{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T06:16:53Z","timestamp":1790489813282,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,5,20]],"date-time":"2016-05-20T00:00:00Z","timestamp":1463702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Perfectionism and impulsivity are associated with eating disorders (EDs). The current study examines whether clinically relevant subgroups of women with EDs can be identified based on \u201chealthy\u201d and \u201cunhealthy\u201d perfectionism and impulsivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Latent profile analyses (LPA) were performed on data of 844 patients (DSM\u2010IV diagnosis: 381 anorexia nervosa, 146 bulimia nervosa, 56 binge\u2010eating disorder, 261 ED not otherwise specified). \u201cHealthy\u201d and \u201cunhealthy\u201d forms of perfectionism and impulsivity were assessed by the Frost Multidimensional Perfectionism Scale and the Dickman Impulsivity Inventory, respectively. The Eating Disorder Examination Questionnaire was completed to assess ED psychopathology. Furthermore, in 229 patients additional ED symptoms, depression, self\u2010esteem, obsessive\u2010compulsive symptoms, and personality features were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The LPA revealed four profiles; 1. \u201cHealthy Impulsivity\u201d (HI; <jats:italic>n<\/jats:italic>\u2009=\u2009191), 2. \u201cUnhealthy Impulsivity\u201d (UI; <jats:italic>n<\/jats:italic>\u2009=\u2009238), 3. \u201cHealthy and Unhealthy Perfectionism\u201d (HP\u2009+\u2009UP; <jats:italic>n<\/jats:italic>\u2009=\u2009153), 4. \u201cHealthy Perfectionism\u201d (HP; <jats:italic>n<\/jats:italic>\u2009=\u2009262). Patients belonging to the \u201cHP\u2009+\u2009UP\u201d and the \u201cUI\u201d classes reported higher levels of ED psychopathology. More severe comorbid symptoms (depressive, obsessive\u2010compulsive and self\u2010esteem) were found in the patients belonging to the \u201cHP\u2009+\u2009UP\u201d class. Patients from the \u201cHP\u2009+\u2009UP\u201d and \u201cHP\u201d classes had higher scores for the personality features Harm Avoidance, Persistence and Cooperativeness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Women with EDs could be meaningfully grouped according to perfectionism and impulsivity. These findings can be used to improve treatment matching and intervention strategies. The use of dimensional features, like perfectionism and impulsivity, in ED research, may enable the identification of fundamental underlying mechanisms and provide more insight into potential mechanisms that may drive or maintain disordered eating. \u00a9 2016 Wiley Periodicals, Inc. 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