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An examination of early childhood perfectionism across anorexia nervosa subtypes
Author(s) -
Halmi Katherine A.,
Bellace Dara,
Berthod Samantha,
Ghosh Samiran,
Berrettini Wade,
Brandt Harry A.,
Bulik Cynthia M.,
Crawford Steve,
Fichter Manfred M.,
Johnson Craig L.,
Kaplan Allan,
Kaye Walter H.,
Thornton Laura,
Treasure Janet,
Blake Woodside D.,
Strober Michael
Publication year - 2012
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22019
Subject(s) - perfectionism (psychology) , psychology , anorexia nervosa , eating disorders , clinical psychology , binge eating disorder , psychiatry , bulimia nervosa
Abstract Objective: 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)