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The Comorbidity of Eating and Substance use Disorders in Women: Explorations of Childhood Maltreatment, Multidimensional Perfectionism and Shame

This investigation examined multidimensional perfectionism, shame and maltreatment in 45 women with bulimia nervosa, 14 women with binge eating disorder and 26 women with anorexia nervosa, purging type, all of whom suffered from comorbid substance use disorders. Participants completed three perfectionism scales, one shame scale and one maltreatment scale.
Results revealed that in the bulimia nervosa and binge eating disorder group, perfectionistic self-promotion and bodily shame were significant predictors of eating disorder severity while other-oriented perfectionism was a significant predictor of alcohol use severity. In the anorexia group, other-oriented perfectionism and bodily shame were significant predictors of eating disorder severity and nondisplay of imperfection was a significant predictor of drug use severity. All participants experienced elevated levels on all types of shame and maltreatment and on most perfectionism dimensions compared to normative samples. Findings should be utilized in developing treatment programs for those with comorbid eating and substance use disorders.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:OTU.1807/25466
Date17 December 2010
CreatorsAdler, Melanie
ContributorsPiran, Niva
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
Languageen_ca
Detected LanguageEnglish
TypeThesis

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