Abstract
The present study examined the association between obsessive–compulsive symptoms and body checking behavior in a non-clinical sample of women and men. We also examined whether perfectionism and negative affect would account for a significant proportion of the variance in that association. Participants (n = 303; 45% women) completed measures of obsessive–compulsive symptoms, perfectionism, negative affect, body checking, and body dissatisfaction. Obsessive–compulsive symptoms were significantly correlated with body checking even after controlling for perfectionism. Path analyses showed that negative affect fully mediated the relation between obsessive–compulsive symptoms and body checking in women, but only partially mediated the relation in men. Finally, body checking was positively associated with body dissatisfaction, even when controlling for all other variables. Our findings highlight the importance of examining perfectionism and negative affect when considering the association between obsessive–compulsive symptoms and body image concerns, and also suggest an important role for body checking in these associations.
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Notes
Due to an administrative error, an unlabelled seventh response option was included for the EDI-BD. Only a small number of participants selected this response option for any item (fewer than 3% of responses across all items), and a response of 7 was therefore recoded as a response of 6 (Always). This recoded variable was correlated .998 with the scale using raw scores, and the results were identical when either version of the measure was used.
References
Altman, S. E., & Shankman, S. A. (2009). What is the association between obsessive–compulsive disorder and eating disorders? Clinical Psychology Review, 29, 638–646.
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998a). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 43, 176–181.
Antony, M. M., Purdon, C., Huta, V., & Swinson, R. (1998b). Dimensions of perfectionism across the anxiety disorders. Behaviour Research and Therapy, 36, 1143–1154.
Bardone-Cone, A. M. (2007). Self-oriented and socially prescribed perfectionism dimensions and their associations with disordered eating. Behaviour Research and Therapy, 45, 1977–1986.
Bardone-Cone, A. M., Cass, K. M., & Ford, J. A. (2008). Examining body dissatisfaction in young men within a biopsychosocial framework. Body Image, 5, 183–194.
Bardone-Cone, A. M., Wonderlich, S. A., Frost, R. O., Bulik, C. M., Mitchell, J. E., Uppala, S., et al. (2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychology Review, 27, 384–405.
Bulik, C. M., Tozzi, F., Anderson, C., Mazzeo, S. E., Aggen, S., & Sullivan, P. F. (2003). The relation between eating disorders and components of perfectionism. American Journal of Psychiatry, 160, 366–368.
Castle, D. J., Deale, A., & Marks, I. M. (1995). Gender differences in obsessive compulsive disorder. Australian and New Zealand Journal of Psychiatry, 29, 114–117.
Enoch, M. A., Kaye, W. H., Rotondo, A., Greenberg, B. D., Murphy, D. L., & Goldman, D. (1998). 5-HT2A promoter polymorphism −1438G/A, anorexia nervosa, and obsessive-compulsive disorder. Lancet, 351, 1785–1786.
Finzi-Dottan, R., & Zubery, E. (2009). The role of depression and anxiety in impulsive and obsessive-compulsive behaviors among anorexic and bulimic patients. Eating Disorders, 17, 162–182.
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., et al. (2002). The Obsessive-Compulsive Inventory: Development and validation of a short version. Psychological Assessment, 14, 485–496.
Frost, R. O., Heimberg, R. G., Holt, C. S., Mattia, J. I., & Neubauer, A. L. (1993). A comparison of two measures of perfectionism. Personality and Individual Differences, 14, 119–126.
Frost, R. O., Marten, P., Lagart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.
Frost, R. O., & Steketee, G. (1997). Perfectionism in obsessive-compulsive disorder patients. Behaviour Research and Therapy, 35, 291–296.
Fullana, M. A., Mataix-Cols, D., Caspi, A., Harrington, H., Grisham, J. R., Moffitt, T. E., et al. (2009). Obsessions and compulsions in the community: Prevalence, interference, help-seeking, developmental stability and co-occurring psychiatric conditions. American Journal of Psychiatry, 166, 329–336.
Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15–34.
Jimenez-Murcia, S., Fernandez-Aranda, F., Raich, R. M., Alonso, P., Krug, I., Jaurrieta, N., et al. (2007). Obsessive-compulsive and eating disorders: Comparison of clinical and personality features. Psychiatry and Clinical Neuroscience, 61, 385–391.
Joiner, T. E., Katz, J., & Heatherton, T. F. (2000). Personality features differentiate late adolescent females and males with chronic bulimic symptoms. International Journal of Eating Disorders, 27, 191–197.
Kaye, W. H., Bulik, C. M., Thornton, L., Barbarich, N., Masters, K., & Price Foundation Collaborative Group. (2004). Comorbidity of anxiety disorders with anorexia nervosa and bulimia nervosa. American Journal of Psychiatry, 161, 2215–2221.
Klein, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford Press.
Lilenfeld, L. R. R., Stein, D., Bulik, C. M., Strober, M., Plotnivoc, K., Pollice, C., et al. (2000). Personality traits among currently eating disordered, recovered and never ill first-degree female relatives of bulimic and control women. Psychological Medicine, 30, 1399–1410.
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney: Psychology Foundation.
Minarik, M. L., & Ahrens, A. H. (1996). Relations of eating behavior and symptoms of depression and anxiety to the dimension of perfectionism among undergraduate women. Cognitive Therapy and Research, 20, 155–169.
Pearson, C. A., & Gleaves, D. H. (2006). The multiple dimensions of perfectionism and their relation with eating disorder features. Personality and Individual Differences, 41, 225–235.
Pope, H. G., Jr., Phillips, K. A., & Olivardia, R. (2000). The Adonis complex: The secret crisis of male body obsession. New York: Free Press.
Reas, D. L., Whisenhunt, B. L., Netemeyer, R., & Williamson, D. A. (2002). Development of the Body Checking Questionnaire: A self-report measure of body checking behaviors. International Journal of Eating Disorders, 31, 324–333.
Ricciardelli, L. A., & McCabe, M. P. (2001). Dietary restraint and negative affect as mediators of body dissatisfaction and bulimic behavior in adolescent girls and boys. Behaviour Research and Therapy, 39, 1317–1328.
Roberts, M. E. (2006). Disordered eating and obsessive-compulsive symptoms in a sub-clinical student population. New Zealand Journal of Psychiatry, 35, 45–54.
Salkovskis, P. M. (1985). Obsessional-compulsive problems: A cognitive behavioural analysis. Behaviour Research and Therapy, 23, 571–583.
Shafran, R., Lee, M., Payne, E., & Fairburn, C. G. (2007). An experimental analysis of body checking. Behaviour Research and Therapy, 45, 113–121.
Smeets, E., Tiggemann, M., Kemps, E., Mills, J. S., Hollitt, S., Roefs, A., et al. (2011). Body checking induces attentional bias for body-related cues. International Journal of Eating Disorders, 44, 50–57.
Swinbourne, J. M., & Touyz, S. W. (2007). The co-morbidity of eating disorders and anxiety disorders: A review. European Eating Disorders Review, 15, 253–274.
Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Allyn and Bacon.
Thornton, C., & Russell, J. (1997). Obsessive compulsive co-morbidity in the dieting disorders. International Journal of Eating Disorders, 21, 83–87.
Vartanian, L. R. (2009). When the body defines the self: Self-concept clarity, internalization, and body image. Journal of Social and Clinical Psychology, 28, 94–126.
Williamson, D. A., Muller, S., Reas, D. L., & Thaw, J. M. (1999). Cognitive bias in eating disorders: Implications for theory and treatment. Behavior Modification, 23, 556–578.
Woodside, D. B., Bulik, C. M., Thornton, L., Klump, K. L., Tozzi, F., Fichter, M. M., et al. (2004). Personality in men with eating disorders. Journal of Psychosomatic Research, 57, 273–278.
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Vartanian, L.R., Grisham, J.R. Obsessive–Compulsive Symptoms and Body Checking in Women and Men. Cogn Ther Res 36, 367–374 (2012). https://doi.org/10.1007/s10608-011-9356-0
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DOI: https://doi.org/10.1007/s10608-011-9356-0