Ghent University, Belgium.
Eur Eat Disord Rev. 2013 Jan;21(1):45-51. doi: 10.1002/erv.2175. Epub 2012 May 3.
Both maladaptive schemas (MS) and perfectionism have been associated with eating pathology. However, previous research has not examined these variables simultaneously and has not studied possible mediating relationships between MS and multidimensional perfectionism for body image concerns in eating disorder (ED) patients. Eighty-eight female ED patients completed the Young Schema Questionnaire, the Frost Multidimensional Perfectionism Scale, and the Body Attitude Test. Body image concerns were found to be positively related to Personal Standards (PS) and Evaluative Concerns (EC) perfectionism and all five schema domains. PS Perfectionism was positively associated with Disconnection, Other-directedness, and Overvigilance. EC Perfectionism was positively related to Disconnection, Impaired Autonomy, Other-directedness, and Overvigilance. Moreover, EC perfectionism was found to be a significant mediator in the relationship between the schema domains Impaired Autonomy and Overvigilance and body image concerns. These findings denote the importance to address both core beliefs and perfectionism in ED treatment.
两种适应不良模式（MS）和完美主义都与饮食失调有关。然而，以前的研究没有同时检查这些变量，也没有研究可能存在的中介关系，即 MS 和多维完美主义对饮食失调（ED）患者的身体意象的影响。88 名女性 ED 患者完成了 Young 模式问卷、Frost 多维完美主义量表和身体态度测试。研究发现，身体意象问题与个人标准（PS）和评价关注（EC）完美主义以及五个模式领域都呈正相关。PS 完美主义与脱节、他人指向和过度监督呈正相关。EC 完美主义与脱节、自主性受损、他人指向和过度监督有关。此外，研究还发现，EC 完美主义是模式领域自主受损和过度监督与身体意象问题之间关系的一个重要中介。这些发现表明，在 ED 治疗中，既要解决核心信念问题，又要解决完美主义问题。
