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Perfectionism, metacognitive beliefs, worry, rumination, anger rumination, affective and eating symptoms were assessed. Correlation and hierarchal regression analyses were run.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Higher endorsement of positive beliefs about worry was associated with higher levels of \u2018personal standards perfectionism\u2019. Higher endorsement of positive beliefs about worry, need to control thoughts, worry and rumination was associated with higher levels of \u2018concern over mistakes perfectionism\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among patients with EDs, perfectionism appears to be associated with the endorsement of dysfunctional metacognitive beliefs, worry and rumination. Dysfunctional metacognitive beliefs and repetitive negative thinking could be suitable therapeutic targets to reduce the levels of perfectionism among patients with EDs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.2954","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T03:40:05Z","timestamp":1705894805000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Perfectionism in patients with eating disorders: The role of metacognitive beliefs and repetitive negative thinking"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7329-8683","authenticated-orcid":false,"given":"Sara","family":"Palmieri","sequence":"first","affiliation":[{"name":"Department of Psychology Sigmund Freud University  Milan Italy"},{"name":"Division of Psychology, School of Applied Sciences London South Bank University  London UK"},{"name":"Cognitive Psychotherapy School and Research Center Studi Cognitivi  Milan Italy"},{"name":"Eating Disorders Unit Italian Psychotherapy Clinics  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4201-6559","authenticated-orcid":false,"given":"Sandra","family":"Sassaroli","sequence":"additional","affiliation":[{"name":"Department of Psychology Sigmund Freud University  Milan Italy"},{"name":"Cognitive Psychotherapy School and Research Center Studi Cognitivi  Milan Italy"},{"name":"Eating Disorders Unit Italian Psychotherapy Clinics  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1415-4495","authenticated-orcid":false,"given":"Giovanni Maria","family":"Ruggiero","sequence":"additional","affiliation":[{"name":"Department of Psychology Sigmund Freud University  Milan Italy"},{"name":"Cognitive Psychotherapy School and Research Center Studi Cognitivi  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5159-7164","authenticated-orcid":false,"given":"Gabriele","family":"Caselli","sequence":"additional","affiliation":[{"name":"Department of Psychology Sigmund Freud University  Milan Italy"},{"name":"Cognitive Psychotherapy School and Research Center Studi Cognitivi  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosaria","family":"Nocita","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit Italian Psychotherapy Clinics  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5311-5704","authenticated-orcid":false,"given":"Ana","family":"Nik\u010devi\u0107","sequence":"additional","affiliation":[{"name":"Department of Psychology, School of Law, Social and Behavioural Sciences Kingston University  Kingston upon Thames UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4548-9578","authenticated-orcid":false,"given":"Marcantonio M.","family":"Spada","sequence":"additional","affiliation":[{"name":"Division of Psychology, School of Applied Sciences London South Bank University  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9571-2486","authenticated-orcid":false,"given":"Giovanni","family":"Mansueto","sequence":"additional","affiliation":[{"name":"Division of Psychology, School of Applied Sciences London South Bank University  London UK"},{"name":"Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_12_3_1","volume-title":"Analisi dei dati con SPSS","author":"Barbaranelli C.","year":"2006"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2006.12.005"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00207594.2010.501336"},{"key":"e_1_2_12_6_1","first-page":"5","volume-title":"Worrying: Perspectives on theory assessment and treatment","author":"Borkovec T. 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