Bills Elizabeth, Muir Shannon R, Stackpole Rose, Egan Sarah J
School of Arts and Humanities, Edith Cowan University, Perth, Australia.
School of Population Health, Curtin University, Perth, Australia.
Eat Weight Disord. 2025 Jan 16;30(1):5. doi: 10.1007/s40519-024-01704-1.
There is a consistent link between perfectionism and compulsive exercise, and both are implicated in the maintenance of eating disorders, however no meta-analysis to date has quantified this relationship. We hypothesised that there would be significant, small-moderate pooled correlations between perfectionism dimensions and compulsive exercise.
Published, peer-reviewed articles with standardised measures of perfectionism and the Compulsive Exercise Test were included. There were 7 studies included (N = 3117 participants, M age = 21.78 years, 49% female).
Total perfectionism (r = 0.37), perfectionistic strivings (r = 0.33), and perfectionistic concerns (r = 0.32) had significant pooled positive associations with compulsive exercise. Most studies (67%) were rated as fair or good quality as an indication of risk of bias. Limitations included the low number of available studies, the inclusion of only one clinical sample, and predominately cross-sectional studies which precluded causal inference.
Higher perfectionism was associated with higher compulsive exercise. More research is needed on compulsive exercise to determine the best intervention approach given its relationship to perfectionism and relevance in the context of eating disorders.
Level I: Evidence obtained from a systematic review and meta-analysis.
完美主义与强迫性运动之间存在持续的关联，且二者都与饮食失调的维持有关，但迄今为止尚无荟萃分析对这种关系进行量化。我们假设完美主义维度与强迫性运动之间会存在显著的、中低程度的合并相关性。
纳入已发表的、经过同行评审且采用了标准化完美主义测量方法和强迫性运动测试的文章。共纳入7项研究（N = 3117名参与者，平均年龄 = 21.78岁，49%为女性）。
总体完美主义（r = 0.37）、完美主义追求（r = 0.33）和完美主义担忧（r = 0.32）与强迫性运动存在显著的合并正相关。大多数研究（67%）被评为质量一般或良好，表明存在偏倚风险。局限性包括可用研究数量较少、仅纳入了一个临床样本，且主要是横断面研究，无法进行因果推断。
更高的完美主义与更高的强迫性运动相关。鉴于强迫性运动与完美主义的关系及其在饮食失调背景下的相关性，需要对其进行更多研究以确定最佳干预方法。
一级：从系统评价和荟萃分析中获得的证据。
