OBJECTIVE: It is well recognized that patients with anorexia nervosa
have perfectionistic and obsessive behaviors. This study investigated
whether such behaviors persist after recovery. METHOD: Twenty subjects who
had recovered from anorexia nervosa were recruited for the study. They had
been at normal weight and their menses had been regular for more than a
year. These subjects were compared with 16 healthy women with the use of
the Eating Disorder Inventory, the Frost Multidimensional Perfectionism
Scale, and the Yale-Brown Obsessive Compulsive Scale. RESULTS: The
recovered anorexic patients had significantly higher scores than the
comparison women on the measures of perfectionism on the Eating Disorder
Inventory and on overall perfectionism on the Frost scale. Moreover, the
recovered patients had higher scores on the Yale-Brown scale, with target
symptoms suggesting that many had specific concerns with symmetry and
exactness. CONCLUSIONS: Certain characteristics of anorexia nervosa, such
as a need for order and precision, persist after good outcome and recovery,
raising the question of whether these behaviors are traits that contribute
to the pathogenesis of this illness.
Abstract Teaser