Bulimic symptomatology: The role of adaptive perfectionism, shape and weight concern, and self-esteem

Hunna Watson, Anna Steele, Jacqueline Bergin, Anthea Fursland, Tracey Wade

    Research output: Contribution to journalArticlepeer-review

    14 Citations (Scopus)


    An interactive model implicating high perfectionism, high weight and shape concern, and low self-esteem in the onset and maintenance of bulimic symptoms (Bardone, Vohs, Abramson, Heatherton, & Joiner, 2000; Vohs, Bardone, Joiner, Abramson, & Heatherton, 1999) has received mixed support. This study aimed to replicate the cross-sectional model in a clinical sample of women with eating disorders, and to investigate whether the model could predict changes in binge eating and purging at the end of treatment. Eating disorder outpatients (n = 353) completed measures of perfectionism, weight/shape concern, self-esteem, and bulimic symptoms at pre-treatment and discharge. Contrary to the hypotheses, the three-way interaction did not predict binge eating or purging cross-sectionally or prospectively as a moderator of psychotherapy outcome. It was concluded that the robustness of the interactive model seems questionable and may be impacted by an inadequate conceptualization of the perfectionism construct.

    Original languageEnglish
    Pages (from-to)565-572
    Number of pages8
    JournalBehaviour Research and Therapy
    Issue number9
    Publication statusPublished - Sep 2011


    • Body dissatisfaction
    • Bulimic symptoms
    • Eating disorders
    • Perfectionism
    • Self-esteem


    Dive into the research topics of 'Bulimic symptomatology: The role of adaptive perfectionism, shape and weight concern, and self-esteem'. Together they form a unique fingerprint.

    Cite this