Perfectionism Dimensions and Dependency in Relation to Personality Vulnerability and Psychosocial Adjustment in Patients with Coronary Artery Disease |
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Authors: | David M. Dunkley Deborah Schwartzman Karl J. Looper John J. Sigal Andrena Pierre Mark A. Kotowycz |
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Affiliation: | (1) Department of Psychiatry, Institute of Community and Family Psychiatry, Lady Davis Institute, SMBD Jewish General Hospital, 4333 C?te Ste-Catherine Road, Montreal, QC, H3T 1E4, Canada;(2) Department of Psychiatry, McGill University, Montreal, QC, Canada;(3) Department of Psychology, McGill University, Montreal, QC, Canada;(4) Division of Cardiology, SMBD Jewish General Hospital, Montreal, QC, Canada;(5) Department of Cardiology, McGill University, Montreal, QC, Canada |
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Abstract: | The present study sought to illuminate self-criticism and personal standards dimensions of perfectionism and dependency as specific cognitive-personality vulnerability factors that might contribute to a better understanding of numerous psychosocial problem areas that are relevant to coronary artery disease (CAD). One hundred and twenty-three patients diagnosed with clinically significant CAD completed self-report questionnaires. Zero-order correlations and factor analysis results revealed that self-criticism was primarily related to personality vulnerability (aggression/anger/hostility, Type D negative affectivity) and psychosocial maladjustment (depressive symptoms, worry, avoidant coping, support dissatisfaction), whereas personal standards was primarily related to adaptive coping (problem-focused coping, positive reinterpretation) and dependency was primarily related to worry. Hierarchical regression results demonstrated the incremental utility of self-criticism, personal standards, and dependency in relation to (mal)adjustment over and above aggression/anger/hostility, negative affectivity, and social inhibition. Continued efforts to understand the role of perfectionism dimensions and dependency in CAD appear warranted. |
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