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饮食失调中的完美主义或完美主义倾向。

Perfectionism or Perfectionisms in Orthorexia Nervosa.

机构信息

Department of General Psychology, University of Padova, Via Venezia 8, 35131 Padova, Italy.

出版信息

Nutrients. 2023 Jul 25;15(15):3289. doi: 10.3390/nu15153289.

DOI:10.3390/nu15153289
PMID:37571233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10421058/
Abstract

Perfectionism is considered a transdiagnostic construct that characterises eating disorders (EDs) and obsessive-compulsive disorder (OCD) and that could also depict orthorexia nervosa (ON). The principal aim of this study was to investigate what dimensions of perfectionism mostly represent ON. Moreover, it was evaluated if dieting impacted the presence of orthorexic features and perfectionistic behaviour. The sample consisted of two groups-the "Diet" (n = 93), and the "No Diet" (n = 94) groups-composed of people with high and low orthorexic tendencies, respectively. Participants filled out self-report questionnaires to investigate orthorexic tendencies and different facets of perfectionism. Analyses highlighted that people with high orthorexic tendencies showed higher perfectionistic features and that ON had a significant relationship with different facets of perfectionism. No interactions with diet were found. Therefore, no other differences were highlighted when the group type (Diet/No Diet) was considered. Regardless of diet, different facets of perfectionism characterise ON: perfectionism as a personality trait and perfectionism related to EDs and to obsessive-compulsive features. Our results evidenced that perfectionism could also be considered a useful construct in the conceptualization of orthorexia nervosa.

摘要

完美主义被认为是一种跨诊断的结构,它的特点是饮食失调(EDs)和强迫症(OCD),也可能描述为健康饮食强迫症(ON)。本研究的主要目的是探讨完美主义的哪些维度最能代表 ON。此外,还评估了节食是否会影响到饮食强迫症特征和完美主义行为的存在。该样本由两个组组成——“节食”(n = 93)和“非节食”(n = 94)组,分别由具有高和低饮食强迫症倾向的人组成。参与者填写了自我报告问卷,以调查饮食强迫症倾向和不同方面的完美主义。分析结果表明,具有高饮食强迫症倾向的人表现出更高的完美主义特征,而且 ON 与完美主义的不同方面有显著的关系。没有发现与饮食有关的相互作用。因此,当考虑组类型(节食/非节食)时,没有突出其他差异。无论是否节食,完美主义的不同方面都表现出饮食强迫症的特征:作为一种人格特质的完美主义,以及与饮食失调和强迫特征有关的完美主义。我们的结果表明,完美主义也可以被认为是健康饮食强迫症概念化的一个有用的结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/100f/10421058/b15a2888391f/nutrients-15-03289-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/100f/10421058/d6dafbd43730/nutrients-15-03289-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/100f/10421058/7878ebe6c83d/nutrients-15-03289-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/100f/10421058/fe8d5df0744e/nutrients-15-03289-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/100f/10421058/b15a2888391f/nutrients-15-03289-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/100f/10421058/d6dafbd43730/nutrients-15-03289-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/100f/10421058/7878ebe6c83d/nutrients-15-03289-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/100f/10421058/fe8d5df0744e/nutrients-15-03289-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/100f/10421058/b15a2888391f/nutrients-15-03289-g004.jpg

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本文引用的文献

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2
Perfectionism and eating disorders in children and adolescents: A systematic review and meta-analysis.儿童和青少年的完美主义与进食障碍:系统评价和荟萃分析。
Appetite. 2023 Aug 1;187:106586. doi: 10.1016/j.appet.2023.106586. Epub 2023 May 15.
3
The association of perfectionism, health-focused self-concept, and erroneous beliefs with orthorexia nervosa symptoms: A moderated mediation model.
一项关于完美主义与饮食失调之间关系的多国研究:强迫观念和强迫症状的间接影响。
J Eat Disord. 2024 May 31;12(1):69. doi: 10.1186/s40337-024-01030-y.
完美主义、以健康为中心的自我概念和错误信念与饮食失调症状的关系:一个有调节的中介模型。
Int J Eat Disord. 2022 Jul;55(7):892-901. doi: 10.1002/eat.23719. Epub 2022 May 5.
4
The role of dieting, psychopathological characteristics and maladaptive personality traits in Orthorexia Nervosa.节食、精神病理特征和适应不良人格特征在神经强迫症中的作用。
BMC Psychiatry. 2022 Apr 22;22(1):290. doi: 10.1186/s12888-022-03896-1.
5
Associations between orthorexia, disordered eating, and obsessive-compulsive symptoms: A systematic review and meta-analysis.饮食失调与强迫症状的关联:系统综述和荟萃分析。
Int J Eat Disord. 2022 Mar;55(3):295-312. doi: 10.1002/eat.23654. Epub 2021 Dec 18.
6
Orthorexia Nervosa: differences between clinical and non-clinical samples.饮食失调:临床和非临床样本的差异。
BMC Psychiatry. 2021 Jul 8;21(1):341. doi: 10.1186/s12888-021-03348-2.
7
Orthorexia Nervosa: over concern or obsession about healthy food?饮食失调:对健康食品过度关注或痴迷?
Eat Weight Disord. 2021 Dec;26(8):2577-2588. doi: 10.1007/s40519-021-01110-x. Epub 2021 Feb 10.
8
Is orthorexia nervosa a feature of obsessive-compulsive disorder? A multicentric, controlled study.厌食神经症是否为强迫症的一个特征?一项多中心对照研究。
Eat Weight Disord. 2021 Dec;26(8):2531-2544. doi: 10.1007/s40519-021-01114-7. Epub 2021 Feb 5.
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Prevalence of orthorexia nervosa in university students and its relationship with psychopathological aspects of eating behaviour disorders.大学生饮食障碍的神经强迫症患病率及其与心理病理学方面的关系。
BMC Psychiatry. 2018 Nov 13;18(1):364. doi: 10.1186/s12888-018-1943-0.
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The relationship between orthorexia nervosa and body composition in female students of the nutrition and dietetics department.营养与饮食学专业女学生中神经性正食症与身体成分的关系。
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