Direct, indirect, and reciprocal associations between perfectionism, compulsive exercise and eating disorder pathology in adolescents with eating disorders

Abstract Background There is a strong association between perfectionism and eating disorders. In a cognitive–behavioural model of compulsive exercise it has been suggested there are reciprocal associations between perfectionism, eating disorder pathology, and compulsive exercise. No study has examin...

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Main Authors: Vinola Adams, Hunna J. Watson, Trevor Mazzucchelli, Emily Jones, Thomas Callaghan, Elizabeth Bills, Sarah J. Egan
Format: Article
Language:English
Published: Springer 2024-03-01
Series:Eating and Weight Disorders
Subjects:
Online Access:https://doi.org/10.1007/s40519-024-01650-y
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author Vinola Adams
Hunna J. Watson
Trevor Mazzucchelli
Emily Jones
Thomas Callaghan
Elizabeth Bills
Sarah J. Egan
author_facet Vinola Adams
Hunna J. Watson
Trevor Mazzucchelli
Emily Jones
Thomas Callaghan
Elizabeth Bills
Sarah J. Egan
author_sort Vinola Adams
collection DOAJ
description Abstract Background There is a strong association between perfectionism and eating disorders. In a cognitive–behavioural model of compulsive exercise it has been suggested there are reciprocal associations between perfectionism, eating disorder pathology, and compulsive exercise. No study has examined if there is an indirect association between perfectionism and compulsive exercise through eating disorder pathology, which would inform a preliminary understanding of the cognitive–behavioural model of compulsive exercise. Methods The sample included 301 adolescent females diagnosed with eating disorders (age M = 14.89, SD = 0.85, range 13–17). We tested models of direct and indirect associations of compulsive exercise in the relationship between perfectionism and eating disorder pathology, and direct and indirect associations of eating disorder pathology in the relationship between compulsive exercise and perfectionism. Results Perfectionism was directly associated with eating disorder pathology and compulsive exercise. Perfectionism was indirectly associated with eating disorder pathology through compulsive exercise. Perfectionism also had an indirect association with compulsive exercise through eating disorder pathology. Discussion The findings suggest it would be useful for future prospective research to examine the cognitive–behavioural model of compulsive exercise in adolescents with eating disorders. Compulsive exercise and perfectionism may be useful targets for future research to improve eating disorder treatment. Level of evidence Level V: Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.
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spelling doaj.art-8e65089d98004b379313a3aa65655ddc2024-03-31T11:06:25ZengSpringerEating and Weight Disorders1590-12622024-03-012911910.1007/s40519-024-01650-yDirect, indirect, and reciprocal associations between perfectionism, compulsive exercise and eating disorder pathology in adolescents with eating disordersVinola Adams0Hunna J. Watson1Trevor Mazzucchelli2Emily Jones3Thomas Callaghan4Elizabeth Bills5Sarah J. Egan6Discipline of Psychology, School of Population Health, Curtin UniversityDiscipline of Psychology, School of Population Health, Curtin UniversityDiscipline of Psychology, School of Population Health, Curtin UniversityEating Disorders Program, Child and Adolescent Health Service, Perth Children’s HospitalDiscipline of Psychology, School of Population Health, Curtin UniversityDiscipline of Psychology, School of Population Health, Curtin UniversityDiscipline of Psychology, School of Population Health, Curtin UniversityAbstract Background There is a strong association between perfectionism and eating disorders. In a cognitive–behavioural model of compulsive exercise it has been suggested there are reciprocal associations between perfectionism, eating disorder pathology, and compulsive exercise. No study has examined if there is an indirect association between perfectionism and compulsive exercise through eating disorder pathology, which would inform a preliminary understanding of the cognitive–behavioural model of compulsive exercise. Methods The sample included 301 adolescent females diagnosed with eating disorders (age M = 14.89, SD = 0.85, range 13–17). We tested models of direct and indirect associations of compulsive exercise in the relationship between perfectionism and eating disorder pathology, and direct and indirect associations of eating disorder pathology in the relationship between compulsive exercise and perfectionism. Results Perfectionism was directly associated with eating disorder pathology and compulsive exercise. Perfectionism was indirectly associated with eating disorder pathology through compulsive exercise. Perfectionism also had an indirect association with compulsive exercise through eating disorder pathology. Discussion The findings suggest it would be useful for future prospective research to examine the cognitive–behavioural model of compulsive exercise in adolescents with eating disorders. Compulsive exercise and perfectionism may be useful targets for future research to improve eating disorder treatment. Level of evidence Level V: Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.https://doi.org/10.1007/s40519-024-01650-yPerfectionismEating disorderCompulsive exerciseAdolescents
spellingShingle Vinola Adams
Hunna J. Watson
Trevor Mazzucchelli
Emily Jones
Thomas Callaghan
Elizabeth Bills
Sarah J. Egan
Direct, indirect, and reciprocal associations between perfectionism, compulsive exercise and eating disorder pathology in adolescents with eating disorders
Eating and Weight Disorders
Perfectionism
Eating disorder
Compulsive exercise
Adolescents
title Direct, indirect, and reciprocal associations between perfectionism, compulsive exercise and eating disorder pathology in adolescents with eating disorders
title_full Direct, indirect, and reciprocal associations between perfectionism, compulsive exercise and eating disorder pathology in adolescents with eating disorders
title_fullStr Direct, indirect, and reciprocal associations between perfectionism, compulsive exercise and eating disorder pathology in adolescents with eating disorders
title_full_unstemmed Direct, indirect, and reciprocal associations between perfectionism, compulsive exercise and eating disorder pathology in adolescents with eating disorders
title_short Direct, indirect, and reciprocal associations between perfectionism, compulsive exercise and eating disorder pathology in adolescents with eating disorders
title_sort direct indirect and reciprocal associations between perfectionism compulsive exercise and eating disorder pathology in adolescents with eating disorders
topic Perfectionism
Eating disorder
Compulsive exercise
Adolescents
url https://doi.org/10.1007/s40519-024-01650-y
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