Mediating Mechanisms of Perfectionism: Clinical Comorbidity of OCD and ED

Geovanny Genaro Reivan Ortiz; Cristhian Javier Rivera Tapia; Braulio Andrés Elizalde Martínez; Daniel Icaza

doi:10.3389/fpsyt.2022.908926

Mediating Mechanisms of Perfectionism: Clinical Comorbidity of OCD and ED

Front Psychiatry. 2022 Jul 14:13:908926. doi: 10.3389/fpsyt.2022.908926. eCollection 2022.

Authors

Geovanny Genaro Reivan Ortiz¹, Cristhian Javier Rivera Tapia², Braulio Andrés Elizalde Martínez², Daniel Icaza¹

Affiliations

¹ Laboratory of Basic Psychology, Behavioral Analysis and Programmatic Development (PAD-LAB), Universidad Católica de Cuenca, Cuenca, Ecuador.
² Ministry of Public Health, Universidad Católica de Cuenca, Quito, Ecuador.

Abstract

Obsessive-compulsive disorder (OCD) and eating disorders (ED) share common causal factors and often represent similar entities. Studies on obsessive-compulsive disorders and eating disorders reveal a significant correlation between maladaptive perfectionism. The objective of this study is to evaluate the predictive variables of perfectionism in patients diagnosed with Anorexia Nervosa (AN), Bulimia Nervosa (BN) and OCD using a structural equation model (SEM). The sample consisted of 187 participants (60.9% women, 39.1% men) with a mean age of 26.68 (SD = 10.97). The findings reveal that the model is the same in all the disorders evaluated, achieving an adequate fit: χ2 = 7.95 (p = 0.000), RMSEA = 0.087 (95% confidence interval: 0.00 to 0.02), CFI = 0.991, TLI = 0.951 and with an overall predictive capacity of around 30% (CD = 0.318). It is recommended that future studies address the subtypes of disorders evaluated using longitudinal designs.

Keywords: SEM; anorexia nervosa; bulimia nervosa; obsessive compulsive; perfectionism.