Document Type : Original Article

Authors

Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

INTRODUCTION: Mental health is very important during pregnancy, and perfectionism, body image,
and eating disorder are three important factors in mental health. Given that eating disorders are very
dangerous in pregnancy, the aim of this study was to determine the relationship between perfectionism
and body image with eating disorder in pregnancy.
METHODS: This descriptive study was performed on 200 pregnant women referred to Isfahan Health
Centers in 2017. The research units, if met the inclusion criteria, completed the Eating Attitudes
Questionnaire, Multidimensional Relationships of their Body Questionnaire, and Perfectionism
Questionnaire. Finally, the data were analyzed by SPSS software version 22, with a significance
level of 0.05.
RESULTS: The results showed that there was a significant negative relationship between positive
perfectionism with symptoms of eating disorder, anorexia nervosa, and nervous longing to eat.
There was a significant positive correlation between negative perfectionism with symptoms of eating
disorder, anorexia nervosa, and nervous longing to eat. The results also showed a significant negative
relationship between body image and its dimensions with symptoms of eating disorder, anorexia
nervosa, and neurasthenia.
CONCLUSION: Perfectionism and body image and its dimensions are psychological problems related
to eating disorder in pregnancy. For this reason, it seems that taking classes for pregnant women
and their spouses can reduce the incidence of this disorder.

Keywords

1. Ferrand C, Champely S, Filaire E. The role of body‑esteem in
predicting disordered eating symptoms: A comparison of French
aesthetic athletes and non‑athletic females. Psychol Sport Exerc
2009;10:373‑80.
2. Hosseini E, Talepasand S, Rahimian Boogar I. Body image and
eating problems: Testing a tripartite model. IJPCP 2017;23:192‑207.
3. Kordi M, Mohammadirizi S, Shakeri MT, Modares Gharoy M,
Rashidi F. Relationship symptoms of social anxiety with eating
disorders in pregnant women. IJOGI 2014;17:9‑15.
4. Pourghassem Gargari B, Hamed Behzad M, Seied Sajadi N,
Kooshavar D, Kerami S. Relation of body mass index to eating
attitude in Tabrizian high school girls. Med J Tabriz Univ Med
Sci 2010;32:24‑9.
5. Damercheli N, Kakavand AR, Jalali MR. The mediating role of fear
of positive and negative evaluation on the relationship between
social anxiety and eating disorder. Dev Pschol 2017;13:271‑84.
6. Bardone‑Cone AM, Brownstone LM, Higgins MK,
Fitzsimmons‑Craft EE, Harney MB. Anxiety, appearance
contingent self‑worth, and appearance conversations with friends
in relation to disordered eating: Examining moderator models.
Cognit Ther Res 2013;37:953‑63.
7. Rahmanian V, Zolala F, Mohseni M, Baneshi M, Khalili N.
Relationship between body image and social participation in
pregnant women of Jahrom city, Iran. Horiz Med Sci 2017;23:111‑6.
8. Alah‑Gholilo K, Abolghasemi A, Dehghan H, Imani H. The
relationship between friendly behavior and body image with life
satisfaction in women. J Mazandaran Univ Med Sci 2013;22:139‑46.
9. Moradi S, Fekrazad H, Mousavi MT, Arshi M. The study of
relationship between Social Participation and quality of life of
old people who are member of senior association of Tehran city
in 2011. Salmand 2013;7:41‑6.
10. Khajenuri B, Rohani A, Hashemi A. Lifestyle and body image
case study: Shiraz women. J Cult Res 2011;4:79‑103.
11. Trindade IA, FerreiraC. The impact of body image‑related cognitive
fusion on eating psychopathology. Eat Behav 2014;15:72‑5.
12. Mashalpourfard M, Naderi F, Heidari A, Mehrabizadeh
Honarmand M. Relationship between social anxiety, body image
perception, perfectionism and depression with eating disorders
in youth. J Soc Psychol 2014;9:35‑49.
13. Agha Mohammadian Sherbaf HR, Zare Zadeh Kheybari SH,
Horoof Ghanad M, Hokm Abadi ME. The study of the relationship
between perfectionism and sexual function of infertile women.
IJOGI 2014;17:9‑17.
14. Atadokht A. The effectiveness of mindfulness‑based cognitive
therapy on social anxiety of students. J Psychol Sch 2016;5:139‑45.
15. Roshanfar A, Mokhtari S, Padash Z. Effectiveness of
psychotheraupeutic training based on life quality on perfectionism
in Isfahan counseling centers. J Healthy Sys Res 2013;6:86‑95.
16. Erozkan A, Karakas Y, Ata S, Ayberk A. The relationship
between perfectionism and depression in Turkish high school
students. Social Behavior and Personality: An international journal.
2011;39:451‑64.
17. yavarian R, haghighi M, ramezanpour A, radfar M. A survey on
relationship between perfectionism and mental health in students
of urmia university of medical sciences. J Urmia Nurs Midwifery
Fac. 2017; 15 (7):497‑503.
18. Soltani N, Safajou F, Amouzeshi Z, Zameni E. The relationship
between body image and mental health of students in Birjand in
2016 academic year: A short report. JRUMS 2017;16:479‑86.
19. Mollazadeh Esfanjani R, Kafi S, Yegane T. Relationship between
mental health and eating disorders in female students of Guilan
University. J Qazvin Univ Med Sci. 2013; 16 (4):54‑60
20. Sadaty S. The Relationship between Goal Orientation and
Perfectionism with Creativity in High School Students Studying
in Shining Students’ Schools, University of Tehran, Faculty of
Psychology and Educational Sciences; 2008.
21. Dalle GR. Eating disorders: Progress and challenges. Eur J Intern
Med 2011;22:153‑60.
22. Jenkins PE, Hoste RR, Meyer C, Blissett JM. Eating disorders
and quality of life: A review of the literature. Clin Psychol Rev
2011;31:113‑21.
23. Sousa Fortes LD, Cipriani FM, Sousa Almeida SD,
Caputo Ferreira ME. Eating disorder symptoms: Association
with perfectionism traits in male adolescents. São Paulo
2014;41 (5):117‑120.
24. Ariapooran S, Shirzadi M M. Relationships of perfectionism, body
esteems and worry with symptoms of eating disorders in athlete
women. SJKU. 2012; 17 (4):68‑77
25. Rezaei M, Aflakseir A, Mohammadi N, Yavari AH, Ghayour M.
Study of the Perfectionism Role and Body Mass Index in
Prediction of Eating Disorders with Mediating the Role of
Body Dissatisfaction among Female Students of University.
J RafsanjanUniv Med Sci 2015; 14 (3): 223‑34
26. Bardone‑Cone AM, Wonderlich SA, Frost RO, Bulik CM,
Mitchell JE, Uppala S, et al. Perfectionism and eating disorders:
Current status and future directions. Clin Psychol Rev
2007;27:384‑405.
27. Boone L, Soenens B, Braet C, Goossens L. An empirical typology
of perfectionism in early‑to‑mid adolescents and its relation with
eating disorder symptoms. Behav Res Ther 2010;48:686‑91.
28. Welch E, MillerJL, Ghaderi A, Vaillancourt T. Does perfectionism
mediate or moderate the relation between body dissatisfaction
and disordered eating attitudes and behaviors? Eat Behav
2009;10:168‑75.