Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia.
Australian Institute for Business and Economics, Faculty of Business, Economics and Law, University of Queensland, Brisbane, Australia.
Appetite. 2023 Aug 1;187:106586. doi: 10.1016/j.appet.2023.106586. Epub 2023 May 15.
There is a consistent link between perfectionism and eating disorders, however no meta-analysis to date has synthesized this literature in children and adolescents. We hypothesized that there would be significant, small pooled correlations between perfectionism dimensions and eating disorder symptoms in children and adolescents. Published, peer-reviewed articles with standardised measures of perfectionism and eating disorder symptoms were included. Articles were excluded if the age range was over 18 years. Overall, 39 studies were included (N = 13,954 participants, M age = 13.7 years). Total perfectionism (r = 0.25), perfectionistic strivings (r = 0.21), and perfectionistic concerns (r = 0.31) had significant positive associations with eating disorder symptoms. Most studies were rated as fair or good quality. Limitations included high heterogeneity, insufficient studies to investigate age as a moderator, the inclusion of only English articles, and predominately cross-sectional studies which precluded causal inference. Higher perfectionism was associated with greater eating disorder symptoms in children and adolescents. Future research should focus on longitudinal studies of eating disorder symptoms in children and adolescents.
完美主义与饮食失调之间存在着一致的联系，然而，迄今为止，还没有一项荟萃分析综合了儿童和青少年的相关文献。我们假设，在儿童和青少年中，完美主义维度与饮食失调症状之间存在显著的、小的、聚集的相关性。纳入了发表的同行评审文章，这些文章使用了标准化的完美主义和饮食失调症状测量方法。如果年龄范围超过 18 岁，则排除这些文章。总的来说，有 39 项研究（N=13954 名参与者，平均年龄为 13.7 岁）被纳入。总的来说，完美主义（r=0.25）、努力追求完美（r=0.21）和对完美的担忧（r=0.31）与饮食失调症状呈显著正相关。大多数研究的质量被评为良好或一般。局限性包括高度异质性、没有足够的研究来调查年龄作为调节因素、只包括英语文章以及主要是横断面研究，这排除了因果推断。更高的完美主义与儿童和青少年中更大的饮食失调症状有关。未来的研究应该集中在对儿童和青少年饮食失调症状的纵向研究上。
