Perfectionism, Coping, Social Support, and Depression in Maltreated Adolescents

The current study examined the associations among dimensions of perfectionism, coping, social support, and depression in 58 adolescents with a history of maltreatment. Participants completed the Child-Adolescent Perfectionism, multidimensional measures of coping and social support, and the CES-D Depression Scale. Correlational analyses showed that depression was associated with socially prescribed perfectionism, internalized emotion-oriented coping, avoidant-oriented distancing, and low family support and peer support. Analyses of coping responses and perfectionism established links between self-oriented perfectionism and internalized emotion-oriented coping responses and self-reliant problem-solving. Socially prescribed perfectionism was associated with avoidance-oriented coping (i.e., distancing). While self-oriented perfectionism and social support were unrelated, socially prescribed perfectionism was associated with reduced levels of family support. Collectively, the findings highlight the roles of poor coping and social support as contributors to the emotional distress experienced by maltreated adolescents. Moreover, it is suggested that the distress experienced by perfectionistic youth with a history of maltreatment reflects, in part, the role of maladaptive coping styles and coping resource deficits. Our findings support further consideration of personality dimensions such as perfectionism as contributors to poor functioning among maltreated youth.     

Spirituality Moderates Hopelessness,Depression, and Suicidal Behavior among Malaysian Adolescents

Suicide is an important public health problem for adolescents, and it is essential to increase our knowledge concerning the etiology of suicide among adolescent students. Therefore, this study was designed to examine the associations between hopelessness, depression, spirituality, and suicidal behavior, and to examine spirituality as a moderator between hopelessness, depression, and suicidal behavior among 1376 Malaysian adolescent students. The participants completed measures of depression, hopelessness, daily spiritual experience, and suicidal behavior. Structural equation modeling indicated that adolescent students high in hopelessness and depression, but also high in spirituality, had less suicidal behavior than others. These findings reinforce the importance of spirituality as a protective factor against hopelessness, depression, and suicidal behavior among Malaysian adolescent students.     

Perfectionism and Obsessive-Compulsive Symptoms

This study was designed to determine whether perfectionism, as assessed by the revised almost perfect scale (APS-R; R. B. Slaney, M. Mobley, J. Trippi, J. S. Ashby, & D. G. Johnson, 1996), was a significant predictor of obsessive-compulsive (OC) symptoms in a non-clinical sample of 308 university students. Perfectionistic discrepancy emerged as a general predictor of obsessive thought difficulties and compulsive checking behavior. Excessive concerns about making mistakes also emerged as a significant specific predictor of obsessive cognitive but not behavioral symptoms after other dimensions of perfectionism were controlled. An interaction effect indicated that students with high discrepancy but low standards were more likely to experience OC-related washing symptoms than other students. The general effects of perfectionism on OC symptoms, the specific effects of certain perfectionism dimensions over others, and other perfectionism research results, implicate APS-R discrepancy as a core dimension of maladaptive perfectionism and APS-R high standards as either benign or protective in the associations with OC symptoms.     

The Associations Between Everyday Discrimination,Brooding, Reflection,and Symptoms of Depression in Adolescents

Journal of Child and Family Studies - Our study explored the relations between perceived everyday discrimination (PED), brooding rumination (dwelling on negative feelings), reflection rumination...     

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.     

Perfectionism and Depression Among Low-Income Chronically Ill African American and White Adolescents and Their Maternal Parent

Most research on perfectionism is based on convenience samples of university students or clinically distressed samples, and therefore relatively less is known about the development and implications of perfectionism for other groups. In this study, we examined perfectionism and depression in low-income African American (n = 39) and White (n = 55) adolescents with chronic illnesses (most with diabetes, asthma, and/or hypertension) and their primary parents. We specifically examined the association between parent and child perfectionism, and the link between perfectionism and depression in both groups. The African American adolescents reported significantly more maladaptive perfectionism than did the White adolescents, and the African American parents reported significantly higher scores on depression than did the White parents. Correlations and regression analyses revealed similarities and differences in perfectionism-depression associations that might be explained in light of cultural differences and the unique physical and emotional challenges faced by youth with chronic illnesses. The word “parent” in this study is used to represent a parent or other adult who was identified as a primary caregiver for the adolescent.     

Classification of Co-occurring Depression and Substance Abuse Symptoms Predicts Suicide Attempts in Adolescents

Although both depression and substance use have been found to contribute to suicide attempts, the synergistic impact of these disorders has not been fully explored. Additionally, the impact of subthreshold presentations of these disorders has not been researched. We utilized the Quadrant Model of Classification (a matrix of severity of two disorders) to assess for suicide attempt risk among adolescents. Logistic regression was used to examine the impact of co-occurring disorder classification on suicide risk attempts. Results indicate that quadrant classification had a dramatic impact on suicide attempt risk, with individuals with high severity co-occurring disorders at greatest risk.     

Personal Control, Self-Efficacy in Sexual Negotiation, and Contraceptive Risk among Adolescents: The Role of Gender

Adolescents’ sexual decision making is shaped by normative ideas about “appropriate” sexual roles for women and men; consequently, the motivation and ability to engage in safer sex may be different for adolescent girls and boys. The aim of this study was to explore how social–psychological resources influence the behavior of girls and boys within the highly gendered and inequitable domain of sexual relationships. I used data from the National Longitudinal Study of Adolescent Health (Add Health) to examine whether personal control and self-efficacy in sexual negotiation are associated with contraceptive risk (engaging in sexual intercourse or not using condoms) among adolescents and whether these associations differ for adolescent boys and girls. Results indicate that personal control and self-efficacy in sexual negotiation are significantly associated with safer sex behavior, and are often more important for girls than for boys in predicting contraceptive risk.     

Parenting Sensitivity,Parental Depression and Child Health: The Mediational Role of Parental Self-Efficacy

This paper discusses the theoretical role of parental self-efficacy, or parents' beliefs in their competence and effectiveness in the parental role, as a mediator of relations between parent–child risk and parental sensitivity. Evidence is marshalled from studies of parenting in the contexts of maternal depression and child health risk to support the premise that parent–child characteristics affect parental sensitivity indirectly via their more direct impact on parental feelings of efficacy, and that parenting efficacy represents the ‘final common pathway’ in the prediction of parenting sensitivity. Also considered in this working model are specific social-contextual factors as independent contributors to parenting efficacy and as possible moderators of relations between parent–child characteristics and self-efficacy. Implications for intervention are discussed. © 1996 John Wiley & Sons, Ltd.     

Assessing Self-Critical Perfectionism in Clinical Depression

The Pathological Narcissism Inventory (PNI) is a multidimensional measure of narcissistic pathology. This study examined the factor structure and psychometric properties of the PNI in a sample of Chinese university students in Hong Kong. Eight hundred and thirty-one students completed an online battery of questionnaires assessing narcissistic pathology, self-esteem, unstable sense of self, and maladaptive self-defense strategies. Results replicated the 7 first-order factors and the 2 second-order factors of the PNI. Each of the 7 first-order factors and the 2 second-order factors had good internal consistency. Preliminary findings also supported the concurrent validity of the PNI. The PNI appeared to be a valid measure of narcissistic pathology among Chinese. Findings of this study suggest that the core pathology of pathological narcissism might involve an inflated sense of self-importance that is not substantiated by actual achievement, and bearing this unsubstantiated sense of self-importance renders narcissists highly susceptible to self-deflation when their narcissistic needs are not met.     

Gender Differences in Cognitive Vulnerability to Depression and Behavior Problems in Adolescents

This study assessed gender differences in cognitive variables as an explanation for gender differences in depression and behavior problems; 856 adolescents (491 females and 365 males), aged 14–17, completed the Irrational Beliefs Scale for Adolescents, the Social Problem Solving Inventory—Revised Short Form, the adolescent version of the Burnett Self-Talk Inventory, and the Youth Self Report. Female adolescents lower levels of positive thinking and higher scores on negative problem orientation, need for approval and success, and self-focused negative cognitions partially mediated gender differences in depressive symptoms. Males higher scores on justification of violence beliefs and the impulsivity/carelessness style of problem solving partially accounted for differences in delinquent behavior. The influence of need for approval and success on depressive symptoms was higher among adolescents at ages 14–15 than among older adolescents. Justification of violence did not influence delinquent behavior among girls at age 14–15.     

Co-Rumination Exacerbates Stress Generation among Adolescents with Depressive Symptoms

Through stress generation, individuals’ own thoughts and behaviors can actually lead to increases in their experience of stress. Unfortunately, stress generation is especially common among individuals who are already suffering from elevated depressive symptoms. However, despite the acknowledgement that some individuals with depressive symptoms generate greater stress than others, few studies have identified specific factors that could exacerbate stress generation among individuals with depressive symptoms. The present study examines co-rumination as a factor that might exacerbate stress generation among adolescents with depressive symptoms using a short-term longitudinal design. Considering these processes among adolescents was critical given that many youth experience increases in depressive symptoms at this developmental stage and that co-rumination also becomes more common at adolescence. Participants were 628 adolescents (326 girls; 302 boys) who reported on their depressive symptoms, experiences of stress, and co-rumination with a best friend. Interpersonal stressors (peer and family stress) and non-interpersonal stressors (school and sports stress) were assessed. Consistent with past research, adolescents with depressive symptoms experienced greater interpersonal and non-interpersonal stress over time. Importantly, co-rumination interacted with both depressive symptoms and gender in predicting increases in peer stress. Depressive symptoms predicted the generation of peer stress only for girls who reported high levels of co-rumination with friends. Implications for protecting youth with depressive symptoms against stress generation are discussed.     

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.     

Racial Socialization Experiences and Symptoms of Depression among Black Youth

Ecological barriers like racism and discrimination can weigh heavily on the shifting emotions of adolescents. We investigated the relationship of racial socialization experiences to the depression symptoms of 160 Black adolescents, including lethargy, low self-esteem, cognitive difficulties, social introversion, irritability, guilt, pessimism, sad mood, instrumental helplessness, and overall depression. Cultural pride socialization was inversely related to adolescent reports of lethargy and low self-esteem while alertness to discrimination socialization was positively related to instrumental helplessness and gender differences were found. Multiple regression findings showed that racial socialization experiences add significantly more predictability of depression symptoms over and above gender, neighborhood risk and resources. Recommendations for the family, mental health professionals and for the development of culturally relevant social interventions are provided.     

Perceived Parenting,Self-Esteem,and General Self-Efficacy of Iranian American Adolescents

We examined whether Iranian American adolescents’ perceptions of parental support, parental knowledge, and parental psychological control relate to general self-efficacy directly, and indirectly through positive esteem and self-deprecation. To investigate this, self-report surveys were collected from 158 Iranian American adolescents attending Iranian American youth groups, Armenian private school, and one public school. Results indicated that positive esteem, self-deprecation, mother and father knowledge, and mother and father psychological control were directly related to general self-efficacy. Furthermore, the parenting variables were indirectly related to general self-efficacy through either positive esteem or self-deprecation.     

Romantic Contexts, Sexual Behavior, and Depressive Symptoms among Adolescent Males and Females

In order to examine the association between sexual behavior and depressive affect among adolescents, 122 and 219 Israeli adolescents, in two separate studies, reported their romantic and sexual history, the quality of their relationships and level of depressive symptoms. Findings show that a higher level of sexual activity in short-term romantic relationships, which were low in intimacy and authenticity, was related to increased levels of depressive symptoms among females but not among males. In contrast, involvement in stable romantic relationships was not associated with increased depressive affect for either gender. Findings from a 3 month follow-up suggested that it may be that an increased level of depressive symptoms leads adolescent females to become more sexually involved in short romantic encounters.     

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.