Flamarique Itziar, Plana Maria Teresa, Castro-Fornieles Josefina, Borràs Roger, Moreno Elena, Lázaro Luisa
Department of Child and Adolescent Psychiatry and Psychology, 2017SGR881, Institute of Clinical Neurosciences, Hospital Clinic, Barcelona, Spain.
CIBERSAM, Barcelona, Spain.
J Can Acad Child Adolesc Psychiatry. 2019 Aug;28(2):45-54. Epub 2019 Aug 1.
The aim of the study was to compare two dimensions of perfectionism, namely self-oriented perfectionism (SOP) and socially prescribed perfectionism (SPP), in adolescents with anorexia nervosa (AN) or obsessive-compulsive disorder (OCD) and in healthy controls. A further objective was to investigate the influence of perfectionism dimensions on obsessive-compulsive, depressive, and eating symptomatology.
A total of 79 adolescents with AN, 32 with OCD, and 74 healthy controls were recruited. The Child and Adolescent Perfectionism Scale (CAPS) was used to assess SOP and SPP. Measures of depression, obsessive-compulsive and eating symptomatology were administered.
The AN group scored higher on SOP than did both the OCD group (p < 0.001) and controls (p < 0.001). In the AN group, SOP accounted for significant variance in scores on the obsessive (p < 0.001), depressive (p < 0.001), and eating symptomatology (p = 0.001), and the interaction between group and SOP was statistically significant when compared with the controls. Mean SPP total score among controls was similar to that in the AN group and higher than that in the OCD group (p = 0.003). Only in the control group did SPP account for significant variance in scores on the measures of obsessive-compulsive (p = 0.002), depression (p = 0.011), and eating symptomatology (p = 0.006).
Self-oriented perfectionism seemed more specific to AN than to OCD or controls. It predicted obsessive-compulsive, depressive, and eating symptoms in the AN group. In healthy controls, SPP was related to obsessive-compulsive, depressive, and eating symptomatology.
本研究旨在比较神经性厌食症（AN）或强迫症（OCD）青少年与健康对照组在完美主义的两个维度，即自我导向完美主义（SOP）和社会规定完美主义（SPP）方面的差异。另一个目的是研究完美主义维度对强迫、抑郁和饮食症状的影响。
共招募了79名患有AN的青少年、32名患有OCD的青少年和74名健康对照组。使用儿童和青少年完美主义量表（CAPS）评估SOP和SPP。进行了抑郁、强迫和饮食症状的测量。
AN组在SOP上的得分高于OCD组（p < 0.001）和对照组（p < 0.001）。在AN组中，SOP在强迫（p < 0.001）、抑郁（p < 0.001）和饮食症状（p = 0.001）得分上解释了显著变异，与对照组相比，组与SOP之间的交互作用具有统计学意义。对照组的平均SPP总分与AN组相似，高于OCD组（p = 0.003）。仅在对照组中，SPP在强迫（p = 0.002）、抑郁（p = 0.011）和饮食症状（p = 0.006）测量得分上解释了显著变异。
自我导向完美主义似乎对AN比对OCD或对照组更具特异性。它预测了AN组的强迫、抑郁和饮食症状。在健康对照组中，SPP与强迫、抑郁和饮食症状有关。
