Perfectionism, attachment, and adjustment.

This research examined differences between types of perfectionists and whether perfectionism related to attachment, academic integration, and depression. University students completed the same attachment and perfectionism measures in two studies. In the 2nd study, measures of academic integration and depression were also used. Replicated cluster analyses revealed 3 groups of perfectionists: adaptive, maladaptive, and nonperfectionists. Attachment predicted type of perfectionist, with adaptive perfectionists reporting more secure attachments than did maladaptive perfectionists. Adaptive perfectionists also had better academic integration than maladaptive perfectionists. Maladaptive perfectionists, on average, reported depression in the clinically significant range. Results revealed academic and emotional benefits of adaptive perfectionism, contrasted with the adverse emotional effects and no academic advantages of maladaptive perfectionism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-esteem as a mediator between perfectionism and depression: A structural equations analysis.

This study of college students (N?=?464) examined the association between adaptive and maladaptive dimensions of perfectionism and 2 mental health outcomes (self-esteem and depression). Confirmatory factor analysis was used to develop and assess the measurement model used in this study. Structural equations modeling was used to test a mediational model derived from prior theory and research. Analyses supported the existence of 2 perfectionism factors. Path models revealed that adaptive perfectionism was not directly or indirectly (through self-esteem) associated with depression. Maladaptive perfectionism was negatively associated with self-esteem and positively associated with depression. Self-esteem also buffered the effects of maladaptive perfectionism on depression. Distinguishing adaptive from maladaptive perfectionism is discussed in the context of recommendations for practice and future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

State dependence and trait stability of perfectionism: A short-term longitudinal study.

The authors examined state dependency on depression, trait stability, and state-trait characteristics of perfectionism in a short-term longitudinal study of university students. Relative stability of perfectionism was assessed with test-retest correlations across 3 time points, and results showed higher rank order and relative stability for perfectionism scores compared with depression scores. Regression and path analyses to disentangle directions of effects revealed that initial maladaptive perfectionism scores remained robust predictors of later perfectionism scores, even after the authors controlled for prior and concurrent depression and other dimensions of perfectionism. Perfectionism proved to be quite stable and was a significant predictor of later depression. Perfectionism was also not meaningfully altered by state changes in depression. The overall findings indicate that perfectionism appears to have substantial relative stability, and perfectionistic discrepancy in particular is a clear vulnerability factor for depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perfectionism, perceived stress, drinking to cope, and alcohol-related problems among college students.

This study investigated the association between perfectionism (categorized by adaptive perfectionistic, maladaptive perfectionistic, or nonperfectionistic groups), perceived stress, drinking alcohol to cope, and alcohol-related problems in a large sample of college students (N = 354). Maladaptive perfectionists reported significantly higher levels of stress and drinking to cope than adaptive perfectionists and nonperfectionists. Adaptive perfectionists reported the fewest alcohol-related problems, suggesting that healthy levels of high standards may protect against drinking to cope with stress. Across all participants, a significant indirect effect for drinking to cope supported its role as a mediator between stress and alcohol-related problems. Structural equation modeling analyses supported the moderating role of perfectionism in this mediation model, such that maladaptive perfectionists were more likely to drink to cope under stress and report alcohol-related problems, whereas higher stress was associated with fewer alcohol-related problems among nonperfectionists. Additional analyses revealed higher stress levels for women and a stronger link between stress and drinking to cope for women compared to men. Future research directions as well as clinical implications regarding perfectionism, stress, drinking to cope, and alcohol-related problems are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality dimensions, psychosocial-demographic variables, and English language competency in predicting level of acculturative stress among Turkish international students.

A sample of 229 Turkish international students studying in 17 universities throughout the United States participated in this online study. The main purpose of the study was to investigate acculturative stress based on students' demographics, personality, level of social connectedness, and English language competency. A hierarchical regression analysis indicated that marital status, English language competency, social connectedness, adjustment difficulties, neuroticism, and openness to experience were predictors of acculturative stress. Analysis of variance results showed that acculturative stress did not significantly differ by students' gender or age. Implications are discussed and suggestions for interventions and future research are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perfectionism, stress, and social (dis)connection: A short-term study of hopelessness, depression, and academic adjustment among honors students.

This study tested models of perfectionism predicting psychological distress and academic adjustment and moderators and mediators of those associations in 2 successive cohorts of high-achieving university honors students (N = 499). Participants completed measures early and late in the semester. Adaptive (high standards) and maladaptive (self-critical perceptions of inadequacy in meeting performance expectations) dimensions of perfectionism were found to be significantly associated, in generally expected directions, with concurrent and prospective perceived stress, social connectedness, depression, hopelessness, and perceived academic adjustment. However, some perfectionism effects were reduced when earlier psychological distress and adjustment were controlled in analyses predicting later distress and adjustment. Several effects were moderated and at least partially mediated by perceived stress and social connection. The results suggest several counseling implications for high-achieving, perfectionistic students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Intergenerational Transmission of Perfectionism: Parents' Psychological Control as an Intervening Variable.

The present study investigated the role of parental (adaptive and maladaptive) intrapersonal perfectionism as a predictor of parental psychological control and the role of parents' psychological control in the intergenerational transmission of perfectionism in a sample of female late adolescents and their parents. First, parental maladaptive perfectionism, but not parental adaptive perfectionism, significantly predicted parents' psychological control even when controlling for parents' neuroticism. This relationship was found to be stronger for fathers than for mothers. Second, a significant direct relationship was found between mothers' and daughters' maladaptive perfectionism but not between fathers' and daughters' maladaptive perfectionism. Third, process analyses showed that, for both mothers and fathers, psychological control is an intervening variable in the relationship between parents' and daughters' maladaptive perfectionism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factors predicting depression among Korean-American women in New York

A survey was administered to 262 women aged 35-55 years who had migrated to the U.S. within the last 10 years. The survey included measures of depression, acculturative stress, social support, self-esteem, education, income, age, and length of residence in the U.S. Hierarchical regression analyses in which demographic variables were introduced first indicated that age, education, and income were all significant predictors of depression, with age positively related to depression and education and income negatively related to depression. When acculturative stress, social support, and self-esteem were introduced on subsequent steps, only self-esteem explained significant additional variability in depression. Implications for prevention and treatment programs are discussed.     

Perfectionism and depression: Longitudinal assessment of a specific vulnerability hypothesis.

The authors tested whether perfectionism dimensions interact with specific stress to predict depression over time. A sample of 103 current and former patients completed measures of perfectionism and depression at Time 1 and measures of stress and depression 4 months later. After controlling for Time 1 depression, self-oriented perfectionism interacted only with achievement stress to predict Time 2 depression. Socially prescribed perfectionism did not interact with achievement or social stress to predict Time 2 depression, but it did predict Time 2 depression as a main effect. The results provide support for the contention that perfectionism dimensions are involved in vulnerability to depression over time. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acculturative stress, depression, and anxiety in migrant farmwork college students of Mexican heritage.

Migrant status (migrant, nonmigrant) and sex (female, male) differences were examined in a sample of 168 college students of Mexican heritage on measures of college stress, acculturative stress, depression, anxiety, and academic achievement. Migrant farmwork students reported higher levels of acculturative stress than nonmigrants, and men reported higher levels of acculturative stress than women. When language preference was held constant, there were no differences in depression and anxiety. However, migrant students reported higher levels of depression and anxiety than nonmigrants when language preference was not held constant. The overall sample reported high levels of depression: 55% versus the expected 20% of the general population shown in other research. Depression and anxiety were highly correlated, and women reported a higher grade point average than male students. Implications include the importance of integrating cultural factors in stress research with this population and accounting for acculturative stress, depression, and anxiety in clinical treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Work-related stress and depression among practicing emergency physicians: an international study

STUDY OBJECTIVE: To compare the levels of work-related stress and depression reported by practicing emergency physicians in three survey sites and to determine the effects of gender and marital status on the stress and depression experienced by these physicians. DESIGN: Cross-sectional mail surveys. SETTING AND PARTICIPANTS: Seven hundred sixty-four practicing emergency physicians from the United States, 91 fellows in full-time practice from Australasia, and 154 consultants and 47 senior registrars from the United Kingdom. INTERVENTION: Administration of questionnaires requesting demographic information and including an inventory to assess work-related stress and a scale to measure depressive symptomatology. MEASUREMENTS AND MAIN RESULTS: A 3 x 2 x 2 multivariate analysis of variance performed to compare scores on the stress inventory and depression scale simultaneously by survey site, gender, and marital status revealed significant differences in stress and depression by survey site and marital status. Univariate analyses of variance revealed significant differences in both stress and depression among the three survey sites and in depression by marital status. Adjusted means indicated that physicians from the United Kingdom reported higher levels of stress and depression than physicians from the United States and Australasia. Physicians from the United States and Australasia did not differ with respect to stress or depression. Physicians who were not married reported higher levels of depression than married physicians. No large mean differences, actual or adjusted, were found for any of the grouping factors. CONCLUSION: Statistical differences among practicing emergency physicians from the United States, Australasia, and the United Kingdom were observed, but the actual levels of work-related stress and depression were similar and did not appear severe. Marriage was associated with lower levels of depressive symptomatology.     

Maladaptive perfectionism, hassles, coping, and psychological distress in university professors.

This study examined the roles of hassles, avoidant and problem-focused coping, and perceived social support as mediating the relationship between maladaptive perfectionism and psychological distress in a sample of university professors. Hassles and avoidant coping both partially mediated a strong association between maladaptive perfectionism and psychological distress. These results are discussed in terms of the need to better understand how coping styles and social support are associated with the negative impact of perfectionism on the lives of university professors. The implications of these findings for counseling practice are also explored. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perfectionism and bulimic symptoms in African American college women: Dimensions of perfectionism and their interactions with perceived weight status.

This study had 2 primary aims: (a) to examine the unique relations between maladaptive and adaptive dimensions of perfectionism and bulimic symptoms and (b) to test an interactive model of perfectionism and perceived weight status for bulimic symptoms in a sample of African American female undergraduates. The sample consisted of 97 women at Time 1 and 70 women at Time 2 about 5 months later, with bulimic symptoms assessed at both time points. Results showed that maladaptive perfectionism, but not adaptive perfectionism, was uniquely related to bulimic symptoms in cross-sectional analyses. Tests of interaction effects indicated that maladaptive perfectionism interacted with perceived weight status to identify elevated bulimic symptoms such that women with high levels of maladaptive perfectionism who felt overweight exhibited the highest levels of bulimic symptoms, both concurrently and prospectively after controlling for Time 1 levels of bulimic symptoms. This study highlights the relevance of maladaptive perfectionism to bulimic symptoms in African American college women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

High-performance liquid chromatographic determination of midazolam in rat brain

The authors tested whether perfectionism dimensions interact with specific stress to predict depression over time. A sample of 103 current and former patients completed measures of perfectionism and depression at Time 1 and measures of stress and depression 4 months later. After controlling Time 1 depression, self-oriented perfectionism interacted only with achievement stress to predict Time 2 depression. Socially prescribed perfectionism did not interact with achievement or social stress to predict Time 2 depression, but it did predict Time 2 depression as a main effect. The results provide support for the contention that perfectionism dimensions are involved in vulnerability to depression over time.     

Dimensions of perfectionism, daily stress, and depression: A test of the specific vulnerability hypothesis.

Tested whether perfectionism dimensions interact with specific stressors to predict depression. A depressed patient sample (N?=?51) and a general psychiatric sample (N?=?94) completed measures of perfectionism, hassles, and depression. Ss in Sample 2 also completed other personality measures to assess the amount of unique variance in depression. Partial support was obtained: In both samples, self-oriented perfectionism interacted only with achievement stressors to predict depression. Socially prescribed perfectionism interacted with interpersonal stress in Sample 1 and with achievement stress in Sample 2 to predict depression. Several personality variables, including socially prescribed perfectionism, accounted for unique variance in depression. The results suggest that perfectionism dimensions are associated with depression and may constitute specific vulnerability factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of emotional dysregulation in perfectionism and psychological distress.

Data from a sample of university students (N = 349) were used to test a model in which emotional dysregulation (a composite of emotional reactivity and splitting) was expected to account for the effect of perfectionism on general psychological distress. Significant positive effects were observed between maladaptive perfectionism and distress, whereas significant inverse effects were found for adaptive perfectionism. Structural equations analyses revealed support for a possibly mediational role of emotional dysregulation. Future research suggestions as well as counseling recommendations are proposed that target emotional regulatory features of the client with perfectionistic tendencies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relative stability of dimensions of perfectionism in depression.

Investigated the degree of absolute change, affective state dependence, and relative trait stability of several dimensions of perfectionism assessed by two popular, multidimensional measures. The study sample was 105 adult outpatients from a university hospital mood disorders program who met diagnostic criteria for major depressive episode at Time 1 and did not meet criteria for major depressive episode one year later (Time 2). Mean total scores on the Beck Depression Inventory decreased by almost 50% (from 28 to 15). Absolute change on perfectionism indices was smaller but significant for some maladaptive dimensions. Correlational, regression, and path analyses all indicated the presence of affective state dependence for several maladaptive dimensions of perfectionism (e.g., concern over mistakes, socially prescribed perfectionism). However, in all cases strong evidence was also found for the enduring trait stability of these dimensions. The results support a state-trait conceptualization of maladaptive perfectionism dimensions, which denotes stable individual difference variables that are elevated in the depressive state. Adaptive aspects of perfectionism showed little or no evidence of affective state dependence, consistent with findings from other research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Matches and mismatches: Partners, perfectionism, and premarital adjustment.

The authors investigated the association between adaptive and maladaptive perfectionism and relationship quality in 197 engaged couples. When both partners were maladaptive perfectionists, they were more likely to be grouped into less functional couple types. Couples in which both partners were adaptive perfectionists tended to cluster in more functional couple types. Maladaptive perfectionism in one partner somewhat decreased the likelihood of higher quality relationships, except in the case of matches with a nonperfectionist. Matches involving nonperfectionists with an adaptive perfectionist partner tended to increase the chance that the relationship would be more functional or satisfying. Implications for practice are discussed, as are directions for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acculturative family distancing: Theory, research, and clinical practice.

Despite the rapidly growing immigrant population settling in the United States, our knowledge of acculturative processes and their impact on immigrant families remains quite limited. This article describes a theoretical construct called Acculturative Family Distancing (AFD), the distancing that occurs between immigrant parents and children that is a result of immigration, cultural differences, and differing rates of acculturation. AFD occurs along two dimensions: communication and cultural values. Breakdowns in communication and incongruent cultural values between immigrant parents and children are hypothesized to increase over time and place families at risk for mental illness and family dysfunction. Clinical illustrations of AFD's impact on immigrant Asian families are provided and recommendations for dealing with AFD are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of the Multidimensional Acculturative Stress Inventory for adults of Mexican origin.

The Multidimensional Acculturative Stress Inventory (MASI), a 36-item stress measure that was developed to assess acculturative stress among persons of Mexican origin living in the United States, was tested on a community sample of 174 adults (117 women, 57 men). Principal-components analyses yielded 4 stable and internally consistent factors: Spanish Competency Pressures (7 items), English Competency Pressures (7 items), Pressure to Acculturate (7 items), and Pressure Against Acculturation (4 items). These 4 factors accounted for 64.4% of the variance and correlated in the expected directions with criterion measures of acculturation and/or psychological adjustment. Further reliability and validity testing of the MASI is discussed as well as the utility of this measure in assessing acculturative stress among adults of Mexican origin. (PsycINFO Database Record (c) 2011 APA, all rights reserved)