title: Relevance of social and self-standards in eating disorders.
abstract: OBJECTIVE
  To compare the importance given to self/other standards by eating disorder (ED) patients and healthy controls.
  
  
  METHODS
  A total of 392 individuals (240 consecutively referred and 152 healthy controls) took part in this study. All subjects were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria and were female patients. Participants completed the Family Style, Self-Expectations and Emotional related subscales of the Cross-Cultural Questionnaire.
  
  
  RESULTS
  Three domains (namely, family standards, self-achievement and physical appearance) were associated with ED. Family standards scores discriminated for the presence of an ED (area under receiver operating characteristic curve equals 0.89), the main predictors being a higher level of importance of physical appearance (p < .001), family standards (p = .029) and conflicts with parents about physical appearance (p < .001). Higher self-standards, in physical appearance, were more relevant in bulimia nervosa and ED not otherwise specified, whereas higher family standards were more associated with anorexia nervosa.
  
  
  CONCLUSIONS
  High self-standards and social standards are common features in ED. The parallelism that ED may establish between reaching them and their life success may have a crucial role as a developing and maintaining factor in ED.
authors.affiliation: Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.
authors.forename: Katarina
authors.initials: K
authors.lastname: Gunnard
authors.forename: Isabel
authors.initials: I
authors.lastname: Krug
authors.forename: Susana
authors.initials: S
authors.lastname: Jiménez-Murcia
authors.forename: Eva
authors.initials: E
authors.lastname: Penelo
authors.forename: Roser
authors.initials: R
authors.lastname: Granero
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
authors.forename: Kate
authors.initials: K
authors.lastname: Tchanturia
authors.forename: Andreas
authors.initials: A
authors.lastname: Karwautz
authors.forename: David
authors.initials: D
authors.lastname: Collier
authors.forename: José M
authors.initials: JM
authors.lastname: Menchón
authors.forename: Fernando
authors.initials: F
authors.lastname: Fernández-Aranda
mesh_terms: D000124:Achievement; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology; D001828:Body Image; D052018:Bulimia Nervosa / Q000523:psychology; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D012649:Self Concept; D012919:Social Behavior; D012945:Social Values; D011795:Surveys and Questionnaires; D055815:Young Adult