3Google Scholar
Tachikawa, H., Yamaguchi, N., Hatanaka, K., Kobayashi, J., Sato, S., Mizukami, K., . . . Sugie, M. (2004). The Eating Disorder Inventory-2 in Japanese clinical and non-clinical samples: Psychometric properties and cross-cultural implications. Eating and Weight Disorders, 9 (2), 107113.CrossRefGoogle ScholarPubMed
Taranis, L., & Meyer, C. (2010). Perfectionism and compulsive exercise among female exercisers: High personal standards or self-criticism? Personality and Individual Differences, 49 (1), 37. doi:10.1016/j.paid.2010.02.024Google Scholar
van den Berg, P., Thompson, J.K., Obremski-Brandon, K., & Coovert, M. (2002). The Tripartite Influence model of body image and eating disturbance: A covariance structure modeling investigation testing the mediational role of appearance comparison. Journal of Psychosomatic Research, 53 (5), 10071020.Google Scholar
Wear, R.W., & Pratz, O. (1987). Test-retest reliability for the eating disorder inventory. International Journal of Eating Disorders, 6 (6), 767769.Google Scholar
Welch, E., Miller, J.L., Ghaderi, A., & Vaillancourt, T. (2009). Does perfectionism mediate or moderate the relation between body dissatisfaction and disordered eating attitudes and behaviors? Eating Behaviors, 10 (3), 168175. doi:10.1016/j.eatbeh.2009.05.002Google Scholar
Welch, G., Hall, A., & Walkey, F. (1988). The factor structure of the eating disorders inventory. Journal of Clinical Psychology, 44 (1), 5156.Google Scholar
Williamson, D.A., Anderson, D.A., Jackman, L.P., & Jackson, S.R. (1994). Assessment of eating disordered thoughts, feelings and behaviors. Thousand Oaks, CA: Thousand Oaks.Google Scholar