Social anxiety and bulimic behaviors: The moderating role of perfectionism

Jose Silgado, Kiara R. Timpano, Julia D. Buckner, Norman B. Schmidt

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Despite the high rates of co-occurrence between social anxiety and bulimic behaviors, research investigating the mechanisms underlying these associations is lacking. Given that perfectionism is strongly related to both social anxiety and bulimic behaviors, we tested whether individuals with elevated social anxiety and higher perfectionism would evince greater bulimic behaviors in a non-referred sample. Participants with clinically significant social anxiety (n = 89) were compared to a matched control group (n = 89). We also examined specificity by investigating whether perfectionism moderated the relations between social anxiety and drive for thinness or body dissatisfaction. Participants in the high social anxiety group evinced higher bulimic behaviors, body dissatisfaction, and drive for thinness. Yet, perfectionism only moderated the relationship between social anxiety group and bulimic behaviors, such that individuals scoring high on both social anxiety and perfectionism demonstrated the greatest number of bulimic behaviors. Clinical implications are discussed.

Original languageEnglish (US)
Pages (from-to)487-492
Number of pages6
JournalCognitive Therapy and Research
Issue number5
StatePublished - Oct 1 2010
Externally publishedYes


  • Body dissatisfaction
  • Bulimic behaviors
  • Drive for thinness
  • Perfectionism
  • Social anxiety

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology


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