Early descriptive studies suggested that 50% to 100% of patients with AN showed obsessive or compulsive features ( 5). The possibility of a relationship between OCD and AN was first suggested by Palmer and Jones ( 5). In the earliest descriptions about eating disorders, obsessive-compulsive symptoms have been described as part of these disorders ( 4). ![]() Eating disorders refer to a group of conditions defined by abnormal eating features that include bulimia nervosa (BN) and anorexia nervosa (AN) that are characterized by preoccupation with food and body weight ( 3). At the clinical level, obsessive-compulsive disorder (OCD) is characterized by intrusive thoughts that produce uneasiness, apprehension, fear, or worry, by repetitive behaviors aimed at reducing the associated anxiety, or by a combination of such obsessions and compulsions. ![]() Positive perfectionism consists of organization, planfulness, striving for excellence and high standards for others aspects, whereas negative perfectionism consists of the need for approval, concern over mistakes, parental pressure and rumination. In this approach, perfectionism is comparable in the context of the previous adaptive (positive) and maladaptive (negative) aspects of perfectionism and makes a clearer distinction between adaptive and maladaptive aspects. ( 2) identified eight dimensions of perfectionism, which are as follows, concern over mistakes, high standards for others, need for approval, organization, parental pressure, planfulness, rumination, and striving for excellence. Based on the evidences, there are different definitions of the construct of perfectionism. Perfectionism is typically defined as the setting of excessively high performance standards accompanied by over critical self-evaluations ( 1). Fear of failure may motivate the behavioral components of perfectionism that aim to focus on careful checking, reassurance seeking and excessive consideration before making a decision.Ĭompulsive Behavior Eating Disorders Obsessive-Compulsive Disorder 1. doi:10.1891/0889-8391.33.1.The greater association of perfectionism with symptoms of obsessive-compulsive is consistent with its phenomenological feature. Exposure and response prevention for obsessive-compulsive disorder: a case study of a veteran with violent intrusive thoughts. Siffert V, Riahi C, Stanley MA, Fletcher TL. Exposure and response prevention for obsessive-compulsive disorder: A review and new directions. The connection between obsessive compulsive disorder and traumatic brain injury in paediatric and young patients, therapeutic guidelines and new therapeutic approaches. Gender differences in eating disorder-related intrusive thoughts. Springer International Publishing 2022:93-112. In: Percudani M, Bramante A, Brenna V, Pariante C, eds. Unwanted, intrusive thoughts of infant-related harm. (2018).įairbrother N, Martin R, Challacombe F. Anxiety and Depression Association of America.
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