Mükemmeliyetçiliğin, Yeme Bozukluğu ve Obsesif Kompulsif Bozukluk ile İlişkisi: Bir Gözden Geçirme

Yıl 2024, Cilt: 8 Sayı: 1, 92 - 102, 31.01.2024

Merve Öz

https://doi.org/10.46237/amusbfd.1298944

Öz

Yeme bozuklukları ve obsesif kompulsif bozukluk yüksek oranda komorbiddir. Mükemmeliyetçilik, hem yeme bozukluğu hem de obsesif kompulsif bozukluk ile güçlü bir şekilde bağlantılı olan bir kişilik özelliğidir. Obsesif kompulsif bozukluk ve yeme bozukluğunun ortak yordayıcısının mükemmeliyetçilik olduğu ve mükemmeliyetçiliğin; obsesif kompulsif bozukluk ve yeme bozukluğu oluşmasında, önlenmesinde ve tedavisinde önemli bir yapı olduğu düşünülmektedir. Bu gözden geçirme makalesinin amacı mükemmeliyetçilik ile yeme bozukluğu ve obsesif kompulsif bozukluk arasındaki ilişkinin incelenmesidir. Mükemmeliyetçilik ile yeme bozukluğu ve obsesif kompulsif bozukluk arasındaki ilişkisi incelenirken mükemmeliyetçilik, yeme bozukluğu ve obsesif kompulsif bozukluk kavramları araştırılmıştır. Makaleler bulunurken “yeme bozukluğu”, “obsesif kompulsif bozukluk” ve “mükemmeliyetçilik” anahtar kelimeleri arama motoruna yazılarak tarama yapılmıştır. Bu bağlamda; Science Direct, Pubmed ve Google Scholar veri tabanları ve uluslararası dergilerden faydalanılarak mükemmeliyetçilik ile yeme bozukluğu ve obsesif kompulsif bozukluk arasındaki ilişkiyi araştıran makaleler incelenmiştir. İncelenen makaleler sonucunda mükemmeliyetçiliğin hem yeme bozukluğu hem de obsesif kompulsif bozukluk semptomlarının gelişmesine ve sürmesine aracılık ettiği doğrulanmıştır. Mükemmeliyetçilik için uygulanacak tedavi hem yeme bozukluğu hem de obsesif kompulsif bozukluk semptomlarının şiddetinin azalmasında ya da semptomların ortadan kalkmasında etkili olacaktır.

Anahtar Kelimeler

Obsesif Kompulsif Bozukluk, Mükemmeliyetçilik, Yeme Bozukluk

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

The Relationship Perfectionism with Eating Disorder and Obsessive Compulsive Disorder: A Review

Öz

Eating disorders and obsessive compulsive disorder are highly comorbid. Perfectionism is a personality trait strongly linked to both eating disorder and obsessive compulsive disorder. The common predictor of obsessive compulsive disorder and eating disorder is perfectionism. It is thought to be an important structure in the formation, prevention and treatment of obsessive compulsive disorder and eating disorder. The purpose of this review article is to examine the relationship between perfectionism and eating disorder and obsessive compulsive disorder. While examining the relationship between perfectionism and eating disorder and obsessive compulsive disorder, the concepts of perfectionism, eating disorder and obsessive compulsive disorder were investigated. While finding the articles, the keywords eating disorder, obsessive-compulsive disorder and perfectionism were typed into the search engine and scanned. In this context; Using the Science Direct, Pubmed and Google Scholar databases and international journals, articles investigating the relationship between perfectionism, eating disorder and obsessive compulsive disorder were examined. As a result of the articles reviewed, it was confirmed that perfectionism mediates the development and maintenance of both eating disorder and obsessive compulsive disorder symptoms. The treatment to be applied for perfectionism will be effective in reducing the severity of both eating disorder and obsessive compulsive disorder symptoms or eliminating the symptoms.

Anahtar Kelimeler

Eating Disorder, Obsesif Compulsive Disorder, Perfectionism

Proje Numarası

yok

Kaynakça

• 1. Castro‐Fornieles, J., Gual, P., Lahortiga. F., Gila, A., Casulà, V., Fuhrmann, C. et al. (2007). Self‐oriented perfectionism in eating disorders. International Journal of Eating Disorders, 40(6), 562-568.
• 2. Robinson. K., & Wade, T.D. (2021). Perfectionism interventions targeting disordered eating: A systematic review and meta‐analysis. Int J Eat Disord, 54(4), 473-487. https://doi.org/10.1002/eat.23483
• 3. Vartanian, L. R., & Grisham, J. R. (2012). Obsessive–compulsive symptoms and body checking in women and men. Cognitive Therapy and Research, 36(4), 367-374.
• 4. Sallet, P.C., De Alvarenga, P.G., Ferrão, Y., de Mathis, M.A., Torres, A.R., Marques, A. et al. (2010). Eating disorders in patients with obsessive–compulsive disorder: prevalence and clinical correlates. Int J Eat Disord, 43(4), 315-325. https://doi.org/10.1002/eat.20697
• 5. Bernert, R.A., Timpano, K.R., Peterson, C.B., Crow, S.J., Bardone-Cone, A.M., Le Grange, D. et al. (2013). Eating disorder and obsessive–compulsive symptoms in a sample of bulimic women: Perfectionism as a mediating factor. Personality And Individual Differences, 54(2), 231-235. https://doi.org/10.1016/j.paid.2012.08.042
• 6. Vanzhula, I.A., Kinkel-Ram, S.S., & Levinson, C.A. (2021). Perfectionism and difficulty controlling thoughts bridge eating disorder and obsessive-compulsive disorder symptoms: a network analysis. J Affect Disord, 283, 302-309. https://doi.org/10.1016/j.jad.2021.01.083
• 7. Meier, M., Kossakowski, J.J., Jones, P.J., Kay, B., Riemann, B.C., & McNally, R.J. (2020). Obsessive– compulsive symptoms in eating disorders: A network investigation. Int J Eat Disord, 53(3), 362-371. https://doi.org/10.1002/eat.23196
• 8. Franco‐Paredes, K., Mancilla‐Díaz, J.M., Vázquez‐Arévalo. R., López‐Aguilar, X., & Álvarez‐Rayón, G. (2005). Perfectionism and eating disorders: A review of the literature. European Eating Disorders Review: The Professional Journal of the Eating Disorders Association, 13(1), 61-70. https://doi.org/10.1002/erv.605
• 9. Frost, R.O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14(5), 449–468. https://doi.org/10.1007/BF01172967
• 10. Flett, G.L., Hewitt, P.L., Nepon, T., Sherry, S.B., & Smith, M. (2022). The destructiveness and public health significance of socially prescribed perfectionism: A review, analysis, and conceptual extension. Clin Psychol Rev, 93, 102130. https://doi.org/10.1016/j.cpr.2022.102130
• 11. Di Fabio, A., Saklofske, D. H., Gori, A., & Svicher, A. (2022). Perfectionism: A network analysis of relationships between the Big Three Perfectionism dimensions and the Big Five Personality traits. Personality and Individual Differences, 199, 111839. https://doi.org/10.1016/j.paid.2022.111839
• 12. Pearson, C.A., & Gleaves. D.H. (2006). The multiple dimensions of perfectionism and their relation with eating disorder features. Personality And Individual Differences, 41(2), 225-235. https://doi.org/10.1016/j.paid.2006.01.013
• 13. Ralph‐Nearman, C., Achee, M., Lapidus, R., Stewart, J.L., & Filik. R. (2019). A systematic and methodological review of attentional biases in eating disorders: Food. body. and perfectionism. Brain Behav, 9(12), e01458. https://doi.org/10.1002/brb3.1458
• 14. Brytek-Matera, A., Fonte, M.L., Poggiogalle, E., Donini. L.M., & Cena, H. (2017). Orthorexia nervosa: relationship with obsessive-compulsive symptoms. disordered eating patterns and body uneasiness among Italian university students. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 22(4), 609-617.
• 15. Giel, K.E., Bulik, C.M., Fernandez-Aranda, F., Hay, P., Keski-Rahkonen, A., Schag, K. et al. (2022). Binge eating disorder. Nature Reviews Disease Primers, 8(1), 1-19.
• 16. Pratt, E.M., Telch, C.F., Labouvie, E.W., Wilson, G.T., & Agras, W.S. (2001). Perfectionism in women with binge eating disorder. Int J Eat Disord, 29(2), 177-186. https://doi.org/10.1002/1098-108X(200103)29:2%3C177::AID- EAT1007%3E3.0.CO;2-X
• 17. Miegel, F., Moritz, S., Wagener, F., Cludius, B., & Jelinek, L. (2020). Self-esteem mediates the relationship between perfectionism and obsessive-compulsive symptoms. Personality and Individual Differences, 167, 110239. https://doi.org/10.1016/j.paid.2020.110239
• 18. Sametoğlu, S., Denissen, J.J., De Clercq, B., & De Caluwé, E. (2022). Towards a better understanding of adolescent obsessive–compulsive personality traits and obsessive–compulsive symptoms from growth trajectories of perfectionism. Development And Psychopathology, 34(4), 1468-1476. https://doi.org/10.1017/S0954579421000195
• 19. Lee, J.C., Prado, H.S., Diniz, J. B., Borcato, S., da Silva, C.B., Hounie, A.G. et al. (2009). Perfectionism and sensory phenomena: phenotypic components of obsessive-compulsive disorder. Compr Psychiatry, 50(5), 431-436. https://doi.org/10.1016/j.comppsych.2008.11.007
• 20. Bulik, C.M., Tozzi, F., Anderson, C., Mazzeo, S.E., Aggen. S., & Sullivan, P.F. (2003). The relation between eating disorders and components of perfectionism. Am J Psychiatry, 160(2), 366-368. https://doi.org/10.1176/appi.ajp.160.2.366
• 21. Hewitt, P.L., Flett. G.L., & Ediger. E. (1995). Perfectionism traits and perfectionistic self‐presentation in eating disorder attitudes. characteristics. and symptoms. Int J Eat Disord, 18(4), 317-326. https://doi.org/10.1002/1098-108X(199512)18:4<317::AID-EAT2260180404>3.0.CO;2-2
• 22. Forbush, K., Heatherton, T.F., & Keel, P.K. (2007). Relationships between perfectionism and specific disordered eating behaviors. Int J Eat Disord, 40(1), 37-41. https://doi.org/10.1002/eat.20310
• 23. Halmi, K.A., Tozzi. F., Thornton, L.M., Crow, S., Fichter, M.M., Kaplan, A.S. et al. (2005). The relation among perfectionism. obsessive‐compulsive personality disorder and obsessive‐compulsive disorder in individuals with eating disorders. Int J Eat Disord, 38(4), 371-374. https://doi.org/10.1002/eat.20190
• 24. Erol, A., Toprak, G., & Yazici, F. (2002). Üniversite öğrencisi kadınlarda yeme bozukluğu ve genel psikolojik belirtileri yordayan etkenler. Türk Psikiyatri Dergisi, 13(1), 48-57
• 25. Lin, S., & Muenks, K. (2022). Perfectionism profiles among college students: A person-centered approach to motivation, behavior, and emotion. Contemporary Educational Psychology, 71, 102110. https://doi.org/10.1016/j.cedpsych.2022.102110
• 26. Bernabéu-Brotóns, E., & Marchena-Giráldez, C. (2022). emotional eating and perfectionism as predictors of symptoms of binge eating disorder: the role of perfectionism as a mediator between emotional eating and body mass ındex. Nutrients, 14(16), 3361. https://doi.org/10.3390/nu14163361
• 27. Puttevils, L., Vanderhasselt, M. A., & Vervaet, M. (2019). Investigating transdiagnostic factors in eating disorders: Does self‐esteem moderate the relationship between perfectionism and eating disorder symptoms?. European Eating Disorders Review, 27(4), 381-390. https://doi.org/10.1002/erv.2666
• 28. Morgan-Lowes, K.L., Clarke, P.J., Hoiles, K.J., Shu, C.Y., Watson, H.J., Dunlop, P.D., & Egan, S.J. (2019). The relationships between perfectionism, anxiety and depression across time in paediatric eating disorders. Eat Behav, 34, 101305. https://doi.org/10.1016/j.eatbeh.2019.101305
• 29. Vacca, M., Ballesio, A., & Lombardo, C. (2021). The relationship between perfectionism and eating‐related symptoms in adolescents: A systematic review. European Eating Disorders Review, 29(1), 32-51. https://doi.org/10.1002/erv.2793
• 30. Asl, E.M., Rostami, H., Sadegh, A.M., Abdi, L., & Behrouzian, F. (2022). Mediating role of self-esteem and self- efficacy in the relationship of perfectionism and negative reactivity with eating disorders. Iranian Journal of Psychiatry and Behavioral Sciences, 16(1). https://doi.org/10.4103/jehp.jehp_1485_20
• 31. Obeid, N., Valois, D.D., Bedford, S., Norris, M.L., Hammond, N.G., & Spettigue, W. (2021). Asceticism, perfectionism and overcontrol in youth with eating disorders. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26(1), 219-225. https://doi.org/10.1007/s40519-019-00837-y
• 32. Shu, C.Y., Watson, H.J., Anderson, R.A., Wade, T.D., Kane, R.T., & Egan, S. J. (2019). A randomized controlled trial of unguided internet cognitive behaviour therapy for perfectionism in adolescents: Impact on risk for eating disorders. Behaviour Research and Therapy, 120, 103429. https://doi.org/10.1016/j.brat.2019.103429
• 33. Dahlenburg, S.C., Gleaves, D.H., & Hutchinson, A.D. (2019). Anorexia nervosa and perfectionism: A meta‐ analysis. Int J Eat Disord, 52(3), 219-229. https://doi.org/10.1002/eat.23009
• 34. Welch, H.A., Agras, W.S., Lock, J., & Halmi, K.A. (2020). Perfectionism, anorexia nervosa, and family treatment: How perfectionism changes throughout treatment and predicts outcomes. Int J Eat Disord, 53(12), 2055-2060. https://doi.org/10.1002/eat.23396
• 35. Martinez, K., Guan, C., & Walker, D.C. (2022). I’m angry that I’m not perfect! aggression mediates the relationship between perfectionism and eating pathology in men and women. Eating and Weight Disorders- Studies on Anorexia, Bulimia and Obesity, 27(5), 1895-1901. https://doi.org/10.1007/s40519-021-01319-w
• 36. Fortes, L.D.S., Cıprıanı, F., Almeida, S.D.S., & Ferreira, M.E.C. (2014). Eating disorder symptoms: association with perfectionism traits in male adolescents. Archives of Clinical Psychiatry (São Paulo), 41, 117-120. https://doi.org/10.1590/0101-60830000000024
• 37. Boone, L., Soenens, B., Vansteenkiste, M., & Braet, C. (2012). Is there a perfectionist in each of us? An experimental study on perfectionism and eating disorder symptoms. Appetite, 59(2), 531-540. https://doi.org/10.1016/j.appet.2012.06.015
• 38. Pinto, A., Dargani, N., Wheaton, M.G., Cervoni, C., Rees, C.S., & Egan, S.J. (2017). Perfectionism in obsessive- compulsive disorder and related disorders: What should treating clinicians know?. Journal of Obsessive- Compulsive and Related Disorders, 12, 102-108. https://doi.org/10.1016/j.jocrd.2017.01.001
• 39. Toroslu, B., & Çırakoğlu, O.C. (2022). Do perfectionism and intolerance of uncertainty mediate the relationship between early maladaptive schemas and relationship and partner related obsessive– compulsive symptoms?. Current Psychology, 42(22), 19037-19053.
• 40. Sarafraz, M.R., Hemmati, S., & Asadi-Lari, H. (2020). The relationship between perfectionism and obsessive compulsive disorder (OCD): Self-regulation processes as moderator. International Journal of School Health, 7(2), 30-36. https://doi.org/10.30476/INTJSH.2020.85824.1062
• 41. Chen, I.J., Hu, M., Zhang, H., & Guo, Z. (2018). The effect of parenting behavior on the obsessive-compulsive symptom of college students: the mediating role of perfectionism. Creative Education, 9(5), 758. https://doi.org/10.4236/ce.2018.95057
• 42. Boisseau, C.L., Thompson-Brenner, H., Pratt. E.M., Farchione. T.J., & Barlow. D.H. (2013). The relationship between decision-making and perfectionism in obsessive-compulsive disorder and eating disorders. Journal of Behavior Therapy and Experimental Psychiatry, 44(3), 316-321. https://doi.org/10.1016/j.jbtep.2013.01.006
• 43. Ortiz, G.G.R., Tapia, C.J.R., Martínez, B.A.E., & Icaza, D. (2022). Mediating mechanisms of perfectionism: clinical comorbidity of OCD and ED. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.908
• 44. Williams, B.M., & Levinson, C.A. (2021). Intolerance of uncertainty and maladaptive perfectionism as maintenance factors for eating disorders and obsessive‐compulsive disorder symptoms. European Eating Disorders Review, 29(1), 101-111. https://doi.org/10.1002/erv.2807
• 45. Flamarique, I., Plana, M. T., Castro-Fornieles, J., Borràs, R., Moreno, E., & Lázaro, L. (2019). Comparison of perfectionism dimensions in adolescents with anorexia nervosa or obsessive-compulsive disorder. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 28(2), 45.
• 46. Kothari, R., Barker, C., Pistrang, N., Rozental, A., Egan, S., Wade, T., Allcott-Watsonb, H., Anderssonf, G., & Shafran, R. (2019). A randomised controlled trial of guided internet-based cognitive behavioural therapy for perfectionism: Effects on psychopathology and transdiagnostic processes. Journal Of Behavior Therapy And Experimental Psychiatry, 64, 113-122. https://doi.org/10.1016/j.jbtep.2019.03.007
• 47. Margherita, G., Gargiulo, A., Gaudioso, R., & Esposito, G. (2022). Treating eating disorders in groups: A pilot study on the role of a structured intervention on perfectionism on group climate. Couns and Psychother Res, 22(2), 311-321. https://doi.org/10.1002/capr.12448
• 48. Csigó, K. (2021). Obsessive position: the new psychoanalytic approach obsessive-compulsive disorder. Current Psychology, 42(7), 5407-5414
• 49. Caparrotta, L., & Ghaffari, K. (2006). A historical overview of the psychodynamic contributions to the understanding of eating disorders. Psychoanalytic Psychotherapy, 20(3), 175-196. https://doi.org/10.1080/02668730600868807
• 50. Galloway, R., Watson, H., Greene, D., Shafran, R., & Egan, S. J. (2022). The efficacy of randomised controlled trials of cognitive behaviour therapy for perfectionism: a systematic review and meta-analysis. Cognitive Behaviour Therapy, 51(2), 170-184. https://doi.org/10.1080/16506073.2021.1952302
• 51. Tng, G.Y., & Yang, H. (2021). Interactional effects of multidimensional perfectionism and cognitive emotion regulation strategies on eating disorder symptoms in female college students. Brain Sciences, 11(11), 1374. https://doi.org/10.3390/brainsci11111374
• 52. Black, M.J., & Grisham, J.R. (2018). A pilot study of interpretive cognitive bias modification for OCD: Targeting memory, uncertainty, and perfectionism biases. Journal of Experimental Psychopathology, 9(1), 2043808718778969. https://doi.org/10.1177/204380871877896
• 53. Foa, E.B. (2010). Cognitive behavioral therapy of obsessive-compulsive disorder. Dialogues in clinical neuroscience, 12(2), 199-207. https://doi.org/10.31887/DCNS.2010.12.2/efoa.