"Studi Cognitivi", Post-graduate Cognitive Psychotherapy School, Milano, Italy.
Eat Weight Disord. 2011 Sep;16(3):e182-7. doi: 10.1007/BF03325130.
This work aimed to explore the relationship between alexithymia and maladaptive perfectionism in the psychological process leading to eating disorders (ED).
Forty-nine individuals with ED and 49 controls completed the Concern over Mistakes subscale of the Frost Multidimensional Perfectionism Scale, the Perfectionism subscale of the Eating Disorders Inventory, the total score of the Toronto Alexithymia Scale, and the Drive for Thinness, Bulimia, and Body Dissatisfaction subscales of the Eating Disorders Inventory. We tested a model in which alexythimia is the independent variable and perfectionism is the possible mediator or moderator.
Analyses confirmed the assumed model. In addition, it emerged that perfectionism played a mediating or moderating role when measured by different instruments. This result suggested that different instruments measured subtly different aspects of the same construct.
Results could suggest that alexithymia is a predisposing factor for perfectionism, which in turn may lead to the development of eating disorders.
本研究旨在探讨述情障碍与适应不良完美主义在导致饮食失调（ED）的心理过程中的关系。
49 名 ED 患者和 49 名对照者完成了多维完美主义量表的错误关注分量表、饮食障碍问卷的完美主义分量表、多伦多述情障碍量表的总分以及饮食障碍问卷的消瘦、暴食和身体不满分量表。我们检验了述情障碍是自变量、完美主义是可能的中介或调节变量的模型。
分析证实了假设模型。此外，当使用不同的量表进行测量时，完美主义表现出中介或调节作用。这一结果表明，不同的量表测量了同一结构的不同方面。
结果表明，述情障碍是完美主义的一个倾向因素，而完美主义又可能导致饮食失调的发展。
