Relationships between educational achievement, intelligence, and perfectionism in adolescents with eating disorders
- PMID: 33554341
- DOI: 10.1002/eat.23482
Relationships between educational achievement, intelligence, and perfectionism in adolescents with eating disorders
Abstract
Objective: High performance at school is associated with the risk of eating disorders (EDs), and perfectionism is proposed as an explanatory factor for this association. This study aims to evaluate (a) potential discrepancies between the measured IQ of adolescents with EDs and the IQ that is expected given their educational track, and (b) to what extent perfectionism was associated with educational achievement independent from IQ.
Method: WISC-III Verbal IQ, Performance IQ, and Full Scale IQ of 386 adolescent ED patients were compared with population norms for their educational track, using one-sample t tests. The association between self-oriented perfectionism (Eating Disorder Inventory-2) and educational achievement, adjusted for IQ, was determined with sequential ordinal regression analyses.
Results: Over 50% of the patients received pre-university education, the most complex educational track. For patients receiving education in the second most complex track, IQ-scores were lower than normative data for that track. For patients receiving pre-university education, the verbal IQ was lower than the norm for that track. Self-oriented perfectionism was associated with educational achievement independent from intelligence.
Discussion: This study suggests that high educational achievement is common in adolescents with EDs. Particularly for patients who receive education in the most complex tracks the demands at school may be higher than they can handle, based on their IQ. Self-oriented perfectionism contributed to educational achievement independent from IQ. Our results indicate that treatment for EDs should include awareness for the possibility of a too high target level of patients at school and perfectionism.
Keywords: adolescent; anorexia nervosa; bulimia nervosa; education; feeding and eating disorders; intelligence; perfectionism.
© 2021 Wiley Periodicals LLC.
Similar articles
-
An examination of the transdiagnostic cognitive-behavioural model of eating disorders in adolescents.Eat Behav. 2020 Dec;39:101445. doi: 10.1016/j.eatbeh.2020.101445. Epub 2020 Oct 20. Eat Behav. 2020. PMID: 33142128
-
Anorexia nervosa and perfectionism: A meta-analysis.Int J Eat Disord. 2019 Mar;52(3):219-229. doi: 10.1002/eat.23009. Epub 2019 Jan 11. Int J Eat Disord. 2019. PMID: 30632629 Review.
-
Intellectual functioning of adolescent and adult patients with eating disorders.Int J Eat Disord. 2017 May;50(5):481-489. doi: 10.1002/eat.22594. Epub 2016 Aug 16. Int J Eat Disord. 2017. PMID: 27528419
-
Clinical perfectionism: a cognitive-behavioural analysis.Behav Res Ther. 2002 Jul;40(7):773-91. doi: 10.1016/s0005-7967(01)00059-6. Behav Res Ther. 2002. PMID: 12074372 Review.
-
Perfectionism in anorexia nervosa: variation by clinical subtype, obsessionality, and pathological eating behavior.Am J Psychiatry. 2000 Nov;157(11):1799-805. doi: 10.1176/appi.ajp.157.11.1799. Am J Psychiatry. 2000. PMID: 11058477
Cited by
-
Role of parental educational level as psychosocial factor in a sample of inpatients with anorexia nervosa and bulimia nervosa.Front Psychol. 2024 May 17;15:1408695. doi: 10.3389/fpsyg.2024.1408695. eCollection 2024. Front Psychol. 2024. PMID: 38827891 Free PMC article.
-
Exploring the influences of education, intelligence and income on mental disorders.Gen Psychiatr. 2024 Feb 28;37(1):e101080. doi: 10.1136/gpsych-2023-101080. eCollection 2024. Gen Psychiatr. 2024. PMID: 38440407 Free PMC article.
-
Sociodemographic correlates of parent and youth-reported eating disorder symptoms in the Adolescent Brain Cognitive Development Study.medRxiv [Preprint]. 2024 Jun 15:2023.12.18.23300155. doi: 10.1101/2023.12.18.23300155. medRxiv. 2024. PMID: 38196622 Free PMC article. Preprint.
-
Gender Expression, Weight Status, and Risk of Experiencing Eating Disorders among Gender-Diverse Adults Assigned Male at Birth in Bangkok, Thailand.Nutrients. 2023 Aug 24;15(17):3700. doi: 10.3390/nu15173700. Nutrients. 2023. PMID: 37686732 Free PMC article.
-
Sociodemographic Variables and Body Mass Index Associated with the Risk of Eating Disorders in Spanish University Students.Eur J Investig Health Psychol Educ. 2023 Mar 14;13(3):595-612. doi: 10.3390/ejihpe13030046. Eur J Investig Health Psychol Educ. 2023. PMID: 36975398 Free PMC article.
References
REFERENCES
-
- Bould, H., De Stavola, B., Magnusson, C., Micali, N., Dal, H., Evans, J., … Lewis, G. (2016). The influence of school on whether girls develop eating disorders. International Journal of Epidemiology, 45(2), 480-488. https://doi.org/10.1093/ije/dyw037
-
- CEDEFOB. (2020). European center for the development of vocational training. Retrieved from https://www.cedefop.europa.eu/en/events-and-projects/projects/european-q...
-
- Centraal Bureau voor de Statistiek, Dienst Uitvoering, O., & Ministerie van onderwijs, C. E. W. (2019). Onderwijs in Cijfers - Leerlingen in het derde jaar voortgezet onderwijs. Retrieved from https://www.onderwijsincijfers.nl/kengetallen/vo/leerlingen-vo/aantallen...
-
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillside, NJ: Lawrence Erlbaum Associates.
-
- Damian, L. E., Stoeber, J., Negru-Subtirica, O., & Baban, A. (2017). On the development of perfectionism: The longitudinal role of academic achievement and academic efficacy. Journal of Personality, 85(4), 565-577. https://doi.org/10.1111/jopy.12261
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical