ObjectivePrevious studies have highlighted the relevance of perfectionism, self‐esteem, and anxio‐depressive 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.MethodThe sample included n = 338 inpatients with AN who completed the Eating Disorder Examination Questionnaire, Frost Multidimensional Perfectionism Scale, Rosenberg Self‐Esteem Scale, and Hospital Anxiety and Depression Scale. Using network analysis, we estimated three networks: full sample, AN‐restrictive (AN‐R) and AN‐binge/purging (AN‐BP) subtypes. We estimated central and bridge symptoms using expected influence and conducted an exploratory network comparison test to compare AN subtypes.ResultsOvervaluation 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‐Esteem. Concern over Mistakes bridged perfectionism and ED symptoms, while Self‐Esteem was highly connected to all symptom clusters. Anxiety was significantly more central in the AN‐R network compared to the AN‐BP network.ConclusionsThe 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‐esteem 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.

中文翻译：

---

神经性厌食症亚型的完美主义、自尊和情感症状：法国住院患者的网络分析

目的之前的研究强调了完美主义、自尊和焦虑抑郁症状与神经性厌食症（AN）的相关性。然而，这些因素与主要饮食失调 (ED) 症状之间的关系仍不清楚，特别是在 AN 亚型中。本研究旨在利用网络分析来检查它们之间的相互关系。方法样本包括n= 338 名 AN 住院患者完成了饮食失调检查问卷、弗罗斯特多维完美主义量表、罗森伯格自尊量表以及医院焦虑和抑郁量表。使用网络分析，我们估计了三种网络：全样本、AN 限制性 (AN-R) 和 AN-暴食/清除 (AN-BP) 亚型。我们使用预期影响来估计中枢症状和桥症状，并进行了探索性网络比较测试来比较 AN 亚型。结果对体重和体型的高估、对错误的关注和个人标准始终是所有网络的核心。所有网络中最核心的桥梁症状是对错误的担忧和自尊。对错误的担忧连接了完美主义和 ED 症状，而自尊则与所有症状群高度相关。与 AN-BP 网络相比，焦虑在 AN-R 网络中明显更为重要。结论本研究促进了越来越多的网络研究表明与完美主义相关的节点与主要 ED 症状一样重要，表明完美主义的相关性在 ED 病理学中。自尊的高度桥梁中心性表明它可能是完美主义、情绪和 ED 症状之间的重要联系。未来的研究应该调查针对多种心理因素在 AN 治疗中的功效，以及它们潜在的跨诊断相关性。