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The Impeding Role of Self-Critical Perfectionism on Therapeutic Alliance During Treatment and Eating Disorder Symptoms at Follow-up in Patients with an Eating Disorder Cover

The Impeding Role of Self-Critical Perfectionism on Therapeutic Alliance During Treatment and Eating Disorder Symptoms at Follow-up in Patients with an Eating Disorder

Open Access
|Apr 2016

Figures & Tables

Table 1

Flow Chart of Sample Size and Drop-out per Measurement. Patients who participated at T1 and T2 were selected (n = 53), missing data for T3 were estimated.

Number of participants at Time 197
Drop-out44
Number of participants at Time 253
Drop-out32
Number of participants at Time 321
Table 2

Means, Standard Deviations, and Correlations between Study Variables.

123456789
1. SC perfectionism T1
2. DT T1.22
3. BD T1.28*.77***
4. Depressive symptoms.33*.37**.34*
5. Therapeutic alliance T2−.37**−.12−.15−.31*
6. DT T2.25†.56***.49***.13−.16
7. BD T2.22.33*.40**.09−.18.74***
8. DT T3.09.25.12−.01−.14.36**.30*
9. BD T3.23.27.29*.05−.32*.35*.37**.56***
Mean.5.084.933.383.234.144.543.823.79
SD..95.96.76.741.20.98.69.57

[i] Note. Because SC perfectionism is a residual score, mean and standard deviation are not provided. SC = self-critical; DT = drive for thinness; BD = body dissatisfaction. p < .10. *p < .05. **p < .01. ***p < .001.

Table 3

Standardized Beta-coefficients of Hierarchical Regression Analyses.

PredictorSubsequent change in drive for thinnessSubsequent change in body dissatisfactionTherapeutic alliance T2
βΔR²βΔR²βΔR²
Step 1.08.01.07
     Duration eating disorder−.27−.08−.16
     Body mass index T1−.02.01.23
Step 2.00.00.09
     Prior drive for thinness change−.01.−.04
     Prior body dissatisfaction change.−.06−.11
     Depressive symptoms T1−.04.02−.28*
Step 3.00.03.07(*)
     SC perfectionism T1−.02.19−.28(*)

[i] Note. SC = self-critical; Subsequent change = symptom level change from T2 to T3. (*) p = .053. *p < .05.

figures/Fig01_web.png
Figure 1

The Mediating Role of Therapeutic Alliance in the Relation Between Self-critical Perfectionism and Subsequent Changes in Body Dissatisfaction and Drive for Thinness. Note: Coefficients reported between brackets represent the direct relation between SC perfectionism T1 and the outcome without therapeutic alliance T2 in the model. SC = Self-critical. *p < .05.

Table A1

Means, Standard Deviations, and Correlations between Study Variables for Patients Participating at all Measurement Waves (n = 21).

123456789
1. SC perfectionism T1
2. DT T1.52*
3. BD T1.65**.83***
4. Depressive symptoms.54*.50*.45*
5. Therapeutic alliance T2–.44*–.37–.38–.36
6. DT T2.42.57**.47*.06–.25
7. BD T2.47*.20.28.03–.16.77***
8. DT T3.19.35.24-.01–.30.60**.49*
9. BD T3.43.40.58*.03–.60**.61*.57*.55*

[i] Note. SC = self-critical; DT = drive for thinness; BD = body dissatisfaction. p < .10. *p < .05. **p < .01. ***p < .001.

DOI: https://doi.org/10.5334/pb.297 | Journal eISSN: 0033-2879
Language: English
Published on: Apr 15, 2016
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2016 Jolene van der Kaap-Deeder, Jos Smets, Liesbet Boone, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.