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Am J Psychiatry 1995; 152:1630-1634
Copyright © 1995 by American Psychiatric Association
Persistent perfectionism, symmetry, and exactness after long-term recovery from anorexia nervosa
NM Srinivasagam, WH Kaye, KH Plotnicov, C Greeno, TE Weltzin and R Rao
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, PA 15213, USA.
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.
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