Behavioural and Cognitive Psychotherapy

Table of Contents - July 2012 - Volume 40, Issue 04  

Research Article

Persistence, Perseveration and Perfectionism in the Eating Disorders

Glenn Wallera1 c1, Tonya Shawa2, Caroline Meyera3, Michelle Haslama4, Rachel Lawsona5 and Lucy Serpella6

a1 Institute of Psychiatry, King's College London and Central and North West London NHS Foundation Trust, UK

a2 Karen Surgery, Nairobi, Kenya

a3 Loughborough University Centre for Research into Eating Disorders, UK

a4 Central and North West London NHS Foundation Trust and Loughborough University Centre for Research into Eating Disorders, UK

a5 Institute of Psychiatry, King's College London and Princess Margaret Hospital, Christchurch, New Zealand

a6 University College London and North East London NHS Foundation Trust, UK

Abstract

Background: Perseveration, persistence and perfectionism are traits that have been suggested to be relevant to the eating disorders. This study explored the levels and correlates of these three traits in the eating disorders and control groups. Method: A measure of these three elements (the Persistence, Perseveration and Perfectionism Questionnaire - PPPQ-22) was administered to 99 women with eating disorders, 25 women with other psychiatric disorders, and 91 non-clinical women. Differences in PPPQ-22 scores across groups were measured, as were the associations between PPPQ-22 scores and eating attitudes. Results: The eating disordered groups showed lower levels of persistence (the drive towards goal achievement) than the non-clinical group, but did not show higher levels of perseveration (the following of rules, without considering whether goals are achieved). Both women with eating disorders and non-clinical controls showed correlations between eating disorder symptoms and perseveration. Conclusions: The current study, using a relatively new measure, suggests that low levels of persistence, rather than high levels of perseveration, may be implicated in the eating disorders. It was less clear that perfectionism per se was a useful construct in understanding eating pathology. If confirmed by future research, persistence should be considered in treatment of these complex and challenging conditions.

(Online publication April 25 2012)

Keywords:

Correspondence:

c1 Reprint requests to Glenn Waller, Vincent Square Eating Disorders Service, Osbert Street, London SW1P 2QU, UK. E-mail: glenn.waller@kcl.ac.uk

0Comments
Related Content