2017, Número 2
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Revista Mexicana de Trastornos Alimentarios 2017; 8 (2)
Dimensiones del perfeccionismo (adaptativo y desadaptativo) en adolescentes con trastorno de la conducta alimentaria
Scappatura ML, Bidacovich G, Banasco FMB, Rutsztein G
Idioma: Español
Referencias bibliográficas: 81
Paginas: 131-141
Archivo PDF: 519.66 Kb.
RESUMEN
Este estudio analizó la asociación de las dimensiones adaptativa y desadaptativa
del perfeccionismo con la presencia de trastornos de la conducta alimentaria (TCA), de riesgo
de TCA, y algunas características inherentes a estos trastornos. Participaron 246 mujeres adolescentes, de 13 a 19 a˜nos de edad, divididas en tres grupos: con TCA (
n = 59), con riesgo deTCA (
n = 17) y sin TCA o riesgo (
n = 170); esto definido a través de la entrevista para Examinaciónde Trastornos Alimentarios (EDE). Las participantes completaron el Inventario de Trastornos Ali-mentarios (EDI-3) y la Escala Casi Perfecta-Revisada (APS-R). En congruencia con los modelos quesostienen la existencia de dos dimensiones bien delimitadas del perfeccionismo, las adolescen-tes con TCA y riesgo presentaron mayores puntuaciones que aquellas sin TCA en Discrepancia(dimensión desadaptativa), pero no en Altos estándares (dimensión adaptativa). Además sehallaron asociaciones positivas entre Discrepancia y todas las subescalas del EDI-3, exceptoMiedo a madurar. No obstante, en el grupo con TCA también se hallaron asociaciones positivasde los Altos estándares y el Orden con la Búsqueda de delgadez, resultado que no permite afirmarel valor adaptativo de estas dos últimas dimensiones del perfeccionismo entre las adolescentescon TCA.
REFERENCIAS (EN ESTE ARTÍCULO)
American Psychiatric Association. (2000). Diagnostic and statisti-cal manual of mental disorders: DSM-IV-TR. Washington, DC:American Psychiatric Association.
American Psychiatric Association. (2015). Feeding and eating disor-ders: DSM-5 selections. Arlington, VA: American PsychiatricPublishing.
Antony, M. M., Purdon, C. L., Huta, V. y Swinson, R. P. (1998). Dimen-sions of perfectionism across the anxiety disorders. BehaviourResearch and Therapy, 36(12), 1143---1154.
Arana, F. G., Keegan, E. G. y Rutsztein, G. (2009). Adaptación de unamedida multidimensional de perfeccionismo: la Almost PerfectScale-Revised (APS-R). Un estudio preliminar sobre sus propieda-des psicométricas en una muestra de estudiantes universitariosargentinos. Evaluar, 9, 35---53.
Arana, F. G., Scappatura, M. L., Lago, A. y Keegan, E. G.(2007). Perfeccionismo adaptativo y desadaptativo y males-tar psicológico en estudiantes universitarios argentinos: Unestudio exploratorio utilizando el APS-R. Memorias de lasXIV Jornadas de Investigación del Mercosur. Disponible en:https://www.aacademica.org/000-073/116.pdf
Arana, F. G., Scappatura, M. L., Miracco, M., Elizathe, L., Rutsztein,G. y Keegan, E. G. (2010). Perfeccionismo positivo/negativoy percepción de calidad de vida en estudiantes de psicología,medicina e ingeniería de la ciudad de Buenos Aires. Anuario deInvestigaciones, 17, 17---24.
Ashby, J. S., Kottman, T. y Schoen, E. (1998). Perfectionism andeating disorders reconsidered. Journal of Mental Health Coun-seling, 20(3), 261---271.
Bardone-Cone, A. M. (2007). Self-oriented and socially prescribedperfectionism dimensions and their associations with disorderedeating. Behaviour Research and Therapy, 45(8), 1977---1986.
Bardone-Cone, A. M., Abramson, L. Y., Vohs, K. D., Heatherton,T. F. y Joiner, T. E. (2006). Predicting bulimic symptoms: Aninteractive model of self-efficacy, perfectionism, and percei-ved weight status. Behaviour Research and Therapy, 44(1),27---42.
Bardone-Cone, A. M., Joiner, T. E., Crosby, R. D., Crow, S. J., Klein,M. H., Le Grange, D., et al. (2008). Examining a psychosocialinteractive model of binge eating and vomiting in women withbulimia nervosa and subthreshold bulimia nervosa. BehaviourResearch and Therapy, 46(7), 887---894.
Bardone-Cone, A. M., Wonderlich, S. A., Frost, R. O., Bulik, C.M., Mitchell, J. E., Uppala, S., et al. (2007). Perfectionism andeating disorders: Current status and future directions. ClinicalPsychology Review, 27(3), 384---405.
Barnett, M. D. y Sharp, K. J. (2016). Maladaptive perfectionism,body image satisfaction, and disordered eating behaviors amongUS college women: The mediating role of self-compassion. Per-sonality and Individual Differences, 99, 225---234.
Bastiani, A. M., Rao, R., Weltzin, T. y Kaye, W. H. (1995). Per-fectionism in anorexia nervosa. International Journal of EatingDisorders, 17(2), 147---152.Berg, K. C., Peterson, C. B., Frazier, P. y Crow, S. J. (2012). Psy-chometric evaluation of the Eating Disorder Examination andEating Disorder Examination-Questionnaire: A systematic reviewof the literature. International Journal of Eating Disorders,45(3), 428---438.
Boone, L., Soenens, B. y Braet, C. (2011). Perfectionism, bodydissatisfaction, and bulimic symptoms: The intervening roleof perceived pressure to be thin and thin ideal interna-lization. Journal of Social and Clinical Psychology, 30(10),1043---1068.
Boone, L., Soenens, B., Vansteenkiste, M. y Braet, C. (2012). Isthere a perfectionist in each of us? An experimental study onperfectionism and eating disorder symptoms. Appetite, 59(2),531---540.
Bruch, H. (1978). The golden cage. Cambridge: Harvard UniversityPress.
Burns, D. D. (1980). The perfectionist’s script for self-defeat. Psy-chology Today, 14(6), 34---52.
Chang, E. C. (2006). Perfectionism and dimensions of psychologicalwell-being in a college student sample: A test of a stress-mediation model. Journal of Social and Clinical Psychology,25(9), 1001---1022.
Chang, E. C., Ivezaj, V., Downey, C. A., Kashima, Y. y Morady, A. R.(2008). Complexities of measuring perfectionism: Three popularperfectionism measures and their relations with eating distur-bances and health behaviors in a female college student sample.Eating Behaviors, 9(1), 102---110.
Cockell, S. J., Hewitt, P. L., Seal, B., Sherry, S., Goldner, E. M., Flett,G. L., et al. (2002). Trait and self-presentational dimensions ofperfectionism among women with anorexia nervosa. CognitiveTherapy and Research, 26(6), 745---758.
Di Schiena, R., Luminet, O., Philippot, P. y Douilliez, C. (2012).Adaptive and maladaptive perfectionism in depression: Pre-liminary evidence on the role of adaptive and maladaptiverumination. Personality and Individual Differences, 53(6),774---778.
Dickie, L., Wilson, M., McDowall, J. y Surgenor, L. J. (2012). Whatcomponents of perfectionism predict drive for thinness? EatingDisorders, 20(3), 232---247.
Dour, H. J. y Theran, S. A. (2011). The interaction between thesuperhero ideal and maladaptive perfectionism as predictors ofunhealthy eating attitudes and body esteem. Body Image, 8(1),93---96.
Fairburn, C. G. (2008). Cognitive behavior therapy and eating disor-ders. New York, NY: Guilford Press.
Fairburn, C. G. y Cooper, Z. (1993). The Eating Disorder Exami-nation. En C. G. Fairburn y G. T. Wilson (Eds.), Binge eating:Nature, assessment and treatment (pp. 317---360). New York, NY:Guilford Press.
Fairburn, C. G., Cooper, Z. y Shafran, R. (2003). Cognitivebehaviour therapy for eating disorders: A ‘‘transdiagnostic’’theory and treatment. Behaviour Research and Therapy, 41(5),509---528.
Ferreira, C., Trindade, I. A. y Ornelas, L. (2015). Exploring drivefor thinness as a perfectionistic strategy to escape from shameexperiences. Spanish Journal of Psychology, 18, e29.
Flett, G. L., Panico, T. y Hewitt, P. L. (2011). Perfectio-nism, type A behavior, and self-efficacy in depression andhealth symptoms among adolescents. Current Psychology, 30(2),105---116.
Franco-Paredes, K., Mancilla-Díaz, J. M., Vázquez-Arévalo, R.,López-Aguilar, X. y Alvarez-Rayón, G. (2005). Perfectionism andeating disorders: A review of the literature. European EatingDisorders Review, 13(1), 61---70.
Frost, R. O., Marten, P., Lahart, C. y Rosenblate, R. (1990). Thedimensions of perfectionism. Cognitive Therapy and Research,14(5), 449---468.
Garner, D. M. (2004). Eating Disorder Inventory-3: Professionalmanual. Odessa, Fl: Psychological Assessment Resources.Garner, D. M., Olmsted, M. P., Polivy, J. y Garfinkel, P. E. (1984).Comparison between weight-preoccupied women and anorexianervosa. Psychosomatic Medicine, 46(3), 255---266.
Goldner, E. M., Cockell, S. J. y Srikameswaran, S. (2002). Perfectio-nism and eating disorders. En G. L. Flett y P. L. Hewitt (Eds.),Perfectionism: Theory, research, and treatment (pp. 319---340).Washington, DC: American Psychological Association.
Grilo, C. M., Masheb, R. M., Lozano-Blanco, C. y Barry, D. T. (2004).Reliability of the Eating Disorder Examination in patients withbinge eating disorders. International Journal of Eating Disor-ders, 35(1), 80---85.
Halmi, K. A., Sunday, S. R., Strober, M., Kaplan, A., Woodside,D. B., Fichter, M., et al. (2000). Perfectionism in anorexianervosa: Variation by clinical subtype, obsessionality, and patho-logical eating behavior. American Journal of Psychiatry, 157(11),1799---1805.
Hamachek, D. E. (1978). Psychodynamics of normal and neuroticperfectionism. Psychology: A Journal of Human Behavior, 15(1),27---33.
Haring, M., Hewitt, P. L. y Flett, G. L. (2003). Perfectionism, coping,and quality of intimate relationships. Journal of Marriage andFamily, 65(1), 143---158.
Hewitt, P. L., Flett, G. L. y Ediger, E. (1995). Perfectionism traitsand perfectionistic self-presentation in eating disorder attitu-des, characteristics, and symptoms. International Journal ofEating Disorders, 18(4), 317---326.
Hilbert, A., Pike, K. M., Goldschmidt, A. B., Wilfley, D. E., Fairburn,C. G., Dohm, F. A., et al. (2014). Risk factors across the eatingdisorders. Psychiatry Research, 220(1), 500---506.
Hollender, M. H. (1965). Perfectionism. Comprehensive Psychiatry,6(2), 94---103.
Lilenfeld, L. R., Stein, D., Bulik, C. M., Strober, M., Plotnicov, K.,Pollice, C., et al. (2000). Personality traits among currentlyeating disordered, recovered and never ill first-degree femalerelatives of bulimic and control women. Psychological Medicine,30(6), 1399---1410.
Lilenfeld, L. R., Wonderlich, S., Riso, L. P., Crosby, R. y Mitchell,J. (2006). Eating disorders and personality: A methodologi-cal and empirical review. Clinical Psychology Review, 26(3),299---320.
Lo, A. y Abbott, M. J. (2013). Review of the theoretical, empirical,and clinical status of adaptive and maladaptive perfectionism.Behaviour Change, 30(2), 96---116.
McLaren, L., Gauvin, L. y White, D. (2001). The role of perfectio-nism and excessive commitment to exercise in explaining dietaryrestraint: Replication and extension. International Journal ofEating Disorders, 29(3), 307---313.
Milos, G., Spindler, A. y Schnyder, U. (2004). Psychiatric comorbidityand Eating Disorder Inventory (EDI) profiles in eating disorderpatients. Canadian Journal of Psychiatry, 49(3), 179---184.
Moor, S., Vartanian, L. R., Touyz, S. W. y Beumont, P. J. V. (2004).Psychopathology of EDNOS patients: To whom do they compare?Clinical Psychologist, 8(2), 70---75.
Patch, A. R. (1984). Reflections on perfection. American Psycholo-gist, 39(4), 386---390.
Patterson, R. E., Wang, K. T. y Slaney, R. B. (2012). Multidimensionalperfectionism, depression and relational health in women witheating disturbances. Eating Behaviors, 13(3), 226---232.
Paulson, L. R. y Rutledge, P. C. (2014). Effects of perfectionismand exercise on disordered eating in college students. EatingBehaviors, 15(1), 116---119.
Pearson, C. A. y Gleaves, D. H. (2006). The multiple dimensions ofperfectionism and their relation with eating disorder features.Personality and Individual Differences, 41(2), 225---235.
Peck, L. D. y Lightsey, O. R. (2008). The eating disorders conti-nuum, self-esteem, and perfectionism. Journal of Counseling &Development, 86(2), 184---193.
Pike, K. M., Hilbert, A., Wilfley, D. E., Fairburn, C. G., Dohm, F.A., Walsh, B. T., et al. (2008). Toward an understanding of riskfactors for anorexia nervosa: A case-control study. PsychologicalMedicine, 38(10), 1443---1453.
Pratt, E. M., Telch, C. F., Labouvie, E. W., Wilson, G. T. yAgras, W. S. (2001). Perfectionism in women with binge eatingdisorder. International Journal of Eating Disorders, 29(2),177---186.
Rhéaume, J., Freeston, M. H., Ladouceur, R., Bouchard, C., Gallant,L., Talbot, F., et al. (2000). Functional and dysfunctional per-fectionists: Are they different on compulsive-like behaviors?Behaviour Research and Therapy, 38(2), 119---128.
Rice, K. G. y Aldea, M. A. (2006). State dependence and trait sta-bility of perfectionism: A short-term longitudinal study. Journalof Counseling Psychology, 53(2), 205---213.
Rice, K. G., Ashby, J. S. y Slaney, R. B. (1998). Self-esteem asa mediator between perfectionism and depression: A structu-ral equations analysis. Journal of Counseling Psychology, 45(3),304---314.
Rice, K. G., Lopez, F. G. y Vergara, D. (2005). Parental/socialinfluences on perfectionism and adult attachment orientations.Journal of Social and Clinical Psychology, 24(4), 580---605.
Rice, K. G. y Pence, S. L. (2006). Perfectionism and obsessive-compulsive symptoms. Journal of Psychopathology and Behavio-ral Assessment, 28(2), 103---111.
Rodríguez, T., Beato, L., Mata, B., Rojo, L. y Vaz, F. J. (2016).Perfectionism, a transdiagnostic construct in eating disorders.European Psychiatry, 33, S431.
Ruggiero, G. M., Levi, D., Ciuna, A. y Sassaroli, S. (2003). Stresssituation reveals an association between perfectionism and drivefor thinness. International Journal of Eating Disorders, 34(2),220---226.
Rutsztein, G., Leonardelli, E., Scappatura, M. L., Murawski, B. yElizathe, L. (2013). Propiedades psicométricas del Inventario deTrastornos Alimentarios-3 (EDI-3) en mujeres adolescentes deArgentina. Revista Mexicana de Trastornos Alimentarios, 4(1),1---14.
Rutsztein, G., Maglio, A., Armatta, A. M., Leonardelli, E.,López, P., Moiseeff, C., et al. (2006). Adaptación lingüís-tica y conceptual del Eating Disorder Inventory-3 (Garner,2004): Un estudio piloto. Memorias de las XIII Jornadasde Investigación en Psicología del Mercosur. Disponible en:https://www.aacademica.org/000-039/564.pdf
Rutsztein, G., Murawski, B., Elizathe, L., Arana, F., Armatta, A.M. y Leonardelli, E. (2010). Trastornos alimentarios en adoles-centes: Un estudio comparativo entre pacientes, estudiantes dedanza y estudiantes de escuelas medias. Revista Colombiana dePsiquiatría, 39(2), 329---346.
Rutsztein, G., Murawski, B., Elizathe, L. y Scappatura, M. L. (2010).Trastornos alimentarios: Detección en adolescentes mujeres yvarones de Buenos Aires. Un estudio de doble fase. Revista Mexi-cana de Trastornos Alimentarios, 1(1), 48---61.
Rutsztein, G., Scappatura, M. L. y Murawski, B. (2014). Perfec-cionismo y autoestima a través del continuo de trastornosalimentarios en adolescentes mujeres de Buenos Aires. RevistaMexicana de Trastornos Alimentarios, 5(1), 39---49.
Saboonchi, F., Lundh, L. G. y Öst, L. G. (1999). Perfectionism andself-consciousness in social phobia and panic disorder with ago-raphobia. Behaviour Research and Therapy, 37(9), 799---808.
Scappatura, M. L., Arana, F. G., Elizathe, L. y Rutsztein, G. (2011).Perfeccionismo adaptativo y desadaptativo en trastornos ali-mentarios: Un estudio de revisión. Anuario de Investigaciones,17, 81---88.
Shafran, R., Cooper, Z. y Fairburn, C. G. (2002). Clinical perfectio-nism: A cognitive-behavioural analysis. Behaviour Research andTherapy, 40(7), 773---791. 68. Sherry, S. B. y Hall, P. A. (2009). The perfectionism model of bingeeating: Tests of an integrative model. Journal of Personality andSocial Psychology, 96(3), 690---709.
Sherry, S. B., Hewitt, P. L., Besser, A., McGee, B. J. y Flett, G.L. (2004). Self-oriented and socially-prescribed perfectionism inthe Eating Disorder Inventory perfectionism subscale. Interna-tional Journal of Eating Disorders, 35(1), 69---79.
Slaney, R. B. y Ashby, J. S. (1996). Perfectionists: Study of a cri-terion group. Journal of Counseling and Development, 74(4),393---398.
Slaney, R. B., Rice, K. G., Mobley, M., Trippi, J. y Ashby, J. S. (2001).The Revised Almost Perfect Scale. Measurement and Evaluationin Counseling and Development, 34(3), 130---145.
Sociedad Argentina de Pediatría. (1986). Criterios de diagnósticoy tratamiento: Crecimiento y desarrollo. Buenos Aires: Roem-mers.
Soenens, B., Vansteenkiste, M., Vandereycken, W., Luyten, P., Sie-rens, E. y Goossens, L. (2008). Perceived parental psychologicalcontrol and eating-disordered symptoms: Maladaptive perfectio-nism as a possible intervening variable. Journal of Nervous andMental Disease, 196(2), 144---152.
Soreni, N., Streiner, D., McCabe, R., Bullard, C., Swinson, R., Greco,A., et al. (2014). Dimensions of perfectionism in children andadolescents with obsessive-compulsive disorder. Journal of theCanadian Academy of Child and Adolescent Psychiatry, 23(2),136---146.
Stoeber, J. y Otto, K. (2006). Positive conceptions of perfectio-nism: Approaches, evidence, challenges. Personality and SocialPsychology Review, 10(4), 295---319.
Terry-Short, L. A., Owens, R. G., Slade, P. D. y Dewey, M. E. (1995).Positive and negative perfectionism. Personality and IndividualDifferences, 18(5), 663---668.
Vitousek, K. y Manke, F. (1994). Personality variables and disordersin anorexia nervosa and bulimia nervosa. Journal of AbnormalPsychology, 103(1), 137---147.
Wade, T. D., O’Shea, A. y Shafran, R. (2016). Perfectionism andeating disorders. En F. M. Sirois y D. S. Molnar (Eds.), Perfec-tionism, health, and well-being (pp. 205---222). New York, NY:Springer.
Wade, T. D. y Tiggemann, M. (2013). The role of perfectionism inbody dissatisfaction. Journal of Eating Disorders, 1(2), 1---6.
Wade, T. D., Wilksch, S. M., Paxton, S. J., Byrne, S. M. y Austin,S. B. (2015). How perfectionism and ineffectiveness influence growth of eating disorder risk in young adolescent girls. Beha-viour Research and Therapy, 66, 56---63.
Wang, K. T., Yuen, M. y Slaney, R. B. (2009). Perfectionism, depres-sion, loneliness, and life satisfaction a study of high schoolstudents in Hong Kong. Counseling Psychologist, 37(2), 249---274.
Wifley, D. E., Schwartz, M. B., Spurrell, E. B. y Fairburn, C. G.(2000). Using the Eating Disorder Examination to identify thespecific psychopathology of binge eating disorder. InternationalJournal of Eating Disorders, 27(3), 259---267.