Department of Psychology, University of Hawaii at Manoa, Honolulu, HI, United States of America.
Department of Psychology, University of Hawaii at Manoa, Honolulu, HI, United States of America.
Eat Behav. 2022 Jan;44:101598. doi: 10.1016/j.eatbeh.2022.101598. Epub 2022 Feb 3.
Eating disorders (EDs) are associated with high levels of distress, functional impairment, and morbidity. Perfectionism has been consistently identified as an important factor in the etiology and maintenance of disordered eating, and as a promising target for treatment efforts. To address the detrimental effects of perfectionism on disordered eating, further research is needed to better understand what mechanisms may influence the relationship between these variables. In the present research, we examined three constructs related to self-regulation as potential mediators of the relationship between perfectionism and disordered eating: positive self-compassion, distress tolerance, and social problem-solving. We collected data from a sample of racially and ethnically diverse undergraduate students (N = 280) using an online questionnaire battery. Using structural equation modeling (SEM), we developed measurement and structural models to meet criteria for good fit and tested the hypothesized relationships. Distress tolerance emerged as a robust, statistically significant mediator of the relationship between perfectionism and disordered eating. Social problem-solving and self-compassion did not mediate this relationship. Distress tolerance may counterbalance the cognitive load associated with perfectionism; freeing up mental resources to focus on resisting urges for immediate relief through engagement in maladaptive disordered eating.
饮食失调(EDs)与高度的痛苦、功能障碍和发病率有关。完美主义一直被认为是饮食失调的病因和维持的一个重要因素,也是治疗努力的一个有希望的目标。为了应对完美主义对饮食失调的不利影响,需要进一步研究以更好地了解哪些机制可能影响这些变量之间的关系。在本研究中,我们考察了与自我调节相关的三个结构,作为完美主义与饮食失调关系的潜在中介:积极的自我同情、痛苦耐受力和社会问题解决能力。我们使用在线问卷对来自不同种族和民族的本科学生样本(N=280)进行了数据收集。我们使用结构方程模型(SEM),开发了测量和结构模型,以满足良好拟合的标准,并测试了假设的关系。痛苦耐受力是完美主义与饮食失调之间关系的一个强大的、统计学上显著的中介因素。社会问题解决能力和自我同情并不能调节这种关系。痛苦耐受力可能会抵消与完美主义相关的认知负荷;释放出心理资源,通过参与适应不良的饮食失调来抵制即时缓解的冲动。