Perfectionism dimensions, perfectionistic attitudes, dependent attitudes, and depression in psychiatric patients and university students.

P. L. Hewitt and G. L. Flett's (1991b) model of perfectionism dimensions (i.e., self-oriented, other-oriented, and socially prescribed perfectionism) was compared with A. T. Beck's model (G. P. Brown & A.T. Beck, 2002) of dysfunctional attitudes (i.e., perfectionistic attitudes [PA] and dependent attitudes [DA]) in predicting depression in 70 psychiatric patients and 280 university students. Socially prescribed perfectionism uniquely predicted both PA and DA. Dysfunctional attitudes failed to consistently predict additional variance in depression beyond perfectionism dimensions (and vice versa). Evidence for Hewitt and Flett's specific vulnerability hypothesis and Beck's specific cognitive vulnerability hypothesis was equivocal. Beck's conceptualization of perfectionism as a unitary cognitive style obscures important information by overlooking the distinction between the self-related and socially based features of perfectionism. Hewitt and Flett's conceptualization of perfectionism as 3 distinct personality traits allows for precise conclusions by recognizing the differential contribution of the self-related and socially based features of perfectionism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Granulocyte colony-stimulating factor, granulocyte-macrophage colony-stimulating factor and macrophage colony-stimulating factor in the treatment of acute myeloid leukemia and acute lymphoblastic leukemia

To explore the role of perfectionism across anxiety disorders, 175 patients with either panic disorder (PD), obsessive compulsive disorder (OCD), social phobia, or specific phobia, as well as 49 nonclinical volunteers, completed two measures [Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R., (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449-468; Hewitt, P. L., & Flett, G. L., (1991). Perfectionism in the self and social contexts: Conceptualization, assessment and association with psychopathology. Journal of Personality and Social Psychology, 60, 456-470.] that assess a total of nine different dimensions of perfectionism. Relative to the other groups, social phobia was associated with greater concern about mistakes (CM), doubts about actions (DA), and parental criticism (PC) on one measure and more socially prescribed perfectionism (SP) on the other measure. OCD was associated with elevated DA scores relative to the other groups. PD was associated with moderate elevations on the CM and DA subscales. The remaining dimensions of perfectionism failed to differentiate among groups. The clinical implications of these findings are discussed.     

Predicting hopelessness and psychological distress: The role of perfectionism and coping.

This study investigated an integrative model involving the relationship between perfectionism (P. L. Hewitt & G. L. Flett, 1991) and coping (C. S. Carver, A F. Scheier. & J. K. Weintraub, 1989) to predict changes in hopelessness and general psychological distress among college students. Results indicated that changes in psychological well-being (4-5 weeks later) were predicted by socially prescribed perfectionism, and, as theorized, avoidance coping moderated the link between perfectionism and psychological well-being beyond initial levels of distress. Support was also found for the adaptive effects of cognitive reconstruction coping and other-oriented perfectionism, whereas, under certain conditions, self-oriented perfectionism was shown to be maladaptive. These findings offer support for the proposed model. Implications for intervention and suggestions for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Negative attributional style as a moderator of the link between perfectionism and depressive symptoms: Preliminary evidence for an integrative model.

An integrative model involving perfectionism and negative attributional style as predictors of depressive symptoms was proposed and tested in 222 college students. Beyond the expected additive influences of the 2 predictors in the prediction of dysphoria, negative attributional style was also hypothesized to moderate the link between perfectionism and depressive symptoms. As theorized, results indicated that dimensions of perfectionism (P. Hewitt & G. Flett, 1991b) predicted depressive symptoms (2 months later) and that a negative attributional style added incremental validity to these predictions. Moreover, consistent with the proposed model, the Perfectionism?×?Negative Attributional Style interaction was found to further augment the prediction of depressive symptoms. These findings are taken to offer preliminary support for the proposed model. Some implications for future studies are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perfectionism as a predictor of subsequent adjustment: Evidence for a specific diathesis–stress mechanism among college students.

The relations among perfectionism, stress, subsequent psychological symptoms, and hopelessness were examined among 215 college students. Hierarchical regression analyses were conducted to determine whether dimensions of perfectionism (P. Hewitt & G. Flett, 1991) predicted psychological symptoms and hopelessness (1 month later), and the extent to which stress scores added incremental validity to these predictions. Results indicated that socially prescribed perfectionism was a significant predictor of both adjustment measures. In addition, stress accounted for a significant amount of additional variance in predicting adjustment beyond perfectionism. Consistent with a diathesis–stress model, a significant Perfectionism × Stress interaction was found in predicting scores on adjustment measures beyond perfectionism and stress. However, this interaction was only found for socially prescribed perfectionism. Results provide support for a specific diathesis–stress mechanism and important implications for developing specific interventions in working with perfectionistic college students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The structure and temporal stability of the Child and Adolescent Perfectionism Scale.

In this study, the authors examined the factor structure and temporal stability of the Child and Adolescent Perfectionism Scale (CAPS; G. L. Flett, P. L. Hewitt, D. J. Boucher, L. A. Davidson, & Y. Munro, 1997) in 2 samples of adolescents (15–16 years old). In Sample 1 (n = 624), confirmatory factor analysis did not support a 2-factor structure (self-oriented and socially prescribed perfectionism). As in B. T. McCreary, T. E. Joiner, N. B. Schmidt, & N. S. Ialongo (2004), reanalysis suggested a 3-factor solution (i.e., socially prescribed perfectionism, self-oriented–Striving perfectionism, self-oriented–Critical perfectionism). The authors validated their 3-factor model in an independent replication sample (Sample 2; n = 514) and confirmed that the 3-factor structure was invariant across gender and time (test–retest over 6 months). Taking these analyses together, the authors concluded that their discriminant 3-factor structure is robust. Theoretical and clinical implications are discussed. More research on the predictive validity of the CAPS is suggested. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Détresse psychologique, perfectionnisme, insatisfaction de l'image corporelle: Validation d'un modèle explicatif de la problématique suicidaire.

This article (N=366 students), based on Baumeister's theory of suicide (1990) and taking into consideration Shneidman's multifactorial theory (1992a), studies the possibility of perfectionist attitude and body image dissatisfaction being mediated by psychological distress in the suicidal ideation and behaviors. The French l'IDPESQ-29 de Préville, Boyer, Potvin, Perrault et Légaré (1987) originating from the PSI of Ilfeld (1976), the MPS (Frost, Marten, Lahart, & Rosenblate, 1990), the BDDE-SR (Rosen & Reiter, 1996) and a short adapted questionnaire on suicidal ideation and behavior were used for this research. The frequency of occurrence of past suicidal ideation is 33% present 35%, attempts 9.6%; perfectionism 16.6%, psychological distress 15%, body image dissatisfaction 10% and Body Dysmorphic Disorder is 4.6%. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perfectionism as a predictor of positive and negative psychological outcomes: Examining a mediation model in younger and older adults.

The relations between general perfectionistic tendencies as measured by R. 0. Frost, P. Marten, C. Lahart, and R. Rosenblate's (1990) Multidimensional Perfectionism Scale (MPS), stress, and psychological outcome were assessed among a sample of younger (M?=?20.00 years;n?=?270) and older adults (M?=?46.99 years; n?=?256). Results of conducting a series of path analyses examining a mediation model indicated that the influence of perfectionism on a measure of positive psychological outcome (viz., life satisfaction) was fully mediated by stress. In contrast, the influence of perfectionism on measures of negative psychological outcome (viz., negative mood and worry) were only partially mediated by stress. These pathanalytic findings were consistent across both age groups. Implications of the present findings for future research and intervention in working with perfectionistic clients are discussed. (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)     

Factor Validation of the Addiction Severity Index Scale Structure in Persons With Concurrent Disorders.

Confirmatory factor analysis was used to test the scale structure of the Addiction Severity Index (ASI) in a sample of 1,802 substance abusers (43% alcohol dependent) with a concurrent psychiatric disorder (46% with mood disorders). The fit of the original composite score model based on the work of P. L. McGahan, J. A. Griffith, R. Parente, & A. T. McLellan (1990) was compared with the evaluation indices (EIs) developed by A. I. Alterman et al. (1998). The 5-dimensional model based on the EIs was an overall better fit to the data. Internal consistency (Cronbach's alpha) for the EIs ranged from .66 (family domain) to .75 (legal domain). The 5 EIs were moderately correlated (rs = .42-.72) with the interviewer severity ratings from the ASI. Evaluation studies involving concurrent disordered substance abusers should use the EIs as summary measures of change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A preliminary study of perfectionism and loneliness as predictors of depressive and anxious symptoms in Latinas: A top-down test of a model.

In the present study, we used a top-down approach to examine perfectionism and loneliness as additive sociocognitive predictors of depressive and anxious symptoms in a sample of 121 Latina college students. Consistent with expectations, we found perfectionism and loneliness to be associated with both depressive and anxious symptoms. In addition, results of conducting hierarchical regression analyses indicated that certain dimensions of perfectionism, especially doubts about actions, accounted for significant variance in both depressive and anxious symptoms. Moreover, the inclusion of loneliness as a predictor was found to predict additional unique variance in both depressive and anxious symptoms beyond what was accounted for by perfectionism. Implications of the present findings for future research on negative affective conditions in Latinas are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

An efficient method for classifying perfectionists.

Multiple samples of university students (N = 1,537) completed the Almost Perfect Scale-Revised (APS-R; R. B. Slaney, M. Mobley, J. Trippi, J. Ashby, & D. G. Johnson, 1996). Cluster analyses, cross-validated discriminant function analyses, and receiver operating characteristic curves for sensitivity and specificity of APS-R scores were used to derive efficient and straightforward calculations and decision rules for classifying students as perfectionists (and as either adaptive or maladaptive). Convergent validity of the cutoff scores for group membership was supported by expected group differences on other measures of perfectionism. Criterion-related (concurrent) validity of the classification scheme was supported by comparison of groups on measures of depression, life satisfaction, and grade point average. The cutoffs and decision rules should prove useful in applied or future research situations in which differentiation of perfectionists and nonperfectionists is desired. (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)     

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)     

Using response time measures to assess "guilty knowledge".

How can a suspect's guilt or innocence be reliably tested? The validity of the polygraph, which measures changes in physiological arousal during a "guilty knowledge" test, is controversial (e.g., T. R. Bashore & P. E. Rapp, 1993; T. P. Cross & L. Saxe, 1992; D. T. Lykken, 1998; J. P. Rosenfeld, 1995; R. Steinbrook, 1992). One alternative to the polygraph examines event-related potentials recorded during a memory interference task (L. A. Farwell & E. Donchin, 1991). The present study extended this paradigm to determine whether response times (RTs) can accurately identify participants possessing specific guilty knowledge. Results from Experiment I showed that RT alone can reliably discriminate "guilty" from "innocent" participants. Experiments 2a and 2b indicated that an RT-based paradigm is more resistant to strategic manipulation than previously suggested (Farwell & Donchin, 1991). This RT-based paradigm may be a viable alternative to the polygraph for detecting guilty knowledge. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Inhibition in the processing of garden-path sentences.

The Hartman and Hasher (1991) garden-path sentence completion task has been used in several studies to assess the efficiency of the deletion function of inhibition (e.g., L. Hasher, R. Zacks, & C. P. May, 1999), with results suggesting that younger adults are efficient at suppressing once relevant but no longer appropriate information, whereas older adults generally are not (e.g., M. Hartman & L. Hasher, 1991; L. Hasher, M. B. Quig, & C. P. May, 1997; C. P. May & L. Hasher, 1998). An alternative interpretation of patterns of access to relevant and no-longer-relevant sentence endings focuses on the difficulty of selecting final words for sentence frames and on integration effects in implicit memory (M. Hartman, 1995). This alternative is considered and found wanting on the basis of both new and old empirical data. On the basis of present data and related findings, it is concluded that the task does measure inhibitory efficiency. (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)     

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)     

Perfectionism and negative mood: The mediating roles of validation from others versus self.

This study examined a model in which the need for reassurance from others and the capacity for self-reinforcement mediated the relationships between two dimensions of perfectionism (evaluative concerns [EC] perfectionism and personal standards [PS] perfectionism) and anxiety and depression. Results from structural equation modeling of data from 295 college students from a large midwestern university indicated that the need for reassurance from others and the capacity for self-reinforcement fully mediated the relationship between EC perfectionism and anxiety as well as partially mediated the relationships between PS perfectionism and anxiety and depression. Moreover, 41% of the variance in anxiety and 50% of the variance in depression was explained by EC perfectionism, PS perfectionism, the need for reassurance from others, and/or the capacity for self-reinforcement. (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)