Bulik Cynthia M, Tozzi Federica, Anderson Charles, Mazzeo Suzanne E, Aggen Steve, Sullivan Patrick F
Virginia Institute for Psychiatric and Behavioral Genetics, Department of Psychiatry, Virginia Commonwealth University, USA.
Am J Psychiatry. 2003 Feb;160(2):366-8. doi: 10.1176/appi.ajp.160.2.366.
The authors' goal was to explore the relation between perfectionism and psychopathology, including eating disorders.
Using logistic regression, the authors calculated odds ratios for the associations between perfectionism subscale scores and psychiatric disorders in 1,010 female twins who completed the Multidimensional Perfectionism Scale and participated in diagnostic interviews.
Elevated concern over mistakes was associated with anorexia and bulimia nervosa but not with other psychiatric disorders. Doubts about actions was associated with eating and anxiety disorders. Multivariable models confirmed that higher scores on the subscales for concern over mistakes and doubts about actions were most strongly associated with eating disorders.
The aspect of perfectionism captured by scores on a subscale measuring concern over mistakes may be particularly associated with eating disorders and not generically predictive of psychopathology.
作者的目标是探究完美主义与精神病理学(包括饮食失调)之间的关系。
作者运用逻辑回归分析,计算了1010名完成多维完美主义量表并参与诊断访谈的女性双胞胎中,完美主义分量表得分与精神疾病之间关联的比值比。
对错误的高度关注与神经性厌食症和神经性贪食症相关,但与其他精神疾病无关。对行为的怀疑与饮食失调和焦虑症相关。多变量模型证实,在对错误的关注和对行为的怀疑这两个分量表上得分较高,与饮食失调的关联最为紧密。
在测量对错误关注的分量表上,得分所体现的完美主义方面可能与饮食失调特别相关,而并非普遍预测精神病理学。