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.     

Multidimensional perfectionism and the DSM-5 personality traits

Encouraging further research on the dimensional assessment of personality disorders (PDs), Section III of the DSM-5 introduced a hybrid model for the assessment of six PDs employing self-reports on 25 maladaptive personality traits (“DSM-5 personality traits”). Following suggestions that multidimensional perfectionism is an important characteristic across various personality disorders (Ayearst, Flett, & Hewitt, 2012), the present study investigated how personal (self-oriented) and interpersonal (other-oriented and socially prescribed) forms of perfectionism predicted the DSM-5 personality traits in a sample of 311 university students. Multiple regressions (controlling for the overlap between the different forms of perfectionism) showed that socially prescribed perfectionism positively predicted the traits defining schizotypal, borderline, avoidant, and obsessive-compulsive PD; other-oriented perfectionism positively predicted the traits defining narcissistic PD; and both socially prescribed and other-oriented perfectionism positively predicted the traits defining antisocial PD. In contrast, self-oriented perfectionism positively predicted only one of the four traits defining obsessive-compulsive PD (rigid perfectionism). Showing that multidimensional perfectionism predicted all DSM-5 traits defining the personality disorders of Section III, the findings suggest that future DSM-5 updates may profit from including interpersonal aspects of perfectionism as a diagnostic criterion.     

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.     

Perfectionism and psychological distress: evidence of the mediating effects of rumination

Three studies investigated the role of ruminative tendencies in mediating the effects of multidimensional perfectionism (Hewitt & Flett, 1991) on psychological distress. Study 1 (Sample 1, N = 279; Sample 2, N = 224) and Study 2 (N = 205) found evidence, cross‐sectionally and prospectively, that brooding ruminative response style either fully or partially mediated the effects of socially prescribed and self‐oriented perfectionism on psychological distress, depression and hopelessness levels. In addition, Study 3 (N = 163) confirmed these mediation effects for socially prescribed perfectionism in relation to depression and hopelessness, 2 months later, after initial levels of distress were controlled. Overall, these findings provide evidence that brooding ruminative response style is an important mechanism that can explain, in part, the relationship between perfectionism and distress. Copyright © 2006 John Wiley & Sons, Ltd.     

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.     

完美主义结构研究述评

早期研究者如Adler、Homey和Ellis认为完美主义是一种单维的人格结构。后来的研究者如Hewitt、Frost等多持多维观点,认为完美主义是由不同因素组成的复杂结构。目前越来越多学者认同完美主义的二维观,认为完美主义有积极和消极之分。今后研究应考虑完美主义的文化因素,同时应从心理咨询、心理治疗和心理健康教育效果的角度来佐证某种结构观的合理性。     

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.     

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.     

A new measure of perfectionism: the Perfectionism Inventory

In this investigation, we produced a new 8-scale measure of perfectionism called the Perfectionism Inventory (PI) that is designed to capture the important constructs provided by 2 existing Multidimensional Perfectionism Scale (MPS; Frost, Marten, Lahart, & Rosenblate, 1990; Hewitt & Flett, 1991b) measures, along with new perfectionism scales. In the results from 3 studies, we describe scale development, scale psychometric properties, and criterion-related validity evidence for the 8 PI scales: Concern Over Mistakes, High Standards for Others, Need for Approval, Organization, Parental Pressure, Planfulness, Rumination, and Striving for Excellence. We present relationships between the 8 PI scales, relevant MPS scales, and other criterion measures. Second-order exploratory and confirmatory analyses provide support for the 8-scale PI model as well as support for 2 composite PI factors labeled Conscientious Perfectionism and Self-Evaluative Perfectionism.     

Perfectionism and depression symptom severity in major depressive disorder.

In recent years it has been recognized that perfectionism is a multidimensional construct and two Multidimensional Perfectionism Scales have been developed and investigated in relative isolation [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]. The present study sought to evaluate the association between various dimensions of perfectionism, higher-order personality dimensions, and self and observer rated depressive symptoms in a group of 145 patients with major depressive disorder. Only three of ten perfectionism dimensions (socially prescribed perfectionism, concern over mistakes and self-criticism) displayed medium to large correlations with depressive symptoms, especially self-report symptoms reflecting depressive cognitive distortions. The results are discussed in relation to the specificity of perfectionism dimensions to depression, adaptive versus maladaptive aspects of perfectionism, and in the context of previous research, much of which has relied on college student samples.     

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.     

Narcissism, Perfectionism, and Self-Termination from Treatment in Outpatient Cocaine Users

This study examines perfectionism in individuals with a Diagnostic and Statistical Manual-IV, Text Revised [American Psychiatric Association, 2000. Diagnostic and statistical manual of mental disorders (4th ed.). Text revision (DSM-TV-TR). Washington, DC: American Psychiatric Association] diagnosis of Narcissistic Personality Disorder and a coexisting diagnosis of cocaine abuse or dependence. Participating clients were treated in outpatient settings that provided cognitive-behavioral therapy. Clients were administered Hewitt and Flett's (1991b) [Journal of Personality and Social Psychology, 60, 456-470] Multidimensional Perfectionism Scale prior to treatment. Scores for dimensions of perfectionism were compared with those obtained from cocaine abusers in treatment with diagnoses of Antisocial Personality or Affective Disorder. Clients with Narcissistic Personality Disorder were characterized by relatively higher levels of other-oriented and socially prescribed perfectionism. Survival analysis suggests that self-termination from treatment by cocaine-abusing clients with a diagnosis of Narcissistic Disorder is related to high levels of other-oriented perfectionism. The clinical implications and limits of this study are discussed.     

Perfectionism and burnout in junior elite soccer players: The mediating influence of unconditional self-acceptance

ObjectivesIt has been argued that elite junior athletes may be especially vulnerable to the development of burnout [Coakley, D. (1992). Burnout among adolescent athletes: A personal failure or social problem. Sociology, 9, 271–285; Feigley, D. A. (1984). Psychological burnout in high-level athletes. The Physician and Sports Medicine, 12, 108–119; Raedeke, T. D. (1997). Is athlete burnout more than just stress? A sport commitment perspective. Journal of Sport and Exercise Psychology, 19, 396–418]. Few studies to date have examined the psychological mechanisms that may underpin this vulnerability. One exception was a study by Gould, Tuffrey, Udry, and Loehr [(1996). Burnout in competitive junior tennis players: I. A quantitative psychological assessment. The Sport Psychologist, 10, 332–340], which found that a form of perfectionism reflecting a preoccupation with avoiding mistakes differentiated between burnout and non-burnout tennis players. The first purpose of the present investigation was to extend this research and examine the influence of self-oriented and socially prescribed perfectionism on burnout in elite junior soccer players. A second purpose was to examine whether the association between perfectionism and burnout was mediated by unconditional self-acceptance.DesignA correlational design was employed.MethodOne hundred and fifty-one soccer players (M age=14.4 years, SD=2.4 years) completed an inventory that included Flett and Hewitt's (1991) Multidimensional Perfectionism Scale, Chamberlain and Haaga's (2003) Unconditional Self-acceptance Scale, and Raedeke and Smith's [(2001). Development and preliminary validation of an athlete burnout measure. Journal of Sport and Exercise Psychology, 23, 281–306] Athlete Burnout Questionnaire (ABQ).ResultsStructural equation modeling indicated that unconditional self-acceptance partially mediated the relationship between the two dimensions of perfectionism and athlete burnout. Contrary to the hypotheses, self-oriented perfectionism demonstrated both a positive indirect association with symptoms of burnout, as well as a direct inverse relationship.ConclusionThe findings provide support for the contention that a contingent sense of self-worth is central to both socially prescribed and self-oriented perfectionism [Flett, Besser, Davis, &; Hewitt (2003). Dimensions of perfectionism, unconditional self-acceptance, and depression. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 21, 119–138; Flett, Hewitt, Oliver, &; MacDonald (2002). Perfectionism in children and their parents: A developmental analysis. In G. L. Flett &; P. Hewitt (Eds.), Perfectionism: Theory, research and treatment (pp. 89–132). Washington, DC: American Psychological Association], and that this association may underpin maladaptive achievement striving and increase vulnerability to athlete burnout.     

Resilience Mediates the Relations Between Perfectionism and College Student Distress

This study examined the relations among perfectionism dimensions, resilience, and distress. Participants were 413 undergraduate students. All 3 of Hewitt and Flett's (2004) dimensions of perfectionism were associated with greater reports of depression and anxiety; however, only socially prescribed perfectionism was significantly associated with resilience. Results indicated that resilience partially mediated the relations between socially prescribed perfectionism and distress. Implications for counselors in the prevention, assessment, and treatment of depression and anxiety are discussed.     

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.     

Overcoming Negative Aspects of Perfectionism through Group Treatment

The tendency to hold and pursue excessively high standards for oneself and for others can interfere with academic achievement. Counsellors who work in university settings are often presented with students whose capabilities do not reflect their levels of achievement. This study reports on the evaluation of an eight-week group intervention designed to help university students shift from negative and often debilitating perfectionism to positive and enhancing perfectionism. The group treatment focused on changing attitudes, beliefs, feelings, and interpersonal interactions affected by perfectionism using combined cognitive-behavioral and interpersonal approaches. Standardized measures, including the Beck Depression Inventory (Beck et al., BDI-II manual. San Antonio: The Psychological Corporation, 1996), the Beck Anxiety Inventory (Beck and Steer, Beck Anxiety Inventory: Manual. San Antonio: The Psychological Corporation, 1993), and the Multidimensional Perfectionism Scale (Hewitt and Flett, Journal of Personality & Social Psychology, 60, 456–470, 1991a), provided data for pre- and post analysis of a treatment group (n = 30), and comparison groups of students attending group programs on career planning (n = 30) and attending psychology classes (n = 30). Results show that students participating in the treatment group significantly reduced their levels of depression, anxiety, and perfectionism in comparison to students who did not attend the treatment program. Implications of the findings suggest the importance of considering perfectionism on a continuum of negative and positive influences while helping students to address the intrapersonal and interpersonal dimensions of perfectionism.     

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.     

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.     

A psychometric examination of the multidimensional perfectionism scale

The Multidimensional Perfectionism Scale (MPS), developed by Frost, Marten, Lahart, and Rosenblate (1990), was constructed using an all female sample at an elite university. This study examined the psychometric properties of the instrument using a more typical sample (n=278) of college students from a large state university and a small liberal arts college, both located in the South. Significant differences were found on the overall MPS score as well as six of the seven subscales between this sample and that of Frostet al. No gender differences were found for any of the MPS scores. Internal reliability was found to be .88 for the total score, with subtests ranging from .57 to .95. Interscore correlations were relatively consistent with the Frostet al. sample except for a negative correlation between the PS subscale and the total score. There was a strong confirmation of the underlying factor structure reported by Frostet al. The overall impression was that the MPS is a psychometrically sound instrument of potential value in studying the construct of perfectionism.     

Achievement motivation and attributional style as mediators between perfectionism and subjective well-being in Chinese university students

This study examined both the mediation effects of achievement motivation and attributional style on the relationship between perfectionism and subjective well-being in a sample of Chinese university students. Four hundred ninety-three participants with an age range of 18–24 (206 males and 287 females) completed the Hewitt and Flett Multidimensional Perfectionism Scale (HMPS), the Achievement Motivation Scale (AMS), the Multidimensional–Multiattributional Causality Scale (MMCS) and the General Well-Being Schedule (GWB). Correlation analysis indicated that perfectionism was positively correlated with subjective well-being. Structural equation modeling exhibited the partial mediation effects of attributional style and achievement motivation on the relationship between perfectionism and subjective well-being. Moreover, a multi-group analysis indicated that the mediation model was not moderated by gender. These findings contribute to the complex nature of the association between perfectionism and subjective well-being. This study’s implications for future research and limitations of the present findings are discussed.