Examining the relationship between perfectionism, self-esteem, body satisfaction, and bulimic behavior

A variety of risk factors for bulimia nervosa have been proposed including both environmental factors (e.g., family environment) and personal characteristics (e.g., body dissatisfaction, self-esteem, and perfectionism). The main goal of this study was to further examine the relationship between body satisfaction, self-esteem, and perfectionism in the development of bulimic symptoms. A confirmatory factor analysis on the construct of perfectionism was conducted to determine if it was best explained as a unidimensional or a multidimensional construct. Perfectionism was best explained as a construct consisting of three factors--normal perfectionism, neurotic perfectionism, and orderliness. The relationship between body satisfaction, self-esteem, and perfectionism in the development of bulimic behaviors was also examined using structural equation modeling. We did not find support for a hypothesized three-way interaction among body satisfaction, self-esteem, and neurotic perfectionism in the development of bulimic behavior. We did find support for a pair of two-way interactions predicting bulimic behaviors. Interactions between body satisfaction and self-esteem and body satisfaction and neurotic perfectionism were predicitve of bulimic symptom development.