رابطۀ پیوند والدینی با اختلالات خوردن در دانش‌آموزان دختر: نقش میانجی کمال‌گرایی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روان‌شناسی، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه تبریز، تبریز، ایران.

2 استاد، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه تبریز،تبریز، ایران.

3 دانشجوی دکتری روان‌شناسی، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید مدنی، آذرشهر، ایران.

4 کارشناس ارشد روان‌شناسی بالینی، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه تبریز، تبریز، ایران.

10.22075/jcp.2025.37347.3157

چکیده

مقدمه: اختلالات خوردن از جمله مشکلات شایع روان‌شناختی در میان نوجوانان، به‌ویژه دختران، محسوب می‌شوند که بررسی عوامل زمینه‌ساز و تبیین‌کننده آن‌ها از اهمیت ویژه‌ای برخوردار است. هدف از پژوهش حاضر بررسی رابطۀ پیوند والدینی با اختلالات خوردن در دانش‌آموزان دختر، با توجه به نقش میانجی کمال‌گرایی بود.
روش: پژوهش حاضر از نوع توصیفی- همبستگی بود . جامعۀ آماری این پژوهش شامل کلیۀ دانش‌آموزان دختر دورۀ دوم متوسطۀ شهرستان بابلسر در سال تحصیلی ۱۴۰۳–۱۴۰۲ بود. از میان آن‌ها، نمونه‌ای به حجم ۲۱۵ نفر به روش نمونه‌گیری تصادفی خوشه‌ای چندمرحله‌ای انتخاب شد. برای گردآوری داده‌ها از پرسش‌نامه پیوند والدینی پارکر (۱۹۷۹)، کمال‌گرایی چندبعدی فراست (۱۹۹۰)، و مقیاس تشخیص اختلال خوردن استیس (۲۰۰۰) استفاده شد. داده‌های جمع‌آوری‌شده ابتدا با نرم‌افزار SPSS24 برای آماده‌سازی و تحلیل‌های توصیفی بررسی شد و سپس با استفاده از مدل‌سازی معادلات ساختاری در نرم‌افزار AMOS24 تحلیل گردید.
یافته‌ها: پیوند با مادر ( ß=- 0/59) و پیوند با پدر ( ß=- 0/22) اثر منفی معناداری بر کمال‌گرایی منفی داشتند. همچنین، کمال‌گرایی منفی اثر مثبت معناداری بر اختلالات خوردن داشت (ß= 0/25). اثر مستقیم پیوند والدینی ( با مادر ß=- 0/13؛ با پدر ß=- 0/03) بر اختلالات خوردن معنادار نبود. اثر غیرمستقیم پیوند با مادر (ß=- 0/15) و پدر (ß=- 0/06) از طریق کمال‌گرایی منفی معنادار بود .
نتیجه‌گیری: طراحی برنامه‌های مداخله‌ای و توانمندسازی برای والدین و افراد در معرض خطر ضروری است، زیرا کمال‌گرایی می‌تواند باعث اختلالات خوردن شود. این مداخلات به کاهش مشکلات اختلالات خوردن و بهبود سلامت روانی دانش‌آموزان کمک می‌کنند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Relationship Between Parental Bonding and Eating Disorders in Female High School Students: The Mediating Role of Perfectionism

نویسندگان [English]

  • kowsar Hosseinian 1
  • Abbas Bakhshipour 2
  • Mahsa Mahsa Pishkar Ahrab 3
  • Farid Neshat Gharamaleki 4
1 Ph.D. Candidate in Psychology, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Tabriz, Tabriz, Iran.
2 Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Tabriz, Tabriz, Iran.
3 Ph.D. Candidate in Psychology, Department of Psychology, Faculty of Educational Sciences and Psychology, Shahid Madani University, Azarshahr, Iran.
4 M.A in clinical Psychology, Department of Psychology, Faculty of Education and Psychology, University of Tabriz, Tabriz, Iran.
چکیده [English]

Abstract:
Introduction: Eating disorders are among the most common psychological problems in adolescents, especially girls. Investigating the underlying and explanatory factors is of particular importance. The present study aimed to examine the relationship between parental bonding and eating disorders in female high school students, considering the mediating role of perfectionism.
Method: This research was descriptive-correlational in design. The statistical population included all female high school students (second level) in Babolsar during the 2023–2024 academic year. A sample of 215 students was selected using multistage cluster random sampling. The data collection tools were the Parental Bonding Instrument (Parker, 1979), the Frost Multidimensional Perfectionism Scale (Frost, 1990), and the Eating Disorder Diagnostic Scale (Stice, 2000). The data were first analyzed in SPSS 24 for descriptive statistics and data preparation, and then structural equation modeling (SEM) was conducted using AMOS 24.
Results: Maternal bonding (β= –0.59) and paternal bonding (β= –0.22) had significant negative effects on maladaptive perfectionism. In turn, maladaptive perfectionism had a significant positive effect on eating disorders (β = 0.25). The direct effects of maternal (β= –0.13) and paternal bonding (β= –0.03) on eating disorders were not significant. However, the indirect effects of maternal (β= –0.15) and paternal bonding (β= –0.06) on eating disorders through maladaptive perfectionism were statistically significant.
Conclusion: Designing intervention programs and empowerment initiatives for parents and at-risk individuals is essential, as perfectionism can lead to eating disorders. These interventions can help reduce eating disorder-related problems and improve the mental health of students.

کلیدواژه‌ها [English]

  • Keywords: Eating Disorders
  • Parental Bonding
  • Perfectionism

مراجع

  1. Bornioli A, Lewis-Smith H, Slater A, Bray I. Body dissatisfaction predicts the onset of depression among adolescent females and males: a prospective study. J Epidemiol Community Health. 2021 Apr 1;75(4):343-8. https://doi.org/10.1136/jech-2019-213033
  2. Javaras KN, Runfola CD, Thornton LM, Agerbo E, Birgegård A, Norring C, Yao S, Råstam M, Larsson H, Lichtenstein P, Bulik CM. Sex‐and age‐specific incidence of healthcare‐register‐recorded eating disorders in the complete Swedish 1979–2001 birth cohort. International Journal of Eating Disorders. 2015 Dec;48(8):1070-81. https://doi.org/10.1002/eat.22467
  3. American Psychiatric Association DS, American Psychiatric Association DS. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American psychiatric association; 2013 May 22. https://www.psychiatry.org/psychiatrists/practice/dsm
  4. Treasure J, Duarte TA, Schmidt U. Eating disorders. Lancet. 2020;395(10227):899–911. https://doi.org/10.1016/S0140-6736(20)30059-3
  5. Amianto F, Abbate-Daga G, Morando S, Sobrero C, Fassino S. Personality development characteristics of women with anorexia nervosa, their healthy siblings and healthy controls: What prevents and what relates to psychopathology?. Psychiatry Research. 2011 May 30;187(3):401-8. https://doi.org/10.1016/j.psychres.2010.10.028
  6. Cerniglia L, Cimino S, Tafa M, Marzilli E, Ballarotto G, Bracaglia F. Family profiles in eating disorders: family functioning and psychopathology. Psychology research and behavior management. 2017 Oct 3:305-12. https://doi.org/10.2147/PRBM.S145463
  7. Monteleone AM, Ruzzi V, Patriciello G, Pellegrino F, Cascino G, Castellini G, Steardo L, Monteleone P, Maj M. Parental bonding, childhood maltreatment and eating disorder psychopathology: an investigation of their interactions. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2020 Jun;25:577-89. https://doi.org/10.1007/s40519-019-00649-0
  8. Bowlby J. The origins of attachment theory: john bowlby and mary ainsworth. Developmental Psychology. 1978;28(5):327.

DOI:10.1037/0012-1649.28.5.759

  1. Parker G, Tupling H, Brown LB. A parental bonding instrument. British journal of medical psychology. 1979 Mar. https://psycnet.apa.org/doi/10.1111/j.2044-8341.1979.tb02487.x
  2. Fonagy P, Target M. Attachment and reflective function: Their role in self-organization. Development and psychopathology. 1997 Dec;9(4):679-700. https://doi.org/10.1017/S0954579497001399
  3. Bretherton I. The origins of attachment theory: John Bowlby and Mary Ainsworth. InAttachment theory 2013 Apr 15 (pp. 45-84). Routledge. https://www.taylorfrancis.com/chapters/edit/10.4324/9780203728017-4/origins-attachment-theory-inge-bretherton
  4. Cooper MJ, Wells A, Todd G. A cognitive model of bulimia nervosa. British Journal of Clinical Psychology. 2004 Mar;43(1):1-6. https://doi.org/10.1348/014466504772812931
  5. Cella S, Iannaccone M, Cotrufo P. How perceived parental bonding affects self-concept and drive for thinness: a community-based study. Eating Behaviors. 2014 Jan 1;15(1):110-5. https://doi.org/10.1016/j.eatbeh.2013.10.024
  6. Cella S, Iannaccone M, Cotrufo P. Does body shame mediate the relationship between parental bonding, self-esteem, maladaptive perfectionism, body mass index and eating disorders? A structural equation model. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2020 Jun;25:667-78. https://doi.org/10.1007/s40519-019-00670-3
  7. Kerr KL, Ralph‐Nearman C, Colaizzi JM, DeVille DC, Breslin FJ, Aupperle RL, Paulus MP, Morris AS. Gastric symptoms and low perceived maternal warmth are associated with eating disorder symptoms in young adolescent girls. International Journal of Eating Disorders. 2021 Jun;54(6):1009-18. https://doi.org/10.1002/eat.23516
  8. Asghari A, Rafieinia P. Canonical Analysis of Relationships between Coping Strategies and Parental Bonding with Eating Disorders among University Students. Iranian Journal of Health Psychology. 2023 Aug 23;6(3):81-8. [in Persian] https://doi.org/10.30473/ijohp.2023.62432.1225
  9. Hazzard VM, Miller AL, Bauer KW, Mukherjee B, Sonneville KR. Mother–child and father–child connectedness in adolescence and disordered eating symptoms in young adulthood. Journal of Adolescent Health. 2020 Mar 1;66(3):366-71. https://doi.org/10.1016/j.jadohealth.2019.09.019
  10. Loth KA, MacLehose RF, Fulkerson JA, Crow S, Neumark‐Sztainer D. Are food restriction and pressure‐to‐eat parenting practices associated with adolescent disordered eating behaviors?. International Journal of Eating Disorders. 2014 Apr;47(3):310-4. https://doi.org/10.1002/eat.22189
  11. Martini MG, Yim SH, Eisler I, Micali N, Schmidt U. Bonding and parent‐child quality of interaction in parents with eating disorder: a scoping review. European Eating Disorders Review. 2025 Mar;33(2):221-38. https://doi.org/10.1002/erv.3144
  12. Lydecker JA, Zhang Z, Larson N, Loth KA, Wall M, Neumark‐Sztainer D. Parental Binge Eating and Child Binge Eating and Weight‐Control Behaviors: Cross‐Sectional and Longitudinal Findings From the EAT 2010–2018 Study. International Journal of Eating Disorders. 2024 Nov;57(11):2260-8. https://doi.org/10.1002/eat.24284
  13. Hampshire C, Mahoney B, Davis SK. Parenting styles and disordered eating among youths: A rapid scoping review. Frontiers in Psychology. 2022 Jan 27;12:802567. https://doi.org/10.3389/fpsyg.2021.802567
  14. Shafran R, Mansell W. Perfectionism and psychopathology: A review of research and treatment. Clinical psychology review. 2001 Aug 1;21(6):879-906. https://doi.org/10.1016/S0272-7358(00)00072-6
  15. Bardone-Cone AM, Wonderlich SA, Frost RO, Bulik CM, Mitchell JE, Uppala S, Simonich H. Perfectionism and eating disorders: Current status and future directions. Clinical psychology review. 2007 Apr 1;27(3):384-405. https://doi.org/10.1016/j.cpr.2006.12.005
  16. Soenens B, Vansteenkiste M, Vandereycken W, Luyten P, Sierens E, Goossens L. Perceived parental psychological control and eating-disordered symptoms: Maladaptive perfectionism as a possible intervening variable. The Journal of nervous and mental disease. 2008 Feb 1;196(2):144-52. https://doi.org/10.1097/nmd.0b013e318162aabf
  17. Cortés-García L, Martínez Calvo C, Senra C. Mediational effect of Fairburn’s transdiagnostic mechanisms between attachment to the mother and eating disorder symptoms in a clinical sample. Frontiers in Psychology. 2022 Apr 18;13:852977. https://doi.org/10.3389/fpsyg.2022.852977
  18. Shafran R, Cooper Z, Fairburn CG. Clinical perfectionism: A cognitive–behavioural analysis. Behaviour research and therapy. 2002 Jul 1;40(7):773-91. https://doi.org/10.1016/S0005-7967(01)00059-6
  19. Craddock AE, Church W, Sands A. Family of origin characteristics as predictors of perfectionism. Australian Journal of Psychology. 2009 Sep;61(3):136-44. https://psycnet.apa.org/doi/10.1080/00049530802239326
  20. Missildine WH. Perfectionism—if you must strive to “do better”. In: Missildine WH, editor. Your inner child of the past. New York: Pocket Books; 1963. p. 75–90. https://www.scirp.org/reference/referencespapers?referenceid=2016173
  21. Flett GL, Hewitt PL, Nepon T, Sherry SB, Smith M. The destructiveness and public health significance of socially prescribed perfectionism: A review, analysis, and conceptual extension. Clinical Psychology Review. 2022 Apr 1;93:102130. https://doi.org/10.1016/j.cpr.2022.102130
  22. Erickson J, Forsberg O, Schmidt M. Parental Influence on Adolescent Perfectionism. BYU Studies Quarterly. 2024;63(4):6. https://scholarsarchive.byu.edu/byusq/vol63/iss4/6
  23. Carmo C, Oliveira D, Brás M, Faísca L. The influence of parental perfectionism and parenting styles on child perfectionism. Children. 2021 Sep 4;8(9):777. https://doi.org/10.3390/children8090777
  24. Smith MM, Hewitt PL, Sherry SB, Flett GL, Ray C. Parenting behaviors and trait perfectionism: A meta-analytic test of the social expectations and social learning models. Journal of Research in Personality. 2022 Feb 1;96:104180. https://doi.org/10.1016/j.jrp.2021.104180
  25. Curran T, Hill AP, Madigan DJ, Stornæs AV. A test of social learning and parent socialization perspectives on the development of perfectionism. Personality and Individual Differences. 2020 Jul 1;160:109925. https://doi.org/10.1016/j.paid.2020.109925
  26. Vukasović T, Bratko D. Heritability of personality: A meta-analysis of behavior genetic studies. Psychological bulletin. 2015 Jul;141(4):769.

DOI:10.1037/bul0000017

  1. Hewitt PL, Flett GL, Mikail SF. Perfectionism: A relational approach to conceptualization, assessment, and treatment. Guilford Publications; 2017 Mar 29. https://books.google.com/books?hl=en&lr=&id=Nj4DQAAQBAJ&oi=fnd&pg=PP1&dq=Hewitt+PL,+Flett+GL,+Mikail+SF.+Perfectionism:+A+relational+approach+to+conceptualization,+assessment,+and+treatment.+Guilford+Publications%3B+2017+Mar+29.+&ots=CI30lZgtoA&sig=kj5TJlzM9nsF_-CuicUcRLqLPiU#v=onepage&q&f=false
  2. Appleton PR, Hall HK, Hill AP. Family patterns of perfectionism: An examination of elite junior athletes and their parents. Psychology of Sport and Exercise. 2010 Sep 1;11(5):363-71. https://doi.org/10.1016/j.psychsport.2010.04.005
  3. Reis Soares, F.H., Neufeld, C.B. & Mansur-Alves, M. Multidimensional Perfectionism Predicted dos by Personality Traits and Parental Bonding: An Empirical Study with a Brazilian Sample. Trends in Psychol. 28, 622–639 (2020). https://doi.org/10.1007/s43076-020-00042-2
  4. Ge S, Chen C, Hewitt PL, Flett GL. Father-daughter and mother-son relationships: Parental bonding behaviours and socially prescribed perfectionism in young adults. Personality and Individual Differences. 2023 Mar 1;203:112007. https://doi.org/10.1016/j.paid.2022.112007
  5. Enns MW, Cox BJ, Clara I. Adaptive and maladaptive perfectionism: Developmental origins and association with depression proneness. Personality and individual differences. 2002 Oct 19;33(6):921-35. https://doi.org/10.1016/S0191-8869(01)00202-
  6. Damian LE, Stoeber J, Negru O, Băban A. On the development of perfectionism in adolescence: Perceived parental expectations predict longitudinal increases in socially prescribed perfectionism. Personality and Individual Differences. 2013 Oct 1;55(6):688-93. https://doi.org/10.1016/j.paid.2013.05.021
  7. Rezaei S, DashtBozorgi Z. The Role of Perfectionism, Cognitive Emotion Regulation Strategies and Sleep Quality in Predicting Nursing Students’ Eating Disorder. Iranian Journal of Rehabilitation Research. 2018 Aug 10;4(4):1-9. http://ijrn.ir/article-1-359-en.html
  8. Deas S, Power K, Collin P, Yellowlees A, Grierson D. The relationship between disordered eating, perceived parenting, and perfectionistic schemas. Cognitive Therapy and Research. 2011 Oct;35:414-24. https://doi.org/10.1007/s10608-010-9319-x
  9. Fairburn CG, Cooper Z, Doll HA, Welch SL. Risk factors for anorexia nervosa: three integrated case-control comparisons. Archives of general psychiatry. 1999 May 1;56(5):468-76. https://jamanetwork.com/journals/jamapsychiatry/fullarticle/205036
  10. Curran T, Hill AP, Williams LJ. The relationships between parental conditional regard and adolescents' self-critical and narcissistic perfectionism. Personality and Individual Differences. 2017 Apr 15;109:17-22. https://doi.org/10.1016/j.paid.2016.12.035
  11. Egan SJ, Wade TD, Shafran R. Perfectionism as a transdiagnostic process: A clinical review. Clinical psychology review. 2011 Mar 1;31(2):203-12. https://doi.org/10.1016/j.cpr.2010.04.009
  12. Livet A, Navarri X, Pomerleau PP, Champagne S, Yunus FM, Chadi N, McVey G, Conrod P. Perfectionism in children and adolescents with eating-related symptoms: a systematic review and a Meta-analysis of Effect estimates. Adolescents. 2023 Apr 25;3(2):305-29. https://doi.org/10.3390/adolescents3020022
  13. Vacca M, Ballesio A, Lombardo C. The relationship between perfectionism and eating‐related symptoms in adolescents: A systematic review. European Eating Disorders Review. 2021 Jan;29(1):32-51. https://doi.org/10.1002/erv.2793
  14. Vatankhah, S., Bakhshipour Roodsari, A., Hashemi Nosratabad,, T., Shalchi, B. The Effectiveness of Emotion-Focused Therapy (EFT) on Body Image Dissatisfaction, Cognitive Emotion Regulation and Impulsivity in Women with Bulimia Nervosa: A Single Case Study. Journal of Clinical Psychology, 2025; 17(1): 1-19. [in Persian] DOI:10.22075/jcp.2025.36949.3133
  15. Ghadampour S, Mohammadkhani S, Hasani J. Discriminative role of the fear of positive and negative evaluation, perfectionism and self-focused attention in social anxiety disorder, bulimia nervosa disorder and normal individuals. Journal of Clinical Psychology. 2019 May 22;11(1):1-2. [in Persian] DOI:10.22075/jcp.2019.9505
  16. Soltani M, Salehi B, Bastami Katuli M. The mediating role of adaptive and maladaptive cognitive emotion regulation strategies on perfectionism and symptoms of binge eating disorder in female college students. Thoughts and Behavior in Clinical Psychology. 2020 Sep 22;15(57):17-5. [in Persian] https://sid.ir/paper/961639/fa
  17. Drieberg H, McEvoy PM, Hoiles KJ, Shu CY, Egan SJ. An examination of direct, indirect and reciprocal relationships between perfectionism, eating disorder symptoms, anxiety, and depression in children and adolescents with eating disorders. Eating behaviors. 2019 Jan 1;32:53-9. https://doi.org/10.1016/j.eatbeh.2018.12.002
  18. Kline RB. Principles and practice of structural equation modeling. Guilford publications; 2023 May 24. https://books.google.com/books?hl=en&lr=&id=t2CvEAAAQBAJ&oi=fnd&pg=PP1&dq=Kline+RB.+Principles+and+practice+of+structural+equation+modeling.+Guilford+publications%3B+2023+May+24.&ots=sWUDV49_iK&sig=Emfnzb5_t6PR8rdbU3gQN1_ZbU0#v=onepage&q&f=false
  19. 53. Behzadi B, Sarvghad S, Samani S. Confirmatory factor analysis on Persian version of the Parker's Parental Bonding Instrument. J Psychol Models Methods. 2012;2(6):81–98. [in Persian] https://sid.ir/paper/227404/en
  20. Frost RO, Marten P, Lahart C, Rosenblate R. The dimensions of perfectionism. Cognitive therapy and research. 1990 Oct;14:449-68. https://psycnet.apa.org/record/1991-06256-001
  21. Bitaraf S, Shaeeri MR, Hakim Javadi M. Social phobia, parenting styles, and perfectionism. Dev Psychol (J Iran Psychol). 2010;7(25):75–83. [in Persian] https://sid.ir/paper/101451/en
  22. Liaghat R, Ghasemi F. The examination of psychometric properties of Frost Perfectionism Questionnaire and its relationship with examination anxiety: case study of Tehran high schools. J Psychol Res. 2014;23(6):60–76. http://dx.doi.org/10.29252/shenakht.6.1.87
  23. Stice E, Telch CF, Rizvi SL. Development and validation of the Eating Disorder Diagnostic Scale: a brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychol Assess. 2000;12(2):123–31. https://doi.org/10.1037/1040-3590.12.2.123
  24. Stice E, Fisher M, Martinez E. Eating Disorder Diagnostic Scale: additional evidence of reliability and validity. Psychol Assess. 2004;16(1):60–71. https://doi.org/10.1037/1040-3590.16.1.60
  25. Khabir L, Mohammadi N, Rahimi Ch. Validation of the Eating Disorder Diagnostic Scale (EDDS). J Kermanshah Univ Med Sci. 2014;18(2):100–107. [in Persian] https://sid.ir/paper/497774/fa

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  • تاریخ دریافت: 23 فروردین 1404
  • تاریخ بازنگری: 20 تیر 1404
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