Self‑oriented and Socially Prescribed Perfectionism: The Psychometric Properties of the Persian Version of the Eating Disorder Inventory‑Perfectionism Scale
Abstract
Background: Perfectionism is a key construct for understanding psychopathology. In societies with varying cultures, studying the psychometric properties of tools can help with their external validity. This research aimed at standardization and validation of the Eating Disorder Inventory‑Perfectionism (EDI‑P) scale in Iran.
Methods: The Persian version of EDI‑P was formed through forward translation, reconciliation, and back translation. A total of 302 students were selected using convenience sampling method and` they completed a set of questionnaires, including the EDI‑P, Weight Efficacy Lifestyle Questionnaire‑Short Form (WEL‑SF), Eating Attitude Test‑16 (EAT‑16), Self‑esteem scale (SES), Difficulties in Emotion Regulation Scale‑16 (DERS‑16), and Self‑compassion scale (SCS) Short Form. The construct validity of the EDI‑P was assessed using confirmatory factor analysis and divergent and convergent validity. Internal consistency and test‑retest reliability (2 weeks’ interval) were applied to evaluate reliability. LISREL (version 8.8) and SSPS (version 22) software were used for data analysis purpose.
Results: EDI‑P scales and subscales were found to be a valid and reliable measure, with good internal consistency and good test‑retest reliability in the nonclinical sample. Cronbach’s alpha coefficient for the whole scale, socially prescribed, and self‑oriented were found to be 0.74, 0.68, and 0.67, respectively. Test‑retest reliability for the whole scale, socially prescribed, and self‑oriented were found to be 0.88, 0.80, and 0.87, respectively. Convergent validity and divergent validity were good (Normed Fit Index [NFI] = 0.94, Incremental Fit Index = 0.95, root mean square error of approximation = 0.08, goodness of fit index = 0.97, Non‑normed Fit Index [NNFI] = 0.91, and comparative fit index = 0.95). The results of this study provide support for the two‑factor model of EDI‑P.
Conclusion: The EDI‑P showed good validity and reliability and could be useful in assessing perfectionism in Iranian population. The EDI‑P shows notable promise as a measure for use in eating research and clinical settings.
Keywords
Full Text:
PDFReferences
Stairs AM. Examining the construct of perfectionism: A factor‑analytic
study. 2009. University of Kentucky Doctoral Dissertations. 733.
Available from: https://uknowledge.uky.edu/gradschool_diss/733.
Shafran R, Cooper Z, Fairburn CG. Clinical perfectionism:
A cognitive–behavioural analysis. Behav Res The 2002;40:773‑91.
Egan SJ, Wade TD, Shafran R. Perfectionism as a transdiagnostic
process: A clinical review. Clin Psychol Rev 2011;31:203‑12.
Hewitt PL, Flett GL, Besser A, Sherry SB, McGee B. Perfectionism
is multidimensional: A reply to. Behav Res Ther 2003;41:1221‑36.
Egan SJ, Wade TD, Shafran R, Antony MM. Cognitive‑Behavioral
Treatment of Perfectionism. Guilford Publications; 2016.
Shafran R, Mansell W. Perfectionism and psychopathology: A review
of research and treatment. Clin Psychol Rev 2001;21:879‑906.
Chang EC, Ivezaj V, Downey CA, Kashima Y, Morady AR.
Complexities of measuring perfectionism: Three popular perfectionism measures and their relations with eating
disturbances and health behaviors in a female college student
sample. Eat Behav 2008;9:102‑10.
Fedewa BA, Burns LR, Gomez, AA. Positive and negative
perfectionism and the shame/guilt distinction: Adaptive and
maladaptive characteristics. Pers Individ Dif 2005;38:1609‑19.
Forman‑Hoffman V. High prevalence of abnormal eating and
weight control practices among U. S. high‑school students. Eat
Behav 2004;5:325‑36.
Sassaroli S, Romero Lauro LJ, Maria Ruggiero G, Mauri MC,
Vinai P, Frost R. Perfectionism in depression, obsessive–compulsive
disorder and eating disorders. Behav Res Ther 2008;46:757‑65.
Fairburn CG, Cooper Z, Shafran R. Cognitive behaviour therapy
for eating disorders: A “transdiagnostic” theory and treatment.
Behav Res Ther 2003;41:509‑28.
Pratt EM, Telch CF, Labouvie EW, Wilson GT, Agras WS.
Perfectionism in women with binge eating disorder. Int J Eat
Disord 2001;29:177‑86.
Garner DM. Eating Disorder Inventory‑2. Odessa, FL:
Psychological Assessment Resources; 1991.
Hewitt PL, Flett GL. Perfectionism in the self and social
contexts: Conceptualization, assessment, and association with
psychopathology. J Pers Soc Psychol 1991;60:456‑70.
Sherry SB, Hewitt PL, Besser A, McGee BJ, Flett GL. Self‑oriented
and socially prescribed perfectionism in the eating disorder
inventory perfectionism subscale. Int J Eat Disord 2004;35:69‑79.
Striegel‑Moore RH, Dohm FA, Kraemer HC, Taylor CB,
Daniels S, Crawford PB, et al. Eating disorders in white and
black women. Am J Psychiatry 2003;160:1326‑31.
Canter DE. Self‑Appraisals, Perfectionism, and Academics in
College Undergraduates. A dissertation proposal submitted in
partial fulfillment of the requirements for the degree of Doctor of
Philosophy at Virginia Commonwealth University; 2008.
Lampard AM, Byrne SM, McLean N, Fursland A. The eating
disorder inventory‑2 perfectionism scale: Factor structure and
associations with dietary restraint and weight and shape concern
in eating disorders. Eat Behav 2012;13:49‑53.
Mousavi Asl E, Mahaki B, Gharraee B, Asgharnejad Farid AA,
Shahverdi‑Shahraki A. Beliefs about binge eating: The
psychometric properties of the Persian version of the eating
beliefs questionnaire. J Res Med Sci 2020;25:73.
Asl EM, Khanjani S, Mahaki B, Mohammadian Y. Disordered
eating: The psychometric properties of the Persian version of the
eating attitudes test‑8. J Edu Health Promot 2020;9:307.
Kline RB. Principles and Practice of Structural Equation
Modeling. 4th ed. New York: Guilford Publications; 2015.
McLaughlin E. The EAT‑16: Validation of a Shortened Form
of the Eating Attitudes Test. 2014. Available from: https://
digitalrepository.unm.edu/psy_etds/94.
Mousavi Asl E, Mahaki B, Asmari Bardezard Y, Mohammadian Y.
Eating disorders screening tools: The psychometric properties of the
Persian version of eating attitude test. Int J Prev Med 2021;12:122.
Rosenberg M. Society and the adolescent self-image. New
Jersey: Princeton University Press; 2015.
Moshki M, Ashtarian H. Perceived health locus of control,
self‑esteem, and its relations to psychological well‑being status
in Iranian students. Iran J Public Health 2010;39:70‑7.
Ames GE, Heckman MG, Grothe KB, Clark MM. Eating self‑efficacy:
Development of a short‑form WEL. Eat Behav 2012;13:375‑8.
Ahmadipour H, Ebadi S. Psychometric properties of the Persian
version of weight efficacy lifestyle questionnaire‑short form. Int
J Prev Med 2019;10:71.
Bjureberg J, Ljótsson B, Tull MT, Hedman E, Sahlin H,
Lundh LG, et al. Development and validation of a brief version
of the difficulties in emotion regulation scale: The DERS‑16.
J Psychopathol Behav Assess 2016;38:284‑96.
Shahabi M, Hasani J, Bjureberg J. Psychometric properties of
the brief Persian version of the difficulties in emotion regulation
scale (the DERS‑16). Assess Eff Interv 2020;45:135‑43.
Raes F, Pommier E, Neff KD, Van Gucht D. Construction and
factorial validation of a short form of the self‑compassion scale.
Clin Psychol Psychother 2011;18:250‑5.
Khanjani S, Foroughi AA, Sadghi K, Bahrainian SA. [Psychometric
properties of Iranian version of self-compassionscale (short
form)]. Pajoohande 2016;21:282-9.
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL,
Dekker J, et al. Quality criteria were proposed for measurement
properties of health status questionnaires. J Clin Epidemiol
;60:34‑42.
Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance
structure analysis: Conventional criteria versus new alternatives.
Struct Equ Model Multidiscip J. 1999;6:1-55.
Mulaik SA, James LR, Van Alstine J, Bennett N, Lind S,
Stilwell CD. Evaluation of goodnessoffit indices for structural
equation models. Psychol Bull. 1989;105:430-45.
Browne MW, Cudeck R. Alternative ways of assessing model fit.
Sociol Methods Res 1992;21:230‑58.
Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating
the fit of structural equation models: Tests of significance and
descriptive goodness-of-fit measures. Methods of psychological
research online. 2003;8:23-74.
Stoeber J, Madigan DJ, Damian LE, Esposito RM, Lombardo C.
Perfectionism and eating disorder symptoms in female university
students: The central role of perfectionistic self‑presentation. Eat
Weight Disord 2017;22:641‑8.
Rivière J, Douilliez C. Perfectionism, rumination, and gender are
related to symptoms of eating disorders: A moderated mediation
model. Pers Individ Diff 2017;116:63‑8.
Reilly EE, Stey P, Lapsley DK. A new look at the links between
perceived parenting, socially‑prescribed perfectionism, and
disordered eating. Pers Individ Diff 2016;88:17‑20.
Cunningham ML, Griffiths S, Baillie A, Murray SB. Emotion
dysregulation moderates the link between perfectionism and
dysmorphic appearance concern. Psychol Men Masc 2018;19:59.
Aldea MA, Rice KG. The role of emotional dysregulation in
perfectionism and psychological distress. J Couns Psychol 2006;53:498.
Mehr KE, Adams AC. Self‑compassion as a mediator of
maladaptive perfectionism and depressive symptoms in college
students. J College Stud Psychother 2016;30:132‑45.
Ferrari M, Yap K, Scott N, Einstein DA, Ciarrochi J.
Self‑compassion moderates the perfectionism and depression link
in both adolescence and adulthood. PloS One 2018;13:e0192022.
Deuling JK, Burns L. Perfectionism and work‑family conflict:
Self‑esteem and self‑efficacy as mediator. Pers Individ Diff
;116:326‑30.
Luo Y, Wang Z, Zhang H, Chen A, Quan S. The effect of
perfectionism on school burnout among adolescence: The mediator
of self‑esteem and coping style. Pers Individ Diff 2016;88:202‑8.
Lin SL. Examining self‑efficacy as a moderator of the relations
between dimensional perfectionism and dietary restraint, binge
eating, and binge drinking (Doctoral dissertation). The University
of North Carolina at Chapel Hill; 2015.
Ji M, Li Y, Zhou C, Han H, Liu B, He L. The impact of
perfectionism on situational judgment among Chinese civil flying
cadets: The roles of safety motivation and self‑efficacy. J Air
Transp Manag 2017;63:126‑33.