{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:02:33Z","timestamp":1792008153093,"version":"4.4.0"},"reference-count":78,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T00:00:00Z","timestamp":1713744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR\u201017\u2010EURE\u20100028"],"award-info":[{"award-number":["ANR\u201017\u2010EURE\u20100028"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004431","name":"Fondation de France","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004431","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Previous studies have highlighted the relevance of perfectionism, self\u2010esteem, and anxio\u2010depressive symptoms in anorexia nervosa (AN). However, the relationships between these factors and cardinal eating disorders (ED) symptoms remain unclear, particularly in AN subtypes. This study aimed to examine their interconnections using network analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The sample included <jats:italic>n<\/jats:italic>\u2009=\u2009338 inpatients with AN who completed the Eating Disorder Examination Questionnaire, Frost Multidimensional Perfectionism Scale, Rosenberg Self\u2010Esteem Scale, and Hospital Anxiety and Depression Scale. Using network analysis, we estimated three networks: full sample, AN\u2010restrictive (AN\u2010R) and AN\u2010binge\/purging (AN\u2010BP) subtypes. We estimated central and bridge symptoms using expected influence and conducted an exploratory network comparison test to compare AN subtypes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overvaluation of Weight and Shape, Concern over Mistakes, and Personal Standards were consistently central in all networks. The most central bridge symptoms across all networks were Concern over Mistakes and Self\u2010Esteem. Concern over Mistakes bridged perfectionism and ED symptoms, while Self\u2010Esteem was highly connected to all symptom clusters. Anxiety was significantly more central in the AN\u2010R network compared to the AN\u2010BP network.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study contributes to a growing body of network studies suggesting that nodes related to perfectionism are just as central as cardinal ED symptoms, indicating the relevance of perfectionism in ED pathology. The high bridge centrality of self\u2010esteem suggests that it may be an important link between perfectionism, mood, and ED symptoms. Future research should investigate the efficacy of targeting multiple psychological factors in the treatment of AN, as well as their potential transdiagnostic relevance.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23698","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T10:24:31Z","timestamp":1713781471000},"page":"1852-1875","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Perfectionism, self\u2010esteem, and affective symptoms in anorexia nervosa subtypes: A network analysis of French inpatients"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4254-3663","authenticated-orcid":false,"given":"Chantal P.","family":"Delaquis","sequence":"first","affiliation":[{"name":"INCIA CNRS UMR 5287 Univ. Bordeaux Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7233-6991","authenticated-orcid":false,"given":"Nathalie","family":"Godart","sequence":"additional","affiliation":[{"name":"Fondation Sant\u00e9 des Etudiants de France Paris France"},{"name":"CESP, Inserm Universit\u00e9 Paris Saclay Villejuif France"},{"name":"UFR Simone Veil\u2010Sant\u00e9 Universit\u00e9 Versailles Saint\u2010Quentin\u2010en\u2010Yvelines Montigny\u2010le\u2010Bretonneux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6668-524X","authenticated-orcid":false,"given":"Caroline","family":"Barry","sequence":"additional","affiliation":[{"name":"CESP, Inserm Universit\u00e9 Paris Saclay Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Ringuenet","sequence":"additional","affiliation":[{"name":"CESP, Inserm Universit\u00e9 Paris Saclay Villejuif France"},{"name":"Unit\u00e9 de Traitement des Troubles des Conduites Alimentaires D\u00e9partement de Psychiatrie et d'Addictologie, H\u00f4pital Paul Brousse Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne\u2010Sol\u00e8ne","family":"Maria","sequence":"additional","affiliation":[{"name":"Private Practice, Stimulus Consulting Ltd, Cascavelle  Mauritius"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5931-8158","authenticated-orcid":false,"given":"Isabelle","family":"Nicolas","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Institut Mutualiste Montsouris Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6862-2362","authenticated-orcid":false,"given":"Sylvie","family":"Berthoz","sequence":"additional","affiliation":[{"name":"INCIA CNRS UMR 5287 Univ. Bordeaux Bordeaux France"},{"name":"Department of Psychiatry, Institut Mutualiste Montsouris Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. (2013).Diagnostic and statistical manual of mental disorders.https:\/\/doi.org\/10.1176\/APPI.BOOKS.9780890425596","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/S40337-022-00717-4"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.BRAT.2009.11.001"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.CPR.2006.12.005"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0191-8869(03)00235-6"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/S12888-014-0354-0\/TABLES\/6"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/met0000476"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/WPS.20375"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43586-021-00055-w"},{"issue":"2","key":"e_1_2_10_11_1","first-page":"11","article-title":"\u00c9tude de validation d'une echelle multidimensionnelle de perfectionnisme","volume":"5","author":"Bouvard M.","year":"2000","journal-title":"Revue Francophone de Clinique Comportementale et Cognitive"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/CPP.1771"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/MET0000471"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/ABN0000477"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/EAT.23009"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/CHILDREN10040730\/S1"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:JORE.0000047310.94044.AC"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2017.08.004"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465821000357"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.CPR.2010.04.009"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/S12888-016-1129-6\/TABLES\/4"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167702619865958\/FORMAT\/EPUB"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.3758\/S13428-017-0862-1\/FIGURES\/9"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.18637\/JSS.V048.I04"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(02)00088-8"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445506288026"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22871"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23070"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/0191-8869(93)90181-2"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01172967\/METRICS"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.3389\/FPSYG.2017.00160\/BIBTEX"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691618797940"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JAD.2006.06.023"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.4219\/JSGE-2000-631"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.3758\/S13428-017-0910-X\/FIGURES\/3"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2015.03.004"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(96)00216-4"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/PST0000016"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/S00406-018-0937-8\/TABLES\/3"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/J.1742-9552.2011.00034.X"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.12740\/PP\/64580"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1080\/00273171.2019.1614898"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2012.717310"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.EATBEH.2014.04.008"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1002\/EAT.22890"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/S11920-018-0930-Y\/METRICS"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/JCLP.22435"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.3390\/ADOLESCENTS3020022\/S1"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465814000162"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.EATBEH.2021.101590"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/ERV.2863"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-023-00801-3"},{"key":"e_1_2_10_53_1","unstructured":"Monneyron F. Lang F. Godart N. &Wallier J.EDE Q5.2 (Fairburn & Beglin 1994). Unpublished French Adaptation of the Eating Disorder Examination Questionnaire."},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/ERV.2834"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1002\/EAT.23137"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1080\/15298860309032"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/EAT.20717"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1002\/J.1556-6678.2008.TB00496.X"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1002\/ERV.2666"},{"key":"e_1_2_10_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.BETH.2023.05.001"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2023.4590"},{"key":"e_1_2_10_62_1","doi-asserted-by":"publisher","DOI":"10.1037\/ABN0000181"},{"key":"e_1_2_10_63_1","doi-asserted-by":"publisher","DOI":"10.1002\/EAT.23365"},{"key":"e_1_2_10_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.BRAT.2008.02.007"},{"key":"e_1_2_10_65_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466505X53902"},{"key":"e_1_2_10_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(01)00059-6"},{"key":"e_1_2_10_67_1","doi-asserted-by":"publisher","DOI":"10.1177\/01454455980223010"},{"key":"e_1_2_10_68_1","doi-asserted-by":"publisher","DOI":"10.1002\/EAT.22836"},{"key":"e_1_2_10_69_1","doi-asserted-by":"publisher","DOI":"10.1037\/A0028931"},{"key":"e_1_2_10_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.EATBEH.2023.101769"},{"key":"e_1_2_10_71_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15327957PSPR1004_2"},{"key":"e_1_2_10_72_1","doi-asserted-by":"publisher","DOI":"10.1002\/EAT.10127"},{"key":"e_1_2_10_73_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867411432071"},{"key":"e_1_2_10_74_1","doi-asserted-by":"publisher","DOI":"10.1002\/ERV.2467"},{"key":"e_1_2_10_75_1","doi-asserted-by":"publisher","DOI":"10.1186\/2050-2974-1-13\/FIGURES\/5"},{"key":"e_1_2_10_76_1","doi-asserted-by":"publisher","DOI":"10.1002\/EAT.23004"},{"key":"e_1_2_10_77_1","doi-asserted-by":"publisher","DOI":"10.1080\/00207599008247865"},{"key":"e_1_2_10_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JAD.2021.01.083"},{"key":"e_1_2_10_79_1","doi-asserted-by":"publisher","DOI":"10.1002\/ERV.2805"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.23698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T07:10:42Z","timestamp":1725001842000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.23698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,22]]},"references-count":78,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1002\/jclp.23698"],"URL":"https:\/\/doi.org\/10.1002\/jclp.23698","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,22]]},"assertion":[{"value":"2023-11-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}