PDF(Pubmed)
Abstract：
BACKGROUND: Avoidant Restrictive Food Intake Disorder (ARFID) is a new diagnosis added to the DSM-5 characterized by pathological eating habits without body image disturbances. Previous findings demonstrated a general association between high levels of perfectionism and low levels of self-esteem in association with general eating disorders. However, research is scant when it comes to ARFID specifically. Subsequently, although self-esteem is seen to moderate the association between perfectionism and general eating disorders, this research study aims to explore the same moderation but with ARFID specifically.
METHODS: For this study, 515 Lebanese adults from the general Lebanese population were recruited from all over Lebanon, 60.1% of which were females. The Arabic version of the Big Three Perfectionism Scale- Short Form (BTPS-SF) was used to measure self-critical, rigid and narcissistic perfectionism; the Avoidant/Restrictive Food Intake Disorder screen (NIAS) was used to score the ARFID variable; the Arabic-Single Item Self-Esteem (A-SISE) was the scale used to measure self-esteem.
RESULTS: Across the different perfectionism types, self-esteem was seen to moderate the association between narcissistic perfectionism and ARFID (Beta = - 0.22; p =.006). At low (Beta = 0.77; p <.001), moderate (Beta = 0.56; p <.001) and high (Beta = 0.36; p =.001) levels of self-esteem, higher narcissistic perfectionism was significantly associated with higher ARFID scores.
CONCLUSIONS: This study brought to light some crucial clinical implications that highlight the need for interventions that help in the enhancement of self-esteem in patients with high perfectionism and ARFID. This study suggests that clinicians and healthcare professionals should focus more on risk factors influencing the development and maintenance of ARFID-like symptoms.
METHODS: For this study, 515 Lebanese adults from the general Lebanese population were recruited from all over Lebanon, 60.1% of which were females. The Arabic version of the Big Three Perfectionism Scale- Short Form (BTPS-SF) was used to measure self-critical, rigid and narcissistic perfectionism; the Avoidant/Restrictive Food Intake Disorder screen (NIAS) was used to score the ARFID variable; the Arabic-Single Item Self-Esteem (A-SISE) was the scale used to measure self-esteem.
RESULTS: Across the different perfectionism types, self-esteem was seen to moderate the association between narcissistic perfectionism and ARFID (Beta = - 0.22; p =.006). At low (Beta = 0.77; p <.001), moderate (Beta = 0.56; p <.001) and high (Beta = 0.36; p =.001) levels of self-esteem, higher narcissistic perfectionism was significantly associated with higher ARFID scores.
CONCLUSIONS: This study brought to light some crucial clinical implications that highlight the need for interventions that help in the enhancement of self-esteem in patients with high perfectionism and ARFID. This study suggests that clinicians and healthcare professionals should focus more on risk factors influencing the development and maintenance of ARFID-like symptoms.
摘要：
背景：避免限制性食物摄入障碍（ARFID）是添加到DSM-5中的一种新诊断，其特征是病理性饮食习惯而没有身体形象障碍。先前的研究结果表明，高度完美主义和低水平的自尊心与一般饮食失调之间存在普遍关联。然而,特别是关于ARFID的研究很少。随后，虽然自尊被认为可以缓和完美主义和一般饮食失调之间的联系，这项研究旨在探索同样的适度，但特别是ARFID。
方法：对于本研究，从黎巴嫩全国招募了515名黎巴嫩成年人，其中60.1%为女性。阿拉伯语版本的三大完美主义量表-缩写形式（BTPS-SF）用于测量自我批评，僵化和自恋性完美主义;使用避免性/限制性食物摄入障碍屏幕(NIAS)对ARFID变量进行评分;阿拉伯语-单项自尊(A-SISE)是用于衡量自尊的量表。
结果：在不同的完美主义类型中，自尊可以缓解自恋完美主义与ARFID之间的关联（Beta=-0.22；p=.006）。在低点（Beta=0.77；p<.001），中等(β=0.56;p<.001)和高(β=0.36;p=.001)的自尊水平，较高的自恋完美主义与较高的ARFID评分显著相关.
结论：这项研究揭示了一些重要的临床意义，强调了需要干预措施来帮助增强高度完美主义和ARFID患者的自尊。这项研究表明，临床医生和医疗保健专业人员应该更多地关注影响ARFID样症状发展和维持的风险因素。
方法：对于本研究，从黎巴嫩全国招募了515名黎巴嫩成年人，其中60.1%为女性。阿拉伯语版本的三大完美主义量表-缩写形式（BTPS-SF）用于测量自我批评，僵化和自恋性完美主义;使用避免性/限制性食物摄入障碍屏幕(NIAS)对ARFID变量进行评分;阿拉伯语-单项自尊(A-SISE)是用于衡量自尊的量表。
结果：在不同的完美主义类型中，自尊可以缓解自恋完美主义与ARFID之间的关联（Beta=-0.22；p=.006）。在低点（Beta=0.77；p<.001），中等(β=0.56;p<.001)和高(β=0.36;p=.001)的自尊水平，较高的自恋完美主义与较高的ARFID评分显著相关.
结论：这项研究揭示了一些重要的临床意义，强调了需要干预措施来帮助增强高度完美主义和ARFID患者的自尊。这项研究表明，临床医生和医疗保健专业人员应该更多地关注影响ARFID样症状发展和维持的风险因素。
