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)     

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)     

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)     

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)     

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)     

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)     

Self-critical perfectionism and daily affect: Dispositional and situational influences on stress and coping.

This study of university students (64 men and 99 women) examined both dispositional and situational influences of self-critical (SC) perfectionism on stress and coping, which explain its association with high negative affect and low positive affect. Participants completed questionnaires at the end of the day for 7 consecutive days. Structural equation modeling indicated that the relation between SC perfectionism and daily affect could be explained by several maladaptive tendencies associated with SC perfectionism (e.g., hassles, avoidant coping, low perceived social support). Multilevel modeling indicated that SC perfectionists were emotionally reactive to stressors that imply possible failure, loss of control, and criticism from others. As well, certain coping strategies (e.g., problem-focused coping) were ineffective for high-SC perfectionists relative to low-SC perfectionists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acculturative stress, perfectionism, years in the United States, and depression among Chinese international students.

The present study examined whether maladaptive perfectionism (i.e., discrepancy between expectations and performance) and length of time in the United States moderated the association between acculturative stress and depression. Data were collected through online surveys from 189 Chinese international students from China and Taiwan attending a midwestern university. Results from a hierarchical regression showed that there were significant main effects of acculturative stress and maladaptive perfectionism on depression, no significant two-way interactions, and a significant three-way interaction, indicating that acculturative stress, maladaptive perfectionism, and length of time in the United States interacted to predict depression. Low maladaptive perfectionism buffered the effect of acculturative stress on depression only for those who had been in the United States for a relatively longer period of time. Implications for counseling and future research directions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The multidimensional structure of perfectionism in clinically distressed and college student samples.

Confirmatory factor analysis was used to evaluate 2 multidimensional measures of perfectionism (R. 0 Frost, P. Marten, C. Lahart, & R. Rosenblate, 1990; P. L. Hewitt & G. L. Flett, 1991). On a first-order level, support was found for Hewitt and Flett's (1991) original 3-factor conceptualization of perfectionism, although only for an empirically derived 15-item subset. Support was also obtained for 5 of the 6 dimensions proposed by R. O. Frost et al. (1990), but the model only displayed good fit when a refined scale containing 22 of the original 35 items was used. A second-order analysis found evidence for 2 higher-order factors of adaptive and maladaptive perfectionism. Perfectionism dimensions correlated in expected directions with personality domains, symptom distress, and academic achievement. The brief measures of perfectionism also retained the construct-related validity displayed by the full-item versions. (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)     

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 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)     

Psychosocial adjustment and educational outcome in adolescents with a childhood diagnosis of attention deficit disorder

OBJECTIVE: To conduct a retrospective follow-up study of psychosocial adjustment and educational outcome in adolescents with a childhood diagnosis of attention deficit disorder (ADD) and a group of clinical controls. METHODS: Groups included male and female subjects aged 14 to 18 years at time of follow-up with childhood diagnosis of ADD (cases; n = 48) versus other neurodevelopmental disorders (clinical controls; n = 37). Cases were also subdivided based on the presence of conduct disorder (CD) at follow-up. All groups were compared on measures of academic performance, self-esteem, behavior, alcohol and substance use, and adaptive functioning. RESULTS: Cases had significantly lower academic performance and poorer social, emotional, and adaptive functioning than clinical controls. Cases with CD had significantly lower academic performance, greater externalizing behaviors and emotional difficulties, and lower adaptive functioning than cases without CD. Cases with CD fared worse than clinical controls on self-report measures of behavior, socialization skills, and alcohol and substance use. CONCLUSIONS: These academic and psychosocial problems in adolescents with a childhood diagnosis of ADD suggest potential long-term ramifications for vocational and psychological functioning into adulthood. In addition, the presence of CD in some of these cases during adolescence appears to further increase the risk for maladaptive outcome.     

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 relationship of perfectionism, depression, and therapeutic alliance during treatment for depression: Latent difference score analysis.

The authors examined the longitudinal relationship of patient-rated perfectionism, clinician-rated depression, and observer-rated therapeutic alliance using the latent difference score (LDS) analytic framework. Outpatients involved in the Treatment for Depression Collaborative Research Program completed measures of perfectionism and depression at 5 occasions throughout treatment, with therapeutic alliance measured early in therapy. First, LDS analyses of perfectionism and depression established longitudinal change models. Further LDS analyses revealed significant longitudinal interrelationships, in which perfectionism predicted the subsequent rate of depression change, consistent with a personality vulnerability model of depression. In the final LDS model, the strength of the therapeutic alliance significantly predicted longitudinal perfectionism change, and perfectionism significantly predicted the rate of depression change throughout therapy. These results clarify the patterns of growth and change for these indicators throughout depression treatment, demonstrating an alternative method for evaluating longitudinal dynamics in therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Play Therapy with Young Perfectionists.

Recent empirical research has supported a view of perfectionism as potentially adaptive as well as maladaptive. As a result, it is important to accurately assess the form of perfectionism before designing a treatment plan. Cognitive/Adlerian approaches to play therapy offer unique opportunities for assessing and treating maladaptive perfectionism in children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The quest for perfection: Avoiding guilt or avoiding shame?

Describes the cognitive style of perfectionists and the emotional and behavioral outcome of their irrational thinking patterns. Perfectionism in narcissism is viewed as an attempt to avoid shame and humiliation for not living up to an archaic grandiose view of the self. In contrast, neurotic perfectionism is an attempt to avoid guilt for not living up to the demands of a harsh, internalized, and differentiated superego. The case history of a 16-yr-old male illustrates the rupture of an incipient therapeutic alliance because of a failure to distinguish between the 2 forms of perfectionism. (28 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dyadic perfectionism as a predictor of relationship continuity and distress among college students.

This study examined the nature and impact of dyadic perfectionism over a 3-month interval within a sample of 116 college students who were currently involved in an intimate heterosexual relationship. Dyadic perfectionism scores were stable and correlated as expected with scores on concurrent measures of adult attachment orientations and relationship satisfaction. Logistic regression analyses revealed that, controlling for initial commitment status and adult attachment orientations, Time 1 dyadic perfectionism scores significantly and uniquely predicted relationship continuity 3 months later. Lastly, controlling for social desirability, relationship commitment status, and Time 1 adult attachment orientation scores, Time 1 dyadic perfectionism scores also uniquely predicted Time 2 relationship distress. Findings provide additional evidence that dyadic perfectionism is a risk factor for relationship dysfunction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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)