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The Effect of Perfectionism and Unconditional Self-acceptance on Depression

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ABSTRACT

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.

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References

  • Ashby J. S., Rice K. G. (2002). Perfectionism, dysfunctional attitudes, and self-esteem: A structural equations analysis. Journal of Counseling and Development 80: 197–203

    Google Scholar 

  • Baron R. M., Kenny D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology 51(6):1173–1182

    Article  PubMed  Google Scholar 

  • Bentler P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin 107: 238–246

    Article  PubMed  Google Scholar 

  • Bentler P. M., Bonett D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin 88: 588–606

    Article  Google Scholar 

  • Bieling P. J., Israeli A. L., Antony M. M. (2004). Is perfectionism good, bad, or both? Examining models of the perfectionism construct. Personality and Individual Differences 36: 1373–1385

    Article  Google Scholar 

  • Blatt S. J., Zuroff D. C., Bondi C. M., Sanislow C. A., Pilkonis P. A. (1998). When and how perfectionism impedes the brief treatment of depression: further analyses of the National Institute of Mental Health treatment of depression collaborative research program. Journal of Counseling and Clinical Psychology 66(2): 423–428

    Article  Google Scholar 

  • Brown J. D. (1998). The self. New York: McGraw-Hill

    Google Scholar 

  • Chamberlain J. M., Haaga D. A. F. (2001). Unconditional self-acceptance and responses to negative feedback. Journal of Rational-Emotive & Cognitive-Behavior Therapy 19(3): 163–176

    Article  Google Scholar 

  • Cox B. J., Enns M. W., Clara I. P. (2002). The multidimensional structure of perfectionism in clinically distressed and college student samples. Psychological Assessment 14(3): 365–373

    Article  PubMed  Google Scholar 

  • Dunkley D. M., Blankstein K. R., Halsall J., Williams M., Winkworth G. (2000). The relation between perfectionism and distress: Hassles, coping, and perceived social support as mediators and moderators. Journal of Counseling Psychology 47(4): 437–453

    Article  Google Scholar 

  • Ellis A. (2003). The relationship of rational-emotive behavior therapy (REBT) to social psychology. Journal of Rational-Emotive & Cognitive-Behavior Therapy 21(1): 5–20

    Article  Google Scholar 

  • Enns M. W., Cox B. J. (2002). The nature and assessment of perfectionism: A critical analysis. In: Flett G. L., Hewitt P. L. (Eds.) Perfectionism: Theory, research and treatment. Washington DC: American Psychological Association (pp 33–62)

    Chapter  Google Scholar 

  • Flett G. L., Hewitt P. L. (2002). Perfectionism and maladjustment: An overview of theoretical, definitional, and treatment issues. In: Flett G. L., Hewitt P. L. (Eds.) Perfectionism: Theory, research and treatment. Washington DC: American Psychological Association (pp 5–31)

    Chapter  Google Scholar 

  • Flett G. L., Besser A., Davis R. A., Hewitt P. L. (2003). Dimensions of perfectionism, unconditional self-acceptance, and depression. Journal of Rational-Emotive & Cognitive-Behavior Therapy 21: 119–138

    Article  Google Scholar 

  • Flett G. L., Hewitt P. L., Oliver J. M., MacDonald S. (2002). Perfectionism in children and their parents: A developmental analysis. In: Flett G. L., Hewitt P. L. (Eds.) Perfectionism: Theory, research and treatment. Washington DC: American Psychological Association (pp 89–132)

    Chapter  Google Scholar 

  • Frost R. O., Steketee G. (1997). Perfectionism in obsessive-compulsive disorder patients. Behaviour Research and Therapy 35(4): 291–296

    Article  PubMed  Google Scholar 

  • Frost R. O., Heimberg R. G., Holt C. S., Mattia J. I., Neubauer A. L. (1993) A comparison of two measures of perfectionism. Personality and Individual Differences 14: 119–126

    Article  Google Scholar 

  • Frost R. O., Marten P., Lahart C., Rosenblate R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research 14(5): 449–464

    Article  Google Scholar 

  • Garner D. M., Olmstead 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

    Google Scholar 

  • Grimm L. G., Yarnold P. R. (1997). Reading and understanding multivariate statistics. Washington DC: American Psychological Association

    Google Scholar 

  • 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(3): 456–470

    Article  Google Scholar 

  • Hewitt P. L., Flett G. L. (1991b). Dimensions of perfectionism in unipolar depression. Journal of Abnormal Psychology 100(1): 98–101

    Article  Google Scholar 

  • Hewitt P. L., Flett G. L. (1993). Dimensions of perfectionism, daily stress and depression: A test of the specific vulnerability hypothesis. Journal of Abnormal Psychology 102(1): 58–65

    Article  PubMed  Google Scholar 

  • Hewitt P. L., Flett G. L., Ediger E. (1996). Perfectionism and depression: Longitudinal assessment of a specific vulnerability hypothesis. Journal of Abnormal Psychology 105(2): 276–280

    Article  PubMed  Google Scholar 

  • Hill R. W., Huelsman T. J., Furr R. M., Kibler J., Vicente B. B., Kennedy C. (2004). A new measure of perfectionism: The Perfectionism Inventory. Journal of Personality Assessment 82(1): 80–91

    Article  PubMed  Google Scholar 

  • Horney K. (1950). Neurosis and Human Growth: the struggle towards self-realization. New York: W. W. Norton & Co

    Google Scholar 

  • Jöreskog K. G., Sörbom D. (1993) LISREL 8 user’s reference guide. Chicago: Scientific Software International

    Google Scholar 

  • Lynd-Stevenson R. M., Hearne C. M. (1999). Perfectionism and depressive affect: The pros and cons of being a perfectionist. Personality and Individual Differences 26: 549–562

    Article  Google Scholar 

  • Pacht, A. R. (1984). Reflections on perfectionism. American Psychologist, 39, 386–390.

    Article  Google Scholar 

  • Preusser K. J., Rice K. G., Ashby J. S. (1994). The role of self-esteem in mediating the perfectionism-depression connection. Journal of College Student Development 35: 88–93 (Copy provided in personal communication from K. G. Rice)

    Google Scholar 

  • Radloff L. S. (1977). The CES-D Scale: A self-report measure depression scale for research in the general population. Applied Psychological Measurement 1: 385–401

    Google Scholar 

  • Rhéaume J., Freeston M. H., Dugas M. J., Letarte H., Ladouceur R. (1995a). Perfectionism, responsibility and obsessive-compulsive symptoms. Behaviour Research and Therapy 33(7): 785–794

    Article  Google Scholar 

  • Rhéaume, J., Freeston, M. H., & Ladouceur, R. (1995b). Functional and dysfunctional perfectionism: Construct validity of a new instrument. Paper presented at the World Congress of Behavioural and Cognitive Therapies. Copenhagen, Denmark, July 1995

  • Rhéaume J., Ladouceur R., Freeston M. H. (2000). The prediction of obsessive-compulsive tendencies: Does perfectionism play a significant role? Personality and Individual Differences 28: 583–592

    Article  Google Scholar 

  • Rice, K. G., Ashby, J. S., & Slaney, R. B. (1988). Self-esteem as a mediator between perfectionism and depression: A structural equations analysis. Journal of Counseling Psychology, 45(3), 304–314.

    Article  Google Scholar 

  • Rogers C. R. (1996). Client-centred therapy. Bury St Edmunds: St Edmundsbury Press

    Google Scholar 

  • White C., Schweitzer R. (2000). The role of personality in the development and perpetuation of chronic fatigue syndrome. Journal of Psychosomatic Research 48: 515–524

    Article  PubMed  Google Scholar 

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Scott, J. The Effect of Perfectionism and Unconditional Self-acceptance on Depression. J Rat-Emo Cognitive-Behav Ther 25, 35–64 (2007). https://doi.org/10.1007/s10942-006-0032-3

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