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.
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。