Department of Psychology, Virginia Commonwealth University, Richmond, Virginia.
Institute for Inclusion, Inquiry and Innovation (iCubed), Virginia Commonwealth University, Richmond, Virginia.
Int J Eat Disord. 2020 Feb;53(2):191-200. doi: 10.1002/eat.23179. Epub 2019 Oct 8.
This study examined the associations between parent-oriented dimensions of perfectionism (parental expectations [PE] and parental criticism [PC]) and eating disorder (ED) symptomatology across racial/ethnic groups. It was hypothesized that parent-oriented perfectionism would be positively associated with ED symptomatology for White and Asian American women.
Undergraduate women (N = 1,173) completed questionnaires assessing perfectionism, EDs, and demographics. One-way analyses of variance tested differences in PE and PC across racial/ethnic groups; post-hoc Tukey tests probed significant differences. Multiple linear regressions assessed associations between parent-oriented perfectionism and ED symptomatology. Hurdle models tested the association between PE and PC and the frequency and odds of endorsing ED symptomatology.
There were significant group differences in PE and PC. PE was positively linked with various ED symptoms in Latina, Asian American, and multiracial women, and was negatively related to purging in multiracial women. PC was positively associated with body dissatisfaction in White, Black, and multiracial women, but displayed differential associations with ED symptomatology in all racial/ethnic groups.
Levels of parent-oriented dimensions of perfectionism, and their relations to ED symptomatology, might vary across racial/ethnic groups. PE, in particular, is both more elevated, and more strongly linked to eating pathology in Asian American women, whereas PC appears to be especially relevant to ED symptoms in Black women. Findings underscore the importance of considering the role of culture in ED symptomatology. Clinicians and researchers might consider incorporating assessments of parent-oriented perfectionism into their practice.
本研究考察了父母导向的完美主义（父母期望[PE]和父母批评[PC]）与不同种族/族裔群体进食障碍（ED）症状之间的关联。假设父母导向的完美主义与白人和亚裔美国女性的 ED 症状呈正相关。
本科女性（N=1173）完成了评估完美主义、ED 和人口统计学的问卷。单因素方差分析检验了种族/族裔群体之间的 PE 和 PC 差异；事后 Tukey 检验探查了显著差异。多元线性回归评估了父母导向的完美主义与 ED 症状之间的关联。障碍模型检验了 PE 和 PC 与 ED 症状的频率和几率之间的关联。
PE 和 PC 存在显著的群体差异。PE 与拉丁裔、亚裔美国人和多种族女性的各种 ED 症状呈正相关，与多种族女性的催吐呈负相关。PC 与白种人、黑人和多种族女性的身体不满呈正相关，但与所有种族/族裔群体的 ED 症状呈不同的关联。
父母导向的完美主义的水平及其与 ED 症状的关系可能因种族/族裔群体而异。特别是 PE 在亚裔美国女性中既更高，也与进食障碍有更强烈的联系，而 PC 似乎与黑种女性的 ED 症状特别相关。研究结果强调了考虑文化在 ED 症状中的作用的重要性。临床医生和研究人员可能会考虑将父母导向的完美主义评估纳入他们的实践中。
