title: An examination of early childhood perfectionism across anorexia nervosa subtypes.
abstract: OBJECTIVE
  To examine childhood perfectionism in anorexia nervosa (AN) restricting (RAN), purging (PAN), and binge eating with or without purging (BAN) subtypes.
  
  
  METHODS
  The EATATE, a retrospective assessment of childhood perfectionism, and the eating disorder inventory (EDI-2) were administered to 728 AN participants.
  
  
  RESULTS
  EATATE responses revealed general childhood perfectionism, 22.3% of 333 with RAN, 29.2% of 220 with PAN, and 24.8% of 116 with BAN; school work perfectionism, 31.2% with RAN, 30.4% with PAN, and 24.8% with BAN; childhood order and symmetry, 18.7% with RAN, 21.7% with PAN, and 17.8% with BAN; and global childhood rigidity, 42.6% with RAN, 48.3% with PAN and 48.1% with BAN. Perfectionism preceded the onset of AN in all subtypes. Significant associations between EDI-2 drive for thinness and body dissatisfaction were present with four EATATE subscales.
  
  
  CONCLUSIONS
  Global childhood rigidity was the predominate feature that preceded all AN subtypes. This may be a risk factor for AN.
authors.affiliation: Department of Psychiatry, Weill Cornell Medical College, NY, USA. kah29@cornell.edu
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Halmi
authors.forename: Dara
authors.initials: D
authors.lastname: Bellace
authors.forename: Samantha
authors.initials: S
authors.lastname: Berthod
authors.forename: Samiran
authors.initials: S
authors.lastname: Ghosh
authors.forename: Wade
authors.initials: W
authors.lastname: Berrettini
authors.forename: Harry A
authors.initials: HA
authors.lastname: Brandt
authors.forename: Cynthia M
authors.initials: CM
authors.lastname: Bulik
authors.forename: Steve
authors.initials: S
authors.lastname: Crawford
authors.forename: Manfred M
authors.initials: MM
authors.lastname: Fichter
authors.forename: Craig L
authors.initials: CL
authors.lastname: Johnson
authors.forename: Allan
authors.initials: A
authors.lastname: Kaplan
authors.forename: Walter H
authors.initials: WH
authors.lastname: Kaye
authors.forename: Laura
authors.initials: L
authors.lastname: Thornton
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
authors.forename: D
authors.initials: D
authors.lastname: Blake Woodside
authors.forename: Michael
authors.initials: M
authors.lastname: Strober
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology*; D002648:Child; D002652:Child Behavior; D006801:Humans; D008297:Male; D010551:Personality; D010555:Personality Inventory; D012189:Retrospective Studies; D055815:Young Adult