Perfectionism,Stress, Daily Hassles,Hopelessness, and Suicide Potential in Depressed Psychiatric Adolescents

The current study examined dimensions of perfectionism, stress, hopelessness, and suicidality in a sample of adolescent psychiatric patients diagnosed with depression. This study evaluated the unique contribution of perfectionism in predicting suicidality after considering other predictors (i.e., hopelessness, depression) and it also examined the diathesis-stress model of perfectionism and suicide. A sample of 55 adolescents (41 females, mean age = 15.53, 25.5 % ethnic/racial minorities) who were psychiatric patients completed measures including the Child-Adolescent Perfectionism Scale, subjective and objective indices of life stress, daily hassles, depression, hopelessness, suicide ideation, prior attempts and suicide potential. In addition, other informants (i.e., adolescents’ parents) completed a diagnostic interview and an interview assessing major stressful experiences. Socially prescribed perfectionism (i.e., the perception that others require perfection of oneself) predicted concurrent levels of suicide potential and this association with suicide potential held even after controlling for the variances accounted for by depression and hopelessness. Hierarchical regression analyses provided partial support for the diathesis-stress model, that is, socially prescribed perfectionism interacted with daily hassles to predict concurrent suicide potential even after controlling for depression, hopelessness, and prior suicide attempt. Together, these findings suggest that socially prescribed perfectionism acts as a vulnerability factor that is predictive of suicide potential or risk among clinically depressed adolescents.     

Perfectionism and Suicide Ideation in Adolescent Psychiatric Patients

This study was conducted to examine the relations between dimensions of perfectionism and suicide ideation in an adolescent psychiatric sample. A sample of 66 adolescents from an inpatient psychiatric facility completed the Child and Adolescent Perfectionism Scale, the Child's Hopelessness Scale, and the Suicide Ideation Questionnaire. Overall, the results indicated that socially prescribed perfectionism was associated with greater suicide ideation and that it, along with hopelessness, accounted for unique variance in suicide ideation scores. The findings are discussed in terms of their practical and theoretical significance as well as their consistency with similar research with adults.     

An Examination of Social Comparison and Suicide Ideation Through the Lens of the Integrated Motivational–Volitional Model of Suicidal Behavior

We aimed to investigate whether negative social comparisons are associated with key components of the integrated motivational‐volitional (IMV) model of suicidal behavior. Specifically, we investigated the relationship between negative social comparisons, suicide ideation, defeat, entrapment, socially prescribed perfectionism, and resilience. Adult participants (N = 422) completed an online survey comprised of a range of psychological measures. An initial regression analysis indicated that negative social comparisons were associated with suicide ideation. Three mediation models were tested based on the IMV model, all controlling for depressive symptoms. In the first, social comparison partially mediated the relationship between socially prescribed perfectionism and defeat. In the second, defeat mediated the relationship between negative social comparisons and entrapment, and resilience moderated the relationship when defeat was high. In the final model, entrapment mediated the relationship between defeat and suicide ideation, with resilience moderating this relationship when entrapment was high. These findings are novel and lend support to the IMV model. The clinical implications include highlighting the importance of targeting resilience given its potential association with defeat and entrapment.     

Dimensions of Perfectionism,Hopelessness, and Attempted Suicide in a Sample of Alcoholics

This study assessed whether specific dimensions of perfectionism and hopelessness were elevated in individuals who had made a serious suicide attempt in comparison to individuals with no history of suicide attempts. A sample of 39 inpatients with alcoholism who had made a serious suicide attempt and a matched sample of 39 inpatients with alcoholism but no history of suicide attempts completed the Multidimensional Perfectionism Scale, the Hopelessness Scale, ratings of achievement and social hopelessness, and the Beck Depression Inventory. The attempter group had higher scores on socially prescribed perfectionism, generalized hopelessness, achievement hopelessness, social hopelessness, and depression. A discriminant function analysis revealed that depression, social hopelessness, socially prescribed perfectionism, and other-oriented perfectionism were unique discriminators of the suicide groups. The results are discussed in terms of the importance of social personality variables in attempted suicide.     

Perfectionism,Hopelessness, And Suicide Ideation: Revisions to Diathesis-Stress and Specific Vulnerability Models

The current study examined variables (daily hassles, self-esteem, dispositional optimism, coping modes, and perceived social support) that could potentially moderate associations between dimensions of perfectionism and current feelings of hopelessness and suicide ideation in university students (144 women; 61 men). Our study revealed several significant findings: (1) socially prescribed perfectionism was a significant predictor of suicide ideation, interpersonal hopelessness, and achievement hopelessness for both women and men; (2) self-oriented perfectionism did not have an independent relation with any of the suicide risk outcome variables in either women or men; (3) other-oriented perfectionism was associated negatively with both current hopelessness, particularly interpersonal hopelessness, and suicide ideation in men; (4) the cluster of proposed moderators accounted for additional unique variance in all suicide risk variables in women but in achievement hopelessness only in men; (5) optimism and social hassles were unique predictors but the results varied as a function of gender and outcome; (6) each perfectionism component interacted with specific moderators to enhance or buffer the link between perfectionism and suicide risk. The findings indicate that self-oriented and other-oriented perfectionism are possibly adaptive or maladaptive under certain conditions. Implications for the development of comprehensive, multidimensional, integrated models of the perfectionism–suicide risk link and for prevention and treatment in perfectionists at risk of suicide are discussed.

Suicidal Thinking and Perfectionism: The Role of Goal Adjustment and Behavioral Inhibition/Activation Systems (BIS/BAS)

The current study investigated the associations among perfectionism, goal adjustment, behavioral activation sensitivity (BAS), behavioral inhibition sensitivity (BIS), and suicidal thinking. Participants (n = 255) completed the Multidimensional Perfectionism Scale, the BIS/BAS scale, the Goal Adjustment scale, and a measure of suicidal thinking. The findings showed that socially prescribed perfectionism was the only perfectionism dimension associated with suicidal thinking. Goal reengagement (but not goal disengagement) is an important construct in the suicidal process. A series of hierarchical regression analyses showed that goal reengagement moderates and mediates the effect of socially prescribed perfectionism on suicidal thinking. BIS was also associated with suicidal behavior but its effect was mediated via socially prescribed perfectionism. The theoretical and treatment implications of the relationships between socially prescribed perfectionism, goal reengagement, and suicidal thinking and between BIS, socially prescribed perfectionism, and suicidal thinking are discussed. Future research is required to determine whether these relationships are predictive of suicidal thinking and behavior over time.     

Dimensions of perfectionism and constructive thinking as a coping response

The present study examined perfectionism and general coping ability as assessed by a new measure of constructive thinking. A sample of 77 students completed the Multidimensional Perfectionism Scale (MPS) and the Constructive Thinking Inventory (CTI). The MPS provides measures of selforiented, other-oriented, and socially prescribed perfectionism, while the CTI provides various measures, including summary scores of global constructive thinking, emotional coping, behavioral coping, categorical thinking, personal superstitious thinking, naive optimism, and esoteric thinking. Subjects also completed a measure of depressive symptoms so that we could examine perfectionism and coping independent of current levels of adjustment. The main finding was that socially prescribed perfectionism was associated with less constructive thinking and more negative coping across most of the CTI subscales, and these associations remained significant after removing variance due to levels of depression symptoms. Self-oriented perfectionism was adaptive in that it was associated with active forms of behavioral coping, but it was maladaptive in that it was associated with a form of emotional coping involving reduced self-acceptance. The results are discussed in terms of their implications for the cognitive treatment of perfectionists. Queen's University This research was supported by grant #410-91-0856 from the Social Sciences and Humanities Research Council of Canada awarded to the authors     

Perfectionism in relation to attributions for success or failure

The present study examined the association between dimensions of perfectionism and attributions for success and failure. A sample of 124 students (40 males, 84 females) completed the Multidimensional Perfectionism Scale (MPS) and the Multidimensional Multiattributional Causation Scale (MMCS). The MPS consists of three subscales measuring self-oriented perfectionism, other-oriented perfectionism, and socially pre-scribed perfectionism. The MMCS measures internal attributions (i.e., ability, effort) and external attributions (i.e., luck, contextual factors) for positive and negative hypo-thetical outcomes in the achievement and affiliation domains. The main finding of this study was that socially prescribed perfectionism was associated with a general ten-dency to attribute outcomes to external causes. This external attribution pattern was obtained for successes and failures in both the achievement and interpersonal spheres. Overall, the main results suggest that socially prescribed perfectionism is associated with perceptions of learned helplessness. The implications of these findings are dis-cussed.     

Perfectionism and social desirability: Students report increased perfectionism to create a positive impression

Because previous studies examining correlations between perfectionism and social desirability produced inconclusive findings, this study used an experimental approach examining the perceived social desirability of perfectionism. 117 university students were randomly assigned to three conditions (fake-good, standard, and fake-bad instructions) and then completed measures of self-oriented, other-oriented, and socially prescribed perfectionism. Results showed that all three forms of perfectionism were perceived as socially desirable. Self-oriented perfectionism showed a strong linear trend across the conditions: Students reported significantly higher self-oriented perfectionism in the fake-good condition, and significantly lower self-oriented perfectionism in the fake-bad condition compared to standard instructions. Other-oriented perfectionism showed the same linear trend, albeit weaker, and only fake-good and fake-bad conditions differed significantly. Socially prescribed perfectionism too showed a significant linear trend: Students reported higher levels in the fake-good condition compared to standard instructions and fake-bad condition, with no significant difference between the latter conditions. The findings indicate that, in educational settings, students perceive perfectionism—including maladaptive forms such as socially prescribed perfectionism—as socially desirable.     

Perfectionism and Sexual Satisfaction in Intimate Relationships

This study sought to provide information on the relations between trait perfectionism and perfectionistic self-presentation and sexual satisfaction in married couples. A sample of 74 married or cohabiting couples were recruited from the community to participate in the study. They completed measures of perfectionism, perfectionistic self-presentation, sexual satisfaction, dyadic adjustment, and depression. The results showed that the interpersonal dimensions of trait perfectionism were negatively related to general sexual satisfaction and sexual satisfaction with the partner for both husbands and wives. After partialing out marital satisfaction and depression, the husband's sexual satisfaction was significantly negatively correlated with his own socially prescribed perfectionism and with his wife's ratings of other-oriented perfectionism. The wife's satisfaction was significantly negatively correlated both with her husband's socially prescribed perfectionism and with her own socially prescribed perfectionism, other-oriented perfectionism, and perfectionistic self-presentation. Regression analyses suggest that the wife's other-oriented perfectionism is a unique predictor of her general lower sexual satisfaction and her husband's lower satisfaction with her contribution to the sexual relationship. Overall, the findings suggest that perfectionistic expectations have an important role to play in sexual satisfaction in married couples.     

Perfectionism, intrinsic vs extrinsic motivation, and motivated strategies for learning: a multidimensional analysis of university students

We investigated the interrelations between dimensions of perfectionism and measures of academic motivation and learning strategies in university students. When partial correlation analysis was employed to examine the unique relation between specific perfectionism subscales and motivation/learning scales, self-oriented perfectionism was significantly related to students’ motivation and learning strategies in positive, adaptive ways whereas socially prescribed perfectionism was related in negative, maladaptive ways. Self-oriented perfectionists were motivated primarily by extrinsic compensation for their academic work whereas socially prescribed perfectionists were more motivated by recognition from others. Self-oriented perfectionism was significantly positively associated with self-efficacy for learning and performance, adaptive metacognitive and cognitive learning strategies, and effective resource management. Socially prescribed perfectionism was associated negatively with these measures. In addition, self-oriented perfectionism was associated positively with intrinsic goal orientation for a specific course, task value, and critical thinking whereas socially prescribed perfectionism was associated with test anxiety and a decreased likelihood of help-seeking. The theoretical importance of these findings and the implications for devising strategic counseling interventions are discussed.     

Perfectionism, ego defense styles, and depression: a comparison of self-reports versus informant ratings

The present study examined the associations among perfectionism, defense styles, and depression in an Israeli community sample of young adults. This study involved a comparison of self-reports and informant ratings on all measures. A community sample of 210 pairs of same-sex best friends from Israel completed the Multidimensional Perfectionism Scale, the Defense Styles Questionnaire - 40, and a depression measure. Analyses confirmed that socially prescribed perfectionism is associated with depression, not only in terms of self-reports but also in terms of informant ratings. In addition, informant ratings revealed a link between other-oriented perfectionism and depression. Both self-reports and informant ratings also indicated that socially prescribed perfectionism is associated with immature defense styles and neurotic defense styles. Further simultaneous Structural Equation Modeling (SEM) analyses of self-reports and informant ratings showed that maladaptive defense styles mediate the link between socially prescribed perfectionism and depression. The practical and theoretical implications of these findings are discussed.     

The Effect of Perfectionism and Unconditional Self-acceptance on Depression

The study examined the relationships between perfectionism, unconditional self-acceptance and depression. The non-clinical sample comprised 134 participants, each of whom completed a battery of questionnaires, including the Unconditional Self-Acceptance Questionnaire (USAQ), the Center for Epidemiological Studies Depression Inventory (CES-D) and several measures of perfectionism. Significant levels of association were found between all measures, and support was provided for the concept of perfectionism as having a neutral core, distinguishable from its consequences, and for the theory that it is the negative consequences of perfectionism, rather than perfectionism per se, that lead to depression. Path Analysis provided support for the mediator model proposed by Flett et al. [Flett, G. L., Besser, A., Davis, R. A., Hewitt, P. L. (2003). Journal of Rational-Emotive & Cognitive-Behavior Therapy, 21, 119–138], in which unconditional self-acceptance mediates the effect of socially prescribed perfectionism on depression, and for a more generic model, in which the core construct of perfectionism can have negative consequences, which lead to low levels of unconditional self-acceptance, and thence to depression. Finally, a distinction was drawn between developmental and operational models of perfectionism.     

Perfectionism and multiphasic personality inventory (MMPI) indices of personality disorder

The present research tested the hypothesis that personal and social aspects of the perfectionism construct are related differentially to indices of personality disorders. A sample of 90 psychiatric patients was examined with respect to their scores on the Multidimensional Perfectionism Scale (MPS) and the personality disorder subscales (PDS) of the Minnesota Multiphasic Personality Inventory. The MPS provides measures of self-oriented, other-oriented, and socially prescribed perfectionism, whereas the PDS assess levels of various personality disorder symptoms. Zero-order and partial correlations indicated that the perfectionism dimensions of the MPS were related to various subscales of the PDS and, perhaps more importantly, that the findings vary as a function of the perfectionism dimension in question. The results are discussed in terms of the importance of perfectionism in personality disorder symptom patterns.     

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.     

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.     

Relation between childhood peer victimization and adult perfectionism: are victims of indirect aggression more perfectionistic?

Using two independent samples and two different measures of perfectionism, this study investigated the hypothesized relation between retrospective accounts of perceived peer-inflicted emotional abuse during childhood and perfectionism in adulthood. Emotional victimization ('indirect' aggression) is characterized by behavior in which mental harm is inflicted on victims through exclusionary acts, gossiping, and rumor spreading. Study one: Self-reported questionnaires of indirect victimization [DIAS; Bjorkqvist, Lagerspetz, and Osterman, 1992] and perfectionism [multidimensional perfectionism scale; Hewitt and Flett, 1991] were administered to 162 (mean age=20.14 years) female undergraduate psychology students. Results support the predicted positive relationship between recalled indirect peer victimization and current socially prescribed/self-oriented perfectionism. Study two: self-reports of indirect peer victimization and perfectionism (eating disorder inventory-perfectionism) were collected from 196 (mean age=19.5 years) female undergraduate students. Again, recalled indirect peer victimization was a statistically significant predictor of current socially prescribed/self-oriented perfectionism whereas recalled direct (physical, verbal) peer victimization held no relation. Discussion addresses the implications of these results, which hold importance for both the bullying and perfectionism literatures.     

Psychometric Properties of the Multidimensional Perfectionism Scale of Hewitt in a Dutch-Speaking Sample: Associations With the Big Five Personality Traits

We administered the Dutch Multidimensional Perfectionism Scale of Hewitt and Flett (1991, 2004) in a large student sample (N = 959) and performed a confirmatory factor analysis to test the factorial structure proposed by the original authors. The existence of a method factor referring to the negatively keyed items in the questionnaire was investigated by including it in the tested models. Next, we investigated how the 3 perfectionism dimensions are associated with the Five-factor model (FFM) of personality. The 3-factor structure originally observed by the authors was confirmed, at least when a method factor that refers to the negatively keyed items was included in the model. Self-oriented and socially prescribed perfectionism were both distinguished by low extraversion and low emotional stability. Self-oriented perfectionism's positive relationship with both conscientiousness and openness to experience differentiated the 2 perfectionism dimensions from each other. Other-oriented perfectionism was not well-characterized by the Big Five personality traits.     

Dimensions of perfectionism in unipolar depression

We tested the hypothesis that self-oriented perfectionism, other-oriented perfectionism, and socially prescribed perfectionism are related differentially to unipolar depression. The Multidimensional Perfectionism Scale was administered along with measures of depression and anxiety to 22 depressed patients, 22 matched normal control subjects, and 13 anxiety patients. It was found that the depressed patients had higher levels of self-oriented perfectionism than did either the psychiatric or normal control subjects. In addition, depressed patients and anxious patients reported higher levels of socially prescribed perfectionism than did the normal control subjects. The results suggest that various dimensions of perfectionism may play an important role in clinical depression.     

Perfectionism and athlete burnout in junior elite athletes: the mediating role of coping tendencies

Abstract

Recent research indicates that some dimensions of perfectionism are positively related to athlete burnout, whereas others are negatively related to athlete burnout. The divergent relationship between these dimensions of perfectionism and athlete burnout may be explained by different coping tendencies. The present investigation examined whether different coping tendencies mediate the relationship between self-oriented and socially prescribed perfectionism and burnout. Two-hundred and six junior elite athletes (M age=15.15 years, SD=1.88 years, range=11–22 years) completed measures of self-oriented and socially prescribed perfectionism, coping tendencies, and athlete burnout. Structural equation modeling indicated that the relationship between dimensions of perfectionism and athlete burnout was mediated by different coping tendencies. Higher levels of socially prescribed perfectionism was related to higher levels of avoidant coping which, in turn, was related to higher levels of athlete burnout. In contrast, higher levels of self-oriented perfectionism was related to higher levels of problem-focused coping and lower levels of avoidant coping which, in turn, was related to lower levels of athlete burnout. The findings suggest that different coping tendencies may underpin the divergent relationship between self-oriented and socially prescribed dimensions of perfectionism and athlete burnout.