TY - JOUR
T1 - The confluence of perfectionism, body dissatisfaction, and low self-esteem predicts bulimic symptoms
T2 - Clinical implications
AU - Bardone, Anna M.
AU - Vohs, Kathleen D.
AU - Abramson, Lyn Y.
AU - Heatherton, Todd F.
AU - Joiner, Thomas E.
PY - 2000
Y1 - 2000
N2 - We present a brief overview of empirically supported risk factors of bulimic behavior. We then propose an empirically supported, interactive, three-factor model of bulimic symptom occurrence from which we derive clinical implications for assessment, treatment, and prevention. Our research finds that perfectionism, body dissatisfaction, and self-esteem interact to predict bulimic symptoms. In particular, women who consider themselves overweight and who have elevated levels of perfectionism and lower levels of self-esteem show the greatest risk for bulimic symptoms. Thus, our model identifies three theoretically related targets for intervention: perfectionism, body dissatisfaction, and low self-esteem. Assessment of these factors is recommended. The extent to which cognitive-behavioral therapy for hulimia and interpersonal therapy for bulimia address these factors is reviewed and evaluated, and theory-based recommendations are made for prevention efforts.
AB - We present a brief overview of empirically supported risk factors of bulimic behavior. We then propose an empirically supported, interactive, three-factor model of bulimic symptom occurrence from which we derive clinical implications for assessment, treatment, and prevention. Our research finds that perfectionism, body dissatisfaction, and self-esteem interact to predict bulimic symptoms. In particular, women who consider themselves overweight and who have elevated levels of perfectionism and lower levels of self-esteem show the greatest risk for bulimic symptoms. Thus, our model identifies three theoretically related targets for intervention: perfectionism, body dissatisfaction, and low self-esteem. Assessment of these factors is recommended. The extent to which cognitive-behavioral therapy for hulimia and interpersonal therapy for bulimia address these factors is reviewed and evaluated, and theory-based recommendations are made for prevention efforts.
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U2 - 10.1016/S0005-7894(00)80015-5
DO - 10.1016/S0005-7894(00)80015-5
M3 - Article
AN - SCOPUS:0034480983
SN - 0005-7894
VL - 31
SP - 265
EP - 280
JO - Behavior Therapy
JF - Behavior Therapy
IS - 2
ER -