A Test of the Perfectionism Social Disconnection Model among Ethnic Minority Youth

Perfectionistic self-presentation (PSP) has been identified as a vulnerability factor in the development of depressive disorders during early adolescence. The Perfectionism Social Disconnection Model (PSDM) offers a theoretical framework suggesting PSP leads to depressive symptoms via interpersonal problems and social disconnection. Previous studies have supported the role of social disconnection as a mediator in the relation between PSP and suicidal ideation, but have not evaluated interpersonal problems in the model. Furthermore, the generalizability of the model has not been established for community and ethnic minority samples. Using cross-sectional data, the present study addresses these gaps by evaluating the PSDM and including social anxiety and loneliness as indicators of interpersonal problems and social disconnection, respectively, as predictors of youth depressive symptoms. The sample includes 289 (51.2% females) predominately low income and Latino and African American youth in fifth through seventh grade in three public schools. As predicted, social anxiety mediates the relationship between both PSP and loneliness and PSP and depressive symptoms. Moreover, mediational analyses indicate that social anxiety accounts for the relation between PSP and depression. Consistent with the PSDM model, the relationship between PSP and youth depressive symptoms is mediated sequentially through both social anxiety and loneliness, but primarily among the Latino sample.     

Perfectionism erodes social self-esteem and generates depressive symptoms: Studying mother-daughter dyads using a daily diary design with longitudinal follow-up

The perfectionism social disconnection model (PSDM) asserts socially prescribed perfectionism confers risk for depression by eroding social self-esteem. However, self-oriented perfectionism and other-oriented perfectionism are neglected in extant tests of the PSDM. Moreover, the PSDM attributes the source of depression to dispositional characteristics without considering interpersonal contexts. We expanded and tested the PSDM in 218 mother-daughter dyads using a daily diary design with longitudinal follow-up. Daughters completed measures of self-oriented and socially prescribed perfectionism (Wave 1), social self-esteem (Wave 2), and depression (Wave 1 and Wave 3). Mothers completed a measure of other-oriented perfectionism (Wave 1). Daughters’ socially prescribed and self-oriented perfectionism, and mothers’ other-oriented perfectionism, conferred vulnerability to daughters’ depression by lowering daughters’ social self-esteem.     

Hopelessness,stress, and perfectionism: The moderating effects of future thinking

It has been argued that a negative view of the future characterised by impaired positive future thinking is associated with increased hopelessness and suicide risk (e.g., MacLeod & Moore, 2000). Hence, the central focus of the two studies reported in this paper was to extend our knowledge of positive future thinking by investigating its relationship with established suicide risk factors: stress, perfectionism, and hopelessness. Study 1 demonstrates, for the first time, that positive future thinking moderates the relationship between stress and hopelessness. The findings of Study 2 replicated those found in Study 1 and they also supported the notion that perfectionism is best understood as a multidimensional construct and that its relationship with future thinking and hopelessness is not straightforward. The results are also discussed in terms of the relationship between the structure of affect and motivational systems.     

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.

Perfectionism,discrepancies, and depression: Testing the perfectionism social disconnection model in a short-term,four-wave longitudinal study

Perfectionistic concerns (i.e., negative reactions to failures, exaggerated concerns over others’ criticism and expectations, and nagging self-doubts) are linked to social disconnection and depressive symptoms. According to the perfectionism social disconnection model, perfectionistic concerns contribute to social disconnection (i.e., feeling rejected, excluded, and unwanted by others) which, subsequently, contributes to depressive symptoms. The social world is replete with chances for interpretations. In interpreting their social worlds, people high in perfectionistic concerns tend to perceive interpersonal discrepancies, a distressing form of social disconnection that involves perceptions of others as dissatisfied with them and as disapproving of them. These interpretations are also conceptualized as having depressing consequences for people high in perfectionistic concerns. This study tested whether perceived interpersonal discrepancies mediate the relation between perfectionistic concerns and depressive symptoms; 240 participants were recruited and this mediational model was tested with a four-wave, 4-week longitudinal design. Structural equation modeling with bootstrapped tests of mediation indicated the perfectionistic concerns-depressive symptoms relationship was mediated by interpersonal discrepancies (even after controlling for perfectionistic strivings). People high in perfectionistic concerns perceive others as dissatisfied with them and as disapproving of them. Feeling rejected, excluded, and unwanted by others, people high in perfectionistic concerns are vulnerable to depression.     

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.     

Caught in a bad romance: perfectionism, conflict, and depression in romantic relationships

According to the social disconnection model, perfectionistic concerns (i.e., harsh self-scrutiny, extreme concern over mistakes and others' evaluations, and excessive reactions to perceived failures) confer vulnerability to depressive symptoms indirectly through interpersonal problems. This study tested the social disconnection model in 226 heterosexual romantic dyads using a mixed longitudinal and experience sampling design. Perfectionistic concerns were measured using three partner-specific self-report questionnaires. Conflict was measured as a dyadic variable, incorporating reports from both partners. Depressive symptoms were measured using a self-report questionnaire. Perfectionistic concerns and depressive symptoms were measured at Day 1 and Day 28. Aggregated dyadic conflict was measured with daily online questionnaires from Days 2 to 15. Data were analyzed using structural equation modeling. There were four primary findings: (a) Dyadic conflict mediated the link between perfectionistic concerns and depressive symptoms, even when controlling for baseline depressive symptoms; (b) depressive symptoms were both an antecedent and a consequence of dyadic conflict; (c) perfectionistic concerns incrementally predicted dyadic conflict and depressive symptoms beyond neuroticism (i.e., a tendency to experience negative emotions) and other-oriented perfectionism (i.e., rigidly demanding perfection from one's partner); and (d) the relationships among variables did not differ based on gender. As the most rigorous test of the social disconnection model to date, this study provides strong support for this emerging model. Results also clarify the characterological and the interpersonal context within which depressive symptoms are likely to occur.     

Social Disconnection and Hazardous Drinking Mediate the Link Between Perfectionistic Attitudes and Depressive Symptoms

According to the perfectionism social disconnection model (PSDM), perfectionism leads to social disconnection (e.g., isolation, loneliness, and alienation) which brings about depressive symptoms. The present study extended the PSDM by testing a dual-pathway mediation model wherein social disconnection and hazardous drinking were hypothesized to explain why perfectionistic attitudes (e.g., intense self-criticism, evaluative concerns, and unrealistic goal-setting) result in depressive symptoms. A sample of 216 college students participated. The present study utilized a cross-sectional design and self-report questionnaires. The hypothesized model fit the data well, with social disconnection and hazardous drinking mediating the perfectionistic attitudes-depressive symptoms link. Students high in perfectionistic attitudes report feeling isolated, lonely, and alienated. To escape this powerful sense of not belonging, these students turn to alcohol in a self-destructive way. Suffering from the ill effects of social disconnection and hazardous drinking, students high in perfectionistic attitudes are vulnerable to depressive symptoms.     

Preoccupied attachment,need to belong,shame, and interpersonal perfectionism: An investigation of the Perfectionism Social Disconnection Model

According to the Perfectionism Social Disconnection Model, interpersonal components of perfectionism (i.e., socially prescribed perfectionism, perfectionistic self-presentation) develop when individuals exhibit an inordinate need for belongingness and shame as a result of early attachment insecurity and/or a lack of emotional attunement in the caregiver–child relationship. This study hence examined the mediating effects of the need to belong and shame on the relationships between insecure attachment and interpersonal perfectionism. A sample of 513 undergraduates completed self-report measures including trait perfectionism, perfectionistic self-presentation, shame, the need for belongingness, and attachment styles. As hypothesized, socially prescribed perfectionism and perfectionistic self-presentation were both positively associated with the need to belong, shame, and insecure attachment styles. Furthermore, results from multiple mediation analyses indicated that the associations between preoccupied attachment and interpersonal components of perfectionism were mediated by a strong need for belongingness and shame. The present study hence provides further empirical support for the Perfectionism Social Disconnection Model and highlights the importance of examining the quality of attachment relationships for individuals with elevated interpersonal perfectionism.     

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.     

Perfectionistic Concerns,Social Negativity,and Subjective Well‐Being: A Test of the Social Disconnection Model

Partner‐specific perfectionistic concerns (PC) include concern over mistakes, self‐criticism, and socially prescribed perfectionism as it pertains to one's partner. The social disconnection model proposes that PC influences well‐being indirectly through interpersonal problems. Thus, we hypothesized that social negativity (expressed anger, hostility, and rejection) would mediate the relationship between dyadic PC and subjective well‐being. Data from 203 romantic dyads (92.1% heterosexual) were collected using self‐report surveys and a four‐wave, 4‐week longitudinal design. Participants were predominantly female (53.1%), young (M = 22.69 years), and Caucasian (82.3%). Data were analyzed using an actor‐partner interdependence model with multilevel structural equation modeling. There were significant actor effects at the between‐subjects and within‐subjects levels, and significant partner effects for the relationship between PC and social negativity at the within‐subject level. Social negativity mediated the relationships between PC and both negative affect and life satisfaction. However, positive affect was more weakly related to PC and social negativity. The social disconnection model was supported. PC was positively associated with one's own social negativity and evoked hostile behaviors from one's partner. Hostile, rejecting behaviors reduced the well‐being of the actor, but not the partner. Results suggest perfectionism may be best understood within an interpersonal context.     

Adaptive and Maladaptive Perfectionism as Mediators of Adult Attachment Styles and Depression,Hopelessness, and Life Satisfaction

This study examined the relationships between adaptive and maladaptive perfectionism, anxious and avoidant adult attachment styles, depression, hopelessness, and life satisfaction among a sample of 180 undergraduate students. Maladaptive perfectionism mediated the relationship between both forms of adult attachment and depression, hopelessness, and life satisfaction. Adaptive perfectionism mediated the relationship between avoidant adult attachment and hopelessness and life satisfaction. Implications for counselors and future research directions are discussed.     

The relationships between socially prescribed perfectionism,in‐group affect,negative urgency,and disordered eating in women

Socially prescribed perfectionism (SPP) is often considered as a key risk factor for disordered eating (DE). However, current conceptualizations of SPP largely assume that this perfectionism pressure is non‐specific (i.e., a global pressure), despite research indicating that for females experiencing DE, female‐dominated groups impose this pressure (as a perceived norm). Furthermore, this relationship may be mediated by a negative reaction to this pressure, in the form of impulsivity (or negative urgency). To date, no research has investigated whether the relationship between SPP and DE is mediated by negative urgency, nor has there been research clarifying how in‐group identification relates to DE, independent of SPP and negative urgency. To address these gaps, we assessed these variables in 147 female dieters (M_age = 25.12 years, SD = 3.08) using a cross‐sectional design. Consistent with our hypotheses, negative urgency fully mediated the link between female‐based SPP and disordered eating, while female‐based in‐group affect (identification) was predictive of disordered eating (although the latter relationship was not sustained in a multiple regression model). These findings suggest that the SPP from other women may relate to DE through increasing negative urgency, and that the link between in‐group (female) affect and DE may be better explained by SPP's link to DE.     

Are attachment styles differentially related to interpersonal perfectionism and binge eating symptoms?

In the current study we aimed to examine the association between attachment styles towards father and mother, perfectionistic self-promotion (PSP), socially prescribed perfectionism (SPP), and binge eating symptoms in a sample of 328 late adolescents (mean age 17.1 years). It was examined whether anxiously and avoidantly attached adolescents would differentially cope with their insecure feelings. It was hypothesized that anxiously attached adolescents would, through hyperactivating strategies, be hypersensitive to the expectations of others. Avoidantly attached adolescents were hypothesized to present a perfect image of the self, because of their deactivating emotion regulation. Furthermore, the mediating role of perfectionism in the relation between attachment representations and binge eating symptoms was examined. Results showed that anxious attachment was significantly positively associated with PSP, SPP, and binge eating. Avoidant attachment towards mother was only positively associated with SPP, whereas avoidant attachment towards father was positively associated with PSP and binge eating. PSP fully mediated the relation between avoidant attachment towards father and binge eating. Interestingly, the current findings showed the importance of examining attachment representations towards both parents.     

Hopelessness and perfectionism

In a sample of 39 undergraduates, hopelessness scores were associated with two aspects of perfectionism, concern over mistakes and doubts over performance.     

Toward an integrative model of suicide attempt: a cognitive psychological approach.

Applying a cognitive approach, the purpose of the present study was to expand previous research on stress-vulnerability models of depression and problem-solving deficits, as it relates to suicide attempt. Structural equation modelling, involving latent variables, was used to evaluate (a) whether low self-esteem, a low sense of self-efficacy, loneliness, and divorce constituted vulnerability factors for the development of depression; (b) whether hopelessness and suicidal ideation mediated the relationship between depression and suicide attempt; and (c) whether problem-solving deficits mediated the relationship between the vulnerability factors and suicide attempt, separate from depression/hopelessness. A total of 123 individuals, aged 18-75 years, participated in the study (72 suicide attempters and 51 psychiatric outpatients with no history of suicidal behavior). The results indicated a two path model of suicide attempt. The first path began with low self-esteem, loneliness, and separation or divorce, which advanced to depression, and was further mediated by hopelessness and suicidal ideation which led to suicide attempt. The second path developed from low self-esteem and a low sense of self-efficacy and advanced to suicide attempt, mediated by a negative appraisal of one's own problem-solving capacity, and poor interpersonal problem-solving skills. The importance of addressing both depression/hopelessness, and problem-solving deficits when working with suicide attempters is noted.     

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.     

Self-presentation styles and Problematic use of Internet communicative services: The role of the concerns over behavioral displays of imperfection

The current study had the dual purpose of identifying consequences associated with perfectionistic self-presentation (PSP) and evaluating these factors as mediator of the proposed link between PSP and Problematic use of Internet communicative services (GPIU). The present study hypothesized that a self-presentation style characterized by the need to avoid displaying imperfections is associated with GPIU because communicating online rather than in person affords greater control through the reduction of non-verbal cues and the greater temporal flexibility. A sample of 200 university student participants completed measures assessing PSP, GPIU, and perceived controllable aspects of behaviors associated with relying on computer mediated communications (i.e. managing nonverbal displays and buying more time before having to respond). Structural equation modeling confirmed that those who systematically try to avoid revealing their supposed “less than perfect” behaviors or performance place great emphasis on the reduction of nonverbal cues and the temporal flexibility offered by the computer mediated interactions, which, in turn predicts GPIU levels. The findings are discussed in terms of their implications for GPIU and for the perfectionism social disconnection model.     

Spiritual Well-Being and Psychological Adjustment: Mediated by Interpersonal Needs?

Spiritual well-being has been shown to reduce suicidal behavior, depressive symptoms, and hopelessness. Thwarted interpersonal needs have been shown to increase risk of suicidal behavior. This paper aims to explore the interrelationships among spiritual well-being, thwarted interpersonal needs, and negative outcomes including suicidal ideation, hopelessness, and depressive symptoms among African American women. Sixty-six African American women (M = 36.18; SD = 11.70), from a larger study of women who had experienced interpersonal violence within the past year, completed self-report questionnaires. Mediation analyses revealed that thwarted belongingness, but not perceived burdensomeness, significantly mediated the relations between spiritual well-being and the three outcomes. This study provides the first examination of the role of thwarted interpersonal needs on the link between spiritual well-being and negative psychological outcomes. Spiritual well-being serves a protective role against feelings of social isolation, which may reduce one’s risk of negative psychological outcomes. Treatments that bolster a sense of spirituality and social connectedness may reduce suicidal ideation, hopelessness, and depressive symptoms.     

How attempts to meet others’ unrealistic expectations affect health: health-promoting behaviours as a mediator between perfectionism and physical health

The traits of perfectionism have been associated with health and longevity. Theoretically and empirically, health behaviours are considered a primary mechanism through which such associations of personality and health occur. However, scant evidence to date indicates behaviours did not mediate between perfectionism and health as anticipated. The aim of the current research was therefore to rigorously examine whether health behaviours mediated associations of perfectionism and physical health-related quality of life (HRQL). A sample of 263 students completed questionnaires measuring subtypes of perfectionism, HRQL, self-efficacy and health-promoting behaviours. Hierarchical regression analyses investigated predictors of physical HRQL and health-promoting behaviours. Non-parametric bootstrapping techniques assessed whether health-promoting behaviours mediated significant associations between perfectionism and physical HRQL. Socially prescribed perfectionism (SPP) significantly predicted poorer physical HRQL, and this association was mediated by health-promoting behaviours, a unique finding. Self-oriented perfectionism did not significantly predict physical HRQL, but was linked with more numerous health-promoting behaviours. In conclusion, results suggest that individuals higher in SPP, who are overly concerned with evaluation by others and with meeting perceived unrealistically high standards of performance, performed fewer health-promoting behaviours, and this mediated the association between SPP and poorer physical HRQL. More broadly, perfectionism predicted physical HRQL and engagement or lack thereof in health-promoting behaviours and should be considered as part of health promotion strategies.