A preliminary look at loneliness as a moderator of the link between perfectionism and depressive and anxious symptoms in college students: does being lonely make perfectionistic strivings more distressing?

An integrative model involving perfectionism [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] and loneliness as predictors of depressive and anxious symptoms was proposed and tested in 383 college students. Beyond the expected additive influences of the two predictors in the prediction of symptoms, loneliness was also hypothesized to moderate the link between perfectionism and symptoms. Results indicated that other-oriented perfectionism predicted anxious symptoms, whereas socially prescribed perfectionism predicted both depressive and anxious symptoms. Loneliness was found to add incremental validity to these predictions. Moreover, the Perfectionism x Loneliness interaction was found to further augment the prediction of depressive and anxious symptoms. These findings are taken to offer support for a more contextual model of perfectionism. Some implications of the present findings are discussed.     

Self-oriented and socially prescribed perfectionism dimensions and their associations with disordered eating

This study examined the relationship between self-oriented and socially prescribed dimensions of perfectionism (using two measures of perfectionism) and disordered eating assessed across multiple time points in a sample of young women. Study participants (n=406) reported on their levels of perfectionism and on their subsequent patterns of dieting and bulimic symptoms. Self-oriented perfectionism was strongly linked to dietary restraint, whether using the theoretically derived perfectionism dimensions from the Multidimensional Perfectionism Scale (MPS) [Hewitt, P.L., & Flett, G.L. (1991a). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456-470] or the dimensions derived from the Perfectionism subscale of the Eating Disorder Inventory (EDI) [Garner, D. M., Olmsted, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15-34]. A less clear-cut pattern emerged when bulimic symptoms were investigated, with both self-oriented (MPS and EDI) and socially prescribed perfectionism (MPS) being associated with bulimic symptoms. After controlling for negative affect, only a self-oriented dimension of perfectionism predicted unique variance in bulimic symptoms. What constitutes maladaptive perfectionism, concerns about using EDI-Perfectionism dimensions interchangeably with MPS dimensions, and future directions are discussed.     

Dimensions of perfectionism across the anxiety disorders

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.     

Are Perfectionism Dimensions Vulnerability Factors for Depressive Symptoms After Controlling for Neuroticism? A Meta‐analysis of 10 Longitudinal Studies

Extensive evidence suggests neuroticism is a higher‐order personality trait that overlaps substantially with perfectionism dimensions and depressive symptoms. Such evidence raises an important question: Which perfectionism dimensions are vulnerability factors for depressive symptoms after controlling for neuroticism? To address this, a meta‐analysis of research testing whether socially prescribed perfectionism, concern over mistakes, doubts about actions, personal standards, perfectionistic attitudes, self‐criticism and self‐oriented perfectionism predict change in depressive symptoms, after controlling for baseline depression and neuroticism, was conducted. A literature search yielded 10 relevant studies (N = 1,758). Meta‐analysis using random‐effects models revealed that all seven perfectionism dimensions had small positive relationships with follow‐up depressive symptoms beyond baseline depression and neuroticism. Perfectionism dimensions appear neither redundant with nor captured by neuroticism. Results lend credence and coherence to theoretical accounts and empirical studies suggesting perfectionism dimensions are part of the premorbid personality of people vulnerable to depressive symptoms. Copyright © 2016 European Association of Personality Psychology     

Perfectionism,Components of Stress Reactivity,and Depressive Symptoms

The current study examined the associations among dimensions of perfectionism, facets of stress reactivity, and self-reported depressive symptoms in 191 university students. Participants completed the Multidimensional Perfectionism Scale, the Perfectionism Cognitions Inventory, the Perceived Stress Reactivity Scale (PSRS), and a measure of depressive symptoms. The PSRS is a relatively new instrument that measures several distinguishable facets of stress reactivity including prolonged stress reactivity, reactivity to failure, and reactivity to social evaluation. Analyses confirmed that most of the perfectionism measures were associated with stress reactivity to failure experiences. Socially prescribed perfectionism and perfectionistic automatic thoughts were also associated with prolonged stress reactivity and reactivity to social evaluation. Moreover, all facets of stress reactivity were correlated with depressive symptoms. Finally, prolonged stress reactivity and reactivity to social evaluation mediated the links between perfectionism dimensions and depressive symptoms. The current findings provide general support for models of perfectionism and stress, and suggest that perfectionists have heightened sensitivities to stressors related to their self-definitions that are activated when threatening stressors involving these themes are experienced.     

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. O. 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.     

Subtypes of Adaptive and Maladaptive Perfectionism in Anorexia Nervosa: Associations with Eating Disorder and Affective Symptoms

Perfectionism is hypothesized to contribute to the etiology of anorexia nervosa (AN). However, there is little research regarding whether individuals with AN can be classified according to maladaptive (e.g., evaluative concerns) and adaptive (e.g., high personal standards) facets of perfectionism that predict distinct outcomes and might warrant different intervention approaches. In this study, a latent profile analysis was conducted using data from adults with AN (n?=?118). Frost Multidimensional Perfectionism Scale (Frost et al. Cognitive Therapy and Research, 14(5), 449–46, 1990) subscales were used to identify subgroups differing according to endorsed perfectionism features (e.g., adaptive and maladaptive perfectionism). Generalized linear models were used to compare subgroups on eating disorder and affective symptoms measured through questionnaire and ecological momentary assessment. Four subgroups were identified: (a) Low Perfectionism; (b) High Adaptive and Maladaptive Perfectionism; (c) Moderate Maladaptive Perfectionism; and (d) High Maladaptive Perfectionism. Subgroups differed on overall eating disorder symptoms (p?<?.001), purging (p?=?.005), restrictive eating (p?<?.001), and body checking (p?<?.001) frequency, depressive (p?<?.001) and anxiety (p?<?.001) symptoms, and negative (p?=?.001) and positive (p?<?.001) affect. The Low Perfectionism group displayed the most adaptive scores and the Moderate and High Maladaptive Perfectionism groups demonstrated the most elevated clinical symptoms. The High Adaptive and Maladaptive Perfectionism group demonstrated low affective disturbances, but elevated eating disorder symptoms. Results support the clinical significance of subtyping according to perfectionism dimensions in AN. Research is needed to determine if perfectionism subtyping can enhance individualized treatment targeting in AN.     

Relations between multidimensional perfectionism and burnout in junior-elite male athletes

ObjectivesThe purpose of the present investigation was to examine the moderating influence of perceptions of goal progress and achievement goal orientations on the relationship between multidimensional perfectionism and athlete burnout.Methods201 junior-elite male athletes, ranging from 11 to 21 years of age (M = 15.64, SD = 1.92), were recruited from professional sport clubs in the UK and completed a multi-section inventory assessing self-oriented and socially prescribed perfectionism [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], achievement goal orientations [Roberts, G. C., Treasure, D. C., & Balague, G. (1998). Achievement goals in sport: the development and validation of the perception of success questionnaire. Journal of Sport Sciences, 16, 337–347], perceived goal progress [Hill, A. P., Hall, H. K., Appleton, P. R., & Kozub, S. A. (2008). Perfectionism and burnout in junior-elite soccer players: the mediating influence of unconditional self-acceptance. Psychology of Sport and Exercise, 9, 630–644] and multidimensional athlete burnout [Raedeke, T. D., & Smith, A. L. (2001). Development and preliminary validation of an athlete burnout measure. Journal of Sport and Exercise Psychology, 23, 281–306].ResultsRegression analyses revealed that socially prescribed perfectionism demonstrated a significant positive association, and self-oriented perfectionism a significant negative association with burnout dimensions. However, the hypotheses for moderation of the perfectionism–burnout relationship were not supported.ConclusionsOverall, while there was no evidence to support the hypothesised moderation of the perfectionism–burnout relationship, the results provide support for a growing body of literature which indicates that maladaptive forms of perfectionism may contribute to burnout in elite junior athletes [Chen, L. H., Kee, Y. H., Chen, M., & Tsaim, Y. (2008). Relation of perfectionism with athletes' burnout: further examination. Perceptual and Motor Skills, 106, 811–820; Gould, D., Tuffey, S., Udrey, E., & Loehr, J. (1996). Burnout in competitive junior tennis players: II. Qualitative analysis. The Sport Psychologist, 10, 341–366; Gould, D., Udry, E., Tuffey, S., & Loehr, J. (1996). Burnout in competitive junior tennis players: I. A quantitative psychological assessment. The Sport Psychologist, 10, 332–340; Hall, H. K. (2006). Perfectionism: a hallmark quality of world class performers, or a psychological impediment to athletic development? In D. Hackfort, & G. Tenenbaum (Eds.), Perspectives in sport and exercise psychology: Essential processes for attaining peak performance (Vol. 1, pp. 178–211). Oxford, UK: Meyer & Meyer Publishers; Hill et al., 2008; Lemyre, P. N., Hall, H. K., & Roberts, G. C. (2008). A social cognitive approach to burnout in elite athletes. Scandinavian Journal of Medicine & Science in Sports, 18, 221–224].     

The Role of Perfectionism in Relation to an Intervention to Reduce Anxious and Depressive Symptoms in Children

Research has demonstrated an association between perfectionism and depressive and anxious symptoms in children. We examined whether a school-based program targeting anxious and depressive symptoms would reduce perfectionism, and whether perfectionism would interfere with intervention outcomes. The participants were 78 school-age children identified as at-risk for anxiety and/or depression. At-risk children took part in a randomized controlled trial of a school-based intervention program. Levels of perfectionism, depression, and anxiety were assessed at pre-treatment (Time 1) and again at post-treatment (Time 2) after participating in either a cognitive behavioral group or a structured activity group. Participation in either group was associated with significant reductions in overall levels of self-oriented perfectionism, anxious symptoms, and depressive symptoms. Supplementary analyses indicated that pre-treatment self-oriented perfectionism influenced post-treatment depression scores, suggesting that perfectionism interferes with treatment outcome. Perfectionism in children appeared amenable to group-based intervention, and identifying perfectionism may be important for treating children with depressive symptoms.     

Perfectionism, acne and appearance concerns

This study investigated the relationship between perfectionism and two aspects of appearance worry: acne-related concerns and dysmorphic concerns. One-hundred and sixty five female university students completed measures of three facets of perfectionism: self-oriented, other-oriented and socially prescribed [Hewitt, P. L., & Flett, G. L. (1991a). Perfectionism in the self and social contexts: conceptualization, assessment and association with psychopathology. Journal of Personality and Social Psychology, 60, 456–470], general psychopathology (GHQ-28), acne health related quality of life [Girman, C. J., Hartmaier, S., Thiboutot, D., Johnson, J., Barter, B., DeMunro-Mercon, & Waldstreicher, J. (1996). Evaluating health-related quality of life in patients with facial acne: development of a self-administered questionnaire for clinical trials. Quality of Life Research, 5, 481–490] and dysmorphic concerns [Oostuizen, P., Lambert, T., & Castle, D.J. (1998). Dysmorphic concern: prevalence and associations with clinical variables. Australian and New Zealand Journal of Psychiatry, 32, 129–132]. Multiple regression analyses showed that, after controlling for general psychopathology, a high level of socially prescribed perfectionism was associated with a greater tendency to be concerned about acne in particular and appearance in general.     

Informant reports add incrementally to the understanding of the perfectionism–depression connection: Evidence from a prospective longitudinal study

Perfectionism is a putative risk factor for depressive symptoms. However, most research in this area uses cross-sectional designs (which fail to address temporal precedence) and mono-source designs (which are influenced by various biases). The present study overcomes these limitations by using a novel design involving both self- and informant reports of self-critical perfectionism (i.e., negative reactions to perceived failures, concern over others’ criticism and expectations, doubts about performance abilities, and intense self-rebuke). It was hypothesized that self- and informant reports of self-critical perfectionism would correlate moderately and that self- and informant reports of self-critical perfectionism would predict increases in depressive symptoms over time. A sample of 155 target participants and 588 informants was recruited and studied using a prospective longitudinal design. All study hypotheses were supported, including evidence that self- and informant reports of self-critical perfectionism each add incrementally to the understanding of the self-critical perfectionism–depressive symptoms connection. Informant reports may provide a more complete picture of the self-critical perfectionist and her or his vulnerability to depressive symptoms.     

Perfectionism, beliefs, and adjustment in dating relationships

Two studies examined the extent to which dimensions of perfectionism are associated with indices of relationship beliefs, behaviors, and dyadic adjustment. In Study 1, 69 students in dating relationships completed the Multidimensional Perfectionism Scale (MPS) and a multidimensional measure of relationship beliefs. In addition, partici-pants completed self-report measures of positive and negative relationship behaviors, and global measures of liking and loving. In Study 2, 91 students in dating relation-ships completed a battery of measures including the MPS and scales assessing perfec-tionism cognitions and perfectionistic self presentation. They also completed mea-sures of dyadic adjustment and limerence (i.e., intense, obsessive low with fears of rejection). Collectively, the findings indicated that individuals with high levels of self-oriented perfectionism and other-oriented perfectionism have stronger relationship beliefs in the areas of communication, trust, and support, suggesting that these perfec-tionists have high relationship standards in these particular areas. Although social prescribed perfectionism had little association with specific relationship beliefs, so-cially prescribed perfectionism was associated with a tendency to display destructive relationship responses (i.e., exit, neglect, and insensitivity), lower dyadic adjustment, and various aspects of limerence, including obsessive preoccupations and emotional dependence on the dating partner. Perfectionistic self-presentation and perfectionism cognitions were also linked with aspects of limerence. The results suggest that inter-personal aspects of perfectionism are associated with self-defeating tendencies in dating relationships. This research was supported, in part, by grant #410-93-1256 from the Social Sciences and Humanities Research Council of Canada awarded to the authors. The authors wish to thank Lisa Davidson for her assistance with the data analyses in Study 1. Requests for reprints should be addressed to Gordon L. Flett, Department of Psychology, York University, 4700 Keele Street, Toronto, Ontario, Canada, M3J 1P3.     

Understanding perfectionism and depression in an adult clinical population: Is outcome expectancy relevant to psychological functioning?

Perfectionism is a personality trait defined by high standards of performance, which has been identified as a risk factor for major depressive disorder (MDD). The present study examined if outcome expectancy involved in perfectionism differs for individuals with depression compared to non-depressed controls, and how outcome expectancy relates to depression symptoms. This study included 49 depressed and 42 non-depressed participants. Perfectionism and depression severity were measured via self-report instruments. This study is the first to provide preliminary evidence that outcome expectancies involved in perfectionism may be related to psychological functioning in depression. Individuals with depression demonstrated higher negative and lower positive outcome expectancies associated with perfectionism compared to non-depressed participants. Perfectionism outcome expectancies are also related to depression severity and symptoms. Future research should prospectively investigate relationships of outcome expectancy involved in perfectionism in individuals at risk for depression.     

Perfectionism, beliefs, and adjustment in dating relationships

Two studies examined the extent to which dimensions of perfectionism are associated with indices of relationship beliefs, behaviors, and dyadic adjustment. In Study 1, 69 students in dating relationships completed the Multidimensional Perfectionism Scale (MPS) and a multidimensional measure of relationship beliefs. In addition, partici-pants completed self-report measures of positive and negative relationship behaviors, and global measures of liking and loving. In Study 2, 91 students in dating relation-ships completed a battery of measures including the MPS and scales assessing perfec-tionism cognitions and perfectionistic self presentation. They also completed mea-sures of dyadic adjustment and limerence (i.e., intense, obsessive low with fears of rejection). Collectively, the findings indicated that individuals with high levels of self-oriented perfectionism and other-oriented perfectionism have stronger relationship beliefs in the areas of communication, trust, and support, suggesting that these perfec-tionists have high relationship standards in these particular areas. Although social prescribed perfectionism had little association with specific relationship beliefs, so-cially prescribed perfectionism was associated with a tendency to display destructive relationship responses (i.e., exit, neglect, and insensitivity), lower dyadic adjustment, and various aspects of limerence, including obsessive preoccupations and emotional dependence on the dating partner. Perfectionistic self-presentation and perfectionism cognitions were also linked with aspects of limerence. The results suggest that inter-personal aspects of perfectionism are associated with self-defeating tendencies in dating relationships. This research was supported, in part, by grant #410-93-1256 from the Social Sciences and Humanities Research Council of Canada awarded to the authors. The authors wish to thank Lisa Davidson for her assistance with the data analyses in Study 1. Requests for reprints should be addressed to Gordon L. Flett, Department of Psychology, York University, 4700 Keele Street, Toronto, Ontario, Canada, M3J 1P3.     

The role of perfectionism in cognitive behaviour therapy outcomes for clinically anxious children

The main aim of this study was to determine whether pre-treatment levels of child perfectionism impacted on anxiety treatment outcomes for school-aged children. In addition, it was investigated whether child perfectionism decreased following treatment for anxiety. Participants were sixty-seven clinically anxious children aged 6–13 years (female = 34; majority Caucasian) who were enrolled in a group-based cognitive behaviour therapy program, and their parents. They completed self-report questionnaires on anxiety and depressive symptoms and were administered a diagnostic interview to determine the type and clinician rated severity of anxiety and related disorders pre- and post-treatment and at 6-month follow-up. Self- and parent-rated perfectionism were also measured pre-treatment, while a subset of children completed perfectionism measures post-treatment as well. Self-Oriented Perfectionism, but not Socially Prescribed Perfectionism, predicted poorer self-reported treatment outcome (higher levels of anxiety symptoms) immediately following treatment and at 6-month follow-up when using a multi-informant approach. Additionally, both Self-Oriented and Socially Prescribed child perfectionism significantly reduced immediately following treatment. Despite reductions in child perfectionism following anxiety treatment, higher Self-Oriented Perfectionism may impact negatively on child anxiety treatment outcome.     

Dimensions of Perfectionism and Self-worth Contingencies in Depression

The current study investigated the role of contingent self-worth in perfectionism and depression. It was hypothesized that perfectionism is associated with depression because perfectionists base their self-worth on being successful and on the need to be actively working toward their goals. A sample of 170 female university students completed measures of conditional self-worth, perfectionism traits, perfectionism cognitions, and depressive symptoms. Structural equation modeling revealed that a factor interpreted as Evaluative Concerns Perfectionism was associated strongly with contingent self-worth, which was, in turn, related to depressive symptomatology. In addition, contingent self-worth mediated the association between perfectionism cognitions and depression. Other analyses revealed that measures of self-oriented perfectionism that are often viewed as highly similar actually differed in terms of their associations with contingent self-worth. The theoretical and practical implications of the associations between perfectionism and contingent self-worth are discussed.     

Dimensions of depression and perfectionism in pregnant and nonpregnant women: their levels and interrelationships and their relationship to marital satisfaction

The authors studied S. J. Blatt's (1974) 2 dimensions of depression (anaclitic and introjective), P. L. Hewitt and G. L. Flett's (1991b) 3 dimensions of perfectionism (socially prescribed, self-oriented, and other-oriented), and the relationship between these and marital satisfaction in 100 married women in the last trimester of their first pregnancy and in 50 married women who had not yet experienced pregnancy. The measures used were the Depressive Experiences Questionnaire (S. J. Blatt, J. P. D'Afflitti, & D. M. Quinlan. 1976a, 1976b), the Multidimensional Perfectionism Scale (P. L. Hewitt & G. L. Flett, 1989), and G. B. Spanier's (1976) Dyadic Adjustment Scale. Pregnant and nonpregnant women did not differ in anaclitic depression, but the level of introjective depression of pregnant women was lower than that of nonpregnant women. The two groups did not differ in level of marital satisfaction or in any of the dimensions of perfectionism. For both groups, introjective depression was positively correlated with socially prescribed perfectionism and negatively correlated with marital satisfaction. Self-oriented perfectionism was positively related to introjective depression and negatively related to marital satisfaction for nonpregnant women. For the pregnant women, there was a negative relationship between socially prescribed perfectionism and marital satisfaction. Anaclitic depression and other-oriented perfectionism were unrelated to any of the other variables studied.     

Dimensions of Perfectionism, Unconditional Self-Acceptance, and Depression

The current research investigated the associations among dimensions of perfectionism, unconditional self-acceptance, and self-reported depression. A sample of 94 students completed the Multidimensional Perfectionism Scale, the Unconditional Self-Acceptance Questionnaire, and a self-report depression measure. Correlational results indicated that all three trait dimensions of perfectionism (i.e., self-oriented, other-oriented, and socially prescribed perfectionism) were associated negatively with unconditional self-acceptance. Also, as expected, depression was associated with relatively low unconditional self-acceptance. Finally, a path analysis revealed that unconditional self-acceptance mediated the association between socially prescribed perfectionism and depression, and other-oriented perfectionism was found to affect depression only indirectly through its association with low levels of self-acceptance. The findings indicate that perfectionists evaluate themselves in terms of a contingent sense of self-worth, and as such, they are vulnerable to psychological distress when they experience negative events that do not affirm their self-worth.     

Examining the Role of Perfectionism and Intolerance of Uncertainty in Postevent Processing in Social Anxiety Disorder

Postevent processing (PEP) is proposed to be a key maintenance factor of social anxiety disorder (SAD; e.g., Clark and Wells 1995). The goal of the current study was to examine the independent roles of two transdiagnostic variables, namely perfectionism and intolerance of uncertainty (IU), as unique predictors of PEP in SAD above and beyond social anxiety and depressive symptoms. Fifty-six adults with SAD and high levels of speech anxiety completed measures of perfectionism, IU, social anxiety, and depression. They gave an impromptu speech to induce PEP, and completed measures assessing degree of PEP and its associated distress. Significant positive correlations were found between perfectionism and negative PEP degree and distress, as well as between IU and negative PEP distress. The perfectionism subscales of parental expectations and parental criticism significantly predicted negative PEP degree and distress over and above social anxiety and depressive symptoms. Perfectionism, as well as IU, were significantly and positively correlated with positive PEP distress, and significantly predicted positive PEP distress above and beyond social anxiety and depressive symptoms. The study design was cross-sectional; hence, experimental and longitudinal studies are needed to further understand the roles of perfectionism and IU as they relate to PEP. Individuals with SAD who are high in perfectionism or IU appear to be more prone to engaging in, or experiencing distress associated with, negative PEP. Specific strategies for decreasing negative PEP in this vulnerable population, especially for those high in perfectionism, may be necessary for optimal treatment outcome.