Perfectionistic Automatic Thoughts and Psychological Distress in Adolescents: An Analysis of the Perfectionism Cognitions Inventory

The present paper examines a measure of perfectionistic automatic thoughts in terms of its psychometric properties and association with depression in adolescents. The Perfectionism Cognitions Inventory (PCI) was administered to two samples of adolescents. The first sample of adolescents (N?=?250) also completed measures of trait perfectionism and depression. The second sample of adolescents (N?=?105) completed these same measures as well as measures of negative automatic thoughts, positive automatic thoughts, self-criticism, and dependency. Psychometric analyses established that the PCI consists of one large factor with a high level of internal consistency. As expected, the PCI in adolescents was correlated significantly with trait measures of perfectionism, self-criticism, dependency, as well as general measures of automatic thoughts. Most importantly, a series of hierarchical regressions established that the PCI accounted for a significant degree of unique variance in depression, over and above the variance attributable to trait personality measures and negative automatic thoughts in general. Overall, the findings suggest perfectionistic automatic thoughts can be assessed in a reliable and valid manner in adolescents and that the experience of frequent, perfectionistic thoughts contributes uniquely to increased levels of psychological distress.     

The Perfectionism Cognitions Inventory: Psychometric Properties and Associations with Distress and Deficits in Cognitive Self-management

Two studies were conducted to examine the psychometric properties and correlates of the Perfectionism Cognitions Inventory (PCI) when administered to clinical samples. The PCI is a 25-item measure of automatic thoughts with themes involving perfectionism and beliefs that perfection should be attained. Analyses indicated that the PCI is unidimensional and it has adequate internal consistency. Correlational analyses confirmed that the PCI is associated with psychological distress and deficits in cognitive self-management, including lack of self-reinforcement, lack of a positive self-focus, and perfectionistic inflexibility. Moreover, tests of incremental validity revealed that the PCI accounts for unique variance in levels of anxiety and depression symptoms after removing variance attributable to trait perfectionism dimensions. Overall, the findings suggest that automatic thoughts involving perfectionistic themes can be assessed in a reliable and valid manner in clinical samples. Moreover, it is important to assess perfectionism cognitions as a supplement to trait perfectionism measures when evaluating the role of perfectionism in psychological distress and associated deficits in cognitive self-control. This research was supported by major research grants from Health Canada and the Social Sciences and Humanities Research Council (SSHRC) of Canada to the first two authors, and a Canada Research Chair in Personality & Health awarded to the first author. The fourth author, Thomas Martin, is now deceased and this paper is dedicated to his memory.     

Perfectionism Cognitions, Rumination, and Psychological Distress

The current study examined the extent to which dimensions of perfectionism are associated with a ruminative response orientation and the experience of cognitive intrusions in response to stressful events. Our main goal was to test the hypothesis that individuals characterized by frequent automatic thoughts involving perfectionistic themes would also be characterized by a ruminative response orientation when distressed and they would report intrusive thoughts and images following the experience of a stressful event. A sample of 65 students completed several measures, including the Perfectionism Cognitions Inventory, the Multidimensional Perfectionism Scale, the Response Styles Questionnaire, the Impact of Events Scale, and indices of depression and anxiety. Correlational analyses confirmed that high scores on the Perfectionism Cognitions Inventory were correlated with a ruminative response orientation and the reported experience of intrusive thoughts and images following the experience of a stressful event. High levels of perfectionism cognitions, socially prescribed perfectionism, and rumination were also correlated with measures of depression and anxiety representingthe tripartite model. The results support the view that there is a salient cognitive aspect to perfectionism and the experience of frequent perfectionistic cognitions and related forms of rumination contribute to levels of psychological distress.     

The interaction of perfectionism, perceived weight status, and self-esteem to predict bulimic symptoms: the role of 'benign' perfectionism

The present study sought to replicate an interactive model of global perfectionism, perceived weight status, and self-esteem in predicting bulimic symptom development in a sample of young women [Bardone-Cone, et al. (2006). Predicting bulimic symptoms: An interactive model of self-efficacy, perfectionism, and perceived weight status. Behaviour Research and Therapy, 44, 27-42; Vohs, K. D., et al. (1999). Perfectionism, perceived weight status, and self-esteem interact to predict bulimic symptoms: A model of bulimic symptom development. Journal of Abnormal Psychology, 108, 695-700; Vohs, K. D., et al. (2001). Perfectionism, body dissatisfaction, and self-esteem: An interactive model of bulimic symptom development. Journal of Social and Clinical Psychology, 20, 476-497]. The aim was to investigate the role of 'problematic' and 'benign' perfectionism within this model, using data from 95 female university students over a 3-month period. Contrary to hypotheses, multivariate analyses revealed a significant three-way interaction only between 'benign' perfectionism, perceived weight status and self-esteem in predicting change in bulimic symptoms over a 3-month period. The predictive effect of the interaction between 'benign' perfectionism and perceived weight status on bulimic symptoms was strongest for women with high self-esteem, for whom feeling overweight and having perfectionistic attitudes preceded increased bulimic symptoms. These findings suggest that high self-esteem is insufficient to protect against the development of bulimic symptoms when both the perception of oneself as being overweight, and high levels of perfectionistic standards, are present. It would appear that the role of perfectionism within the context of disordered eating is complex.     

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,Components of Stress Reactivity,and Depressive Symptoms

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

Factor structure of the Dysfunctional Attitude Scale (Form A) and the Automatic Thoughts Questionnaire: an exploratory study

The factor structure of the Norwegian version of the Dysfunctional Attitude Scale and the Automatic Thoughts Questionnaire was investigated with a sample of 344 male military recruits. Principal factor analyses with promax rotation indicated four factors for the former, labeled Performance Evaluation, Need for Approval, Autonomous Attitude, and Perfectionism which accounted for 15.5%, 3.6%, 2.6%, and 2.5% of the total variance, respectively. Two factors comprised the latter. Factor 1 was labeled Negative Self-concept and Personal Maladjustment and accounted for 40% of the total variance, and Factor 2 was labeled Desire for Change and Negative Expectations and accounted for 6.3% of the total variance. The findings may be useful in identifying the specific dysfunctional beliefs and negative automatic thoughts exhibited by military recruits. Such information can also contribute to the development of more effective treatment interventions.     

Dimensions of Perfectionism and Anxiety Sensitivity

The current study investigated the extent to which dimensions of perfectionism are associated with components of the anxiety sensitivity construct. A sample of 177 undergraduate students completed the Multidimensional Perfectionism Scale, the Perfectionism Cognitions Inventory, the Perfectionistic Self-Presentation Scale, and the Expanded Anxiety Sensitivity Index developed by Taylor and Cox (1998). The results confirmed that automatic thoughts involving perfectionism and the interpersonal aspects of the perfectionism construct are associated with anxiety sensitivity. Examination of the Anxiety Sensitivity Index factors showed that perfectionism cognitions were associated primarily with anxiety sensitivity involving fears of cognitive dyscontrol, while socially prescribed perfectionism and perfectionistic self-presentation were associated primarily with fears of publicly observable anxiety reactions in a manner suggesting that the interpersonal perfectionism dimensions are linked closely with an anxious sensitivity to negative social evaluation and subsequent panic attacks. The theoretical and treatment implications of the link between perfectionism and anxiety sensitivity are discussed.     

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

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

Perfectionism and Psychological Distress: A Modeling Approach to Understanding their Therapeutic Relationship

The present study assessed the effectiveness of a web-based psycho-educational intervention protocol for decreasing levels of perfectionism and psychological distress. Different levels of therapeutic intervention (no treatment, general stress management intervention, general stress management intervention plus cognitive behavioral intervention) were provided to perfectionistic participants over a 10-week period. It was found via a longitudinal structural equation model that higher levels of therapeutic intervention predicted greater improvements in perfectionism and psychological distress. Further, amount of improvement in trait perfectionism and perfectionistic automatic thoughts was highly related to amount of improvement in psychological distress. The findings attest to the potential usefulness of a web-based intervention that combines a general stress management intervention with a cognitive behavioral intervention.     

The Children's Automatic Thoughts Scale in a clinical sample: psychometric properties and clinical utility

The aim of this study was to examine the psychometric properties and clinical utility of the Children's Automatic Thoughts Scale (CATS; Schniering, C. A., & Rapee, R. M. (2002). Development and validation of a measure of children's automatic thoughts: The Children's Automatic Thoughts Scale. Behaviour Research and Therapy, 40, 1091-1109) in a large sample of anxious youth. The participants were 891 referred children and adolescents. Participants completed the CATS and a wide range of symptom measures, and were assessed via a structured diagnostic interview. Previous community-based psychometric properties were confirmed. The scale was highly sensitive to treatment change, and showed evidence of cognitive specificity with reductions in threat and failure beliefs, but not in hostility beliefs following treatment. The CATS demonstrated good convergent validity with related anxiety and depression scales, and moderate discriminant validity was found across anxious, anxious-depressed and anxious-oppositional groups. Implications for the assessment of child anxiety, and difficulties around children "faking good" on anxiety measures are discussed.     

Perfectionistic Self‐Presentation and Trait Perfectionism in Social Problem‐Solving Ability and Depressive Symptoms

This study examined social problem solving and perfectionistic self‐presentation, and assessed whether social problem solving mediates the association between perfectionism and depression. A sample of 200 community members completed measures of perfectionistic self‐presentation, trait perfectionism, social problem‐solving ability, and depression. Correlational analyses confirmed that perfectionistic self‐presentation and socially prescribed perfectionism are both associated with a negative problem‐solving orientation. Tests of mediating effects revealed that negative problem‐solving ability mediates the associations of socially prescribed perfectionism and perfectionistic self‐presentation with depressive symptoms, particularly among women. The findings support further exploration of mediational models linking perfectionism, problem‐solving ability, and depression and suggest that people who display high perfectionistic self‐presentation are particularly vulnerable to stress and distress and should benefit from problem‐solving training.     

心理病理学视野中的完美主义自我展示

完美主义自我展示是完美主义者在人际过程中为向他人展示自己非现实的、固定化的完美形象而进行的印象整饰过程。本文在简要阐述完美主义特征与澄清完美主义自我展示概念基础上,重点梳理和剖析了完美主义自我展示对抑郁、焦虑、社交恐惧、饮食障碍及人格障碍等常见心理病理现象的影响,并分析了其影响机制,最后,就深化该领域的研究提出了总结和展望。     

Editorial

Fatigue is among the most common and disabling symptoms in multiple sclerosis (MS). However, the relationship of perfectionism to fatigue in MS patients remains poorly understood. One hundred and twenty MS patients (79 women, 41 men) were compared with 120 healthy individuals (79 women, 41 men) to explore whether differences exist between the two groups with respect to perfectionistic characteristics and to investigate whether dimensions of positive and negative perfectionism are related to the symptomatology of fatigue. All participants were asked to complete the positive and negative perfectionism scale (PANPS), the modified fatigue impact scale (MFIS), the fatigue severity scale (FSS) and the Beck depression inventory (BDI). The results revealed that the MS group reported lower levels of positive perfectionism and higher levels of negative perfectionism as well as depressive symptoms than the control group. Perfectionism was also significantly related to fatigue symptoms in both groups. These findings suggest that the fatigue symptoms are strongly associated with perfectionistic characteristics. The negative (maladaptive) dimension of perfectionism may play a predisposing role in the development and/or perpetuation of fatigue in MS patients. The findings are discussed within the scope of current literature and implications for clinical applications are suggested.     

以完美主义为尺度对人群进行分类的研究进展

作为一种和心理健康关系密切的人格特质,完美主义一直备受临床心理学家的关注。依据完美主义对人群进行分类,一方面有助于探究完美主义人格特质的本质及其与心理健康状况的关系,另一方面有助于快速地评估和筛选出需要进行预防和干预的完美主义人群。本文对以往研究中以完美主义为尺度对人群进行分类的文献进行回顾,分三部分阐述：（1）完美主义维度的划分;（2）以完美主义为尺度对人群分类的研究回顾;（3）以完美主义为尺度对人群进行分类的研究展望。     

A Meta‐analytic and Conceptual Update on the Associations Between Procrastination and Multidimensional Perfectionism

The equivocal and debated findings from a 2007 meta‐analysis, which viewed perfectionism as a unidimensional construct, suggested that perfectionism was unrelated to procrastination. The present meta‐analysis aimed to provide a conceptual update and reanalysis of the procrastination–perfectionism association guided by both a multidimensional view of perfectionism and self‐regulation theory. The random‐effects meta‐analyses revealed a small to medium positive average effect size (r  = .23; k  = 43, N  = 10 000; 95% confidence interval (95% CI) [0.19, 0.27]) for trait procrastination and perfectionistic concerns and a small to medium negative average effect size (r  = ?.22; k  = 38, N  = 9544; 95% CI [?0.26, ?0.18]) for procrastination and perfectionistic strivings. The average correlations remained significant after statistically accounting for the joint variance between the two perfectionism dimensions via semi‐partial correlations. For perfectionistic concerns, but not perfectionistic strivings, the effects depended on the perfectionism measure used. All effects did not vary by the trait procrastination measure used or the respondent's sex. Our findings confirm that from a multidimensional perspective, trait procrastination is both positively and negatively associated with higher‐order perfectionism dimensions and further highlights the value of a self‐regulation perspective for understanding the cognitive, affective and behavioural dynamics that characterise these traits. Copyright © 2017 European Association of Personality Psychology     

Perfectionistic self-presentation, socially prescribed perfectionism, and suicide in youth: a test of the perfectionism social disconnection model

The role of interpersonal components of perfectionism in suicide outcomes among youth was assessed and the Perfectionism Social Disconnection Model (PSDM) was tested by determining whether the links between socially prescribed perfectionism (SPP) and perfectionistic self-presentation (PSP) and suicide outcomes are mediated by experiences of social disconnection, as indicated by social hopelessness and being bullied. PSP, trait perfectionism, suicide outcomes, and experiences of being bullied and social hopelessness were measured in 152 psychiatric outpatient children and adolescents. Correlational tests confirmed that PSP and SPP were associated with suicide outcomes and these interpersonal perfectionism components were associated significantly with bullying and social hopelessness. Support was also obtained for the PSDM. The relationship between the PSP facets, particularly nondisplay of imperfections, and suicide outcomes were mediated by being bullied. Additionally, the relationship between all interpersonal components of perfectionism and suicide risk was mediated by social hopelessness. Theoretical and clinical implications of interpersonal components of perfectionism and social disconnection in suicide outcomes for youth are discussed.     

Norwegian version of the automatic thoughts questionnaire: a reliability and validity study

This study investigated the reliability and validity of the Norwegian version of the Automatic Thoughts Questionnaire. Three samples were used: (a) 344 male military recruits; (b) 142 psychiatric outpatients; and (c) 41 healthy controls. The Automatic Thoughts Questionnaire was found to have high internal consistency and satisfactory temporal stability. It correlated positively with the Beck Depression Inventory and was found to discriminate significantly between clinically depressed and non-depressed psychiatric patients and healthy controls. In general the results are satisfactory, suggesting that the Norwegian version of the Automatic Thoughts Questionnaire has adequate reliability and validity properties. The Automatic Thoughts Questionnaire was shown to be a useful measure of frequency of automatic negative thoughts in both clinical and non-clinical populations.     

生活事件、负性自动思维及应对方式影响大学生抑郁的路径分析

对321名大学生施测青少年生活事件量表(ASLEC)、自动思维问卷(ATQ)、特质应对方式问卷(TCSQ)及流调中心用抑郁量表(CESD),以探讨生活事件、负性自动思维及应对方式对抑郁的影响模式。结果:(1)相关分析发现:生活事件、负性自动思维、消极应对方式均与抑郁呈显著正相关(p<0.01),生活事件与负性自动思维及消极应对方式呈显著正相关(p<0.01)。(2)路经分析发现:有六条显著路径影响抑郁。应对方式对抑郁产生直接的影响;自动思维可以直接影响抑郁,同时也可通过应对方式间接影响抑郁;生活事件对抑郁的直接影响不显著,其影响是经由负性自动思维及应对方式的中介作用而间接实现的。     

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.