Abstract
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.
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REFERENCES
Alden, L. E., Ryder, A. G., &; Mellings, T. M. B. (2002). Perfectionism in the context of social fears: Toward a two-component model. In G. L. Flett &; P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 373-391). Washington, DC: American Psychological Association.
Antony, M. M., Purdon, C. L., Huta, V., &; Swinson, R. P. (1998). Dimensions of perfectionism across the anxiety disorders. Behaviour Research and Therapy, 36, 1143-1154.
Blankstein, K. R., Flett, G. L., Hewitt, P. L., &; Eng, A. (1993). Dimensions of perfectionism and irrational fears: An examination with the Fear Survey Schedule. Personality and Individual Differences, 15, 323-328.
Clark, D. A., &; Helmsley, D. R. (1985). Individual differences in the experience of depressive and anxious, intrusive thoughts. Behaviour Research and Therapy, 23, 625-633.
Cockell, S. J., Hewitt, P. L., Seal, B., Sherry, S. B., Goldner, E. M., Flett, G. L., &; Remick, R. A. (2002). Trait and self-presentational dimensions of perfectionism among women with anorexia nervosa. Cognitive Therapy and Research, 26, 745-758.
Cox, B. J. (1996). The nature and assessment of catastrophic thoughts in panic disorder. Behaviour Research and Therapy, 34, 363-374.
Cox, B. J., Borger, S. C., Taylor, S., Fuentes, K., &; Ross, L. M. (1999). Anxiety sensitivity and the five-factor model of personality. Behaviour Research and Therapy, 37, 633-641.
Cox, B. J., Enns, M. W., Walker, J. R., Kjernisted, K., &; Pidlubney, S. R. (2001). Psychological vulnerabilities in patients with major depression vs. panic disorder. Behaviour Research and Therapy, 39, 567-573.
Deacon, B. J., &; Valentiner, D. P. (2001). Dimensions of anxiety sensitivity and their relationship to nonclinical panic. Journal of Psychopathology and Behavioral Assessment, 23, 25-33.
Ehlers, A. (1995). A 1-year prospective study of panic attacks: Clinical course and factors associated with maintenance. Journal of Abnormal Psychology, 104, 164-172.
Ellis, A. (1962). Reason and emotion in psychotherapy. New York: Lyle Stuart.
Ellis, A. (2002). The role of irrational beliefs in perfectionism. In G. L. Flett &; P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 217-229). Washington, DC: American Psychological Association.
Flett, G. L., Blankstein, K. R., Hewitt, P. L., &; Koledin, S. (1992). Components of perfectionism and procrastination in college students. Social Behavior and Personality, 20, 85-94.
Flett, G. L., Hewitt, P. L., Blankstein, K. R., &; Gray, L. (1998). Psychological distress and the frequency of perfectionistic thinking. Journal of Personality and Social Psychology, 75, 1363-1381.
Flett, G. L., Hewitt, P. L., Blankstein, K. R., &; Koledin, S. (1991). Dimensions of perfectionism and irrational thinking. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 9, 185-201.
Flett, G. L., Hewitt, P. L., Blankstein, K. R., Solnik, M., &; Van Brunschot, M. (1996). Perfectionism, social problem-solving ability, and psychological distress. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 14, 245-275.
Flett, G. L., Hewitt, P. L., Endler, N. S., &; Tassone, C. (1994/1995). Perfectionism and components of state and trait anxiety. Current Psychology, 13, 326-350.
Flett, G. L., Hewitt, P. L., Oliver, J. M., &; Macdonald, S. (2002). Perfectionism in children and their parents: A developmental analysis. In G. L. Flett &; P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 89-132). Washington, DC: American Psychological Association Press.
Flett, G. L., Madorsky, D., Hewitt, P. L., &; Heisel, M. J. (2002). Perfectionism cognitions, rumination, and psychological distress. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 20, 31-45.
Frost, R. O., &; DiBartollo, P. M. (2002). Perfectionism, anxiety, and obsessive-compulsive disorder. In G. L. Flett &; P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 341-371). Washington, DC: American Psychological Association.
Frost, R. O., &; Gross, R. C. (1993). The hoarding of possessions. Behaviour Research and Therapy, 31, 367-381.
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.
Frost, R. O., &; Henderson, K. J. (1991). Perfectionism and reactions to athletic competition. Journal of Sport and Exercise Psychology, 13, 323-335.
Frost, R. O., Marten, P. A., Lahart, C., &; Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449-468.
Frost, R. O., Trepanier, K. L., Brown, E. J., Heimberg, R. G., Juster, H. R., Makris, G. S., &; Leung, A. W. (1997). Self-monitoring of mistakes among subjects high and low in perfectionistic concern over mistakes. Cognitive Therapy and Research, 21, 209-222.
Frost, R. O., &; Steketee, G. L. (1997). Perfectionism in obsessive-compulsive disorder patients. Behaviour Research and Therapy, 35, 291-296.
Gray, J. A. (1982). The neuropsychology of anxiety: An inquiry into the functions of the septo-hippocampal system. New York: Oxford University Press.
Greenberg, J., &; Burns, J. W. (2003). Pain anxiety among chronic pain patients: Specific phobia or manifestation of anxiety sensitivity? Behaviour Research and Therapy, 41, 223-240.
Guidano, V., &; Liotti, G. (1983). Cognitive processes and emotional disorders. New York: Guilford.
Habke, A. M., Hewitt, P. L., &; Flett, G. L. (1999). Perfectionism and sexual satisfaction in intimate relationships. Journal of Psychopathology and Behavioral Assessment, 21, 307-322.
Hewitt, P. L., &; Flett, G. L. (1991a). Dimensions of perfectionism in unipolar depression. Journal of Abnormal Psychology, 100, 98-101.
Hewitt, P. L., &; Flett, G. L. (1991b). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456-470.
Hewitt, P. L., &; Flett, G. L. (in press). The Multidimensional Perfectionism Scale: Manual. Toronto: Multi-Health Systems Inc.
Hewitt, P. L., Flett, G. L., &; Ediger, E. (1995). Perfectionistic traits and perfectionistic self-presentation in eating disorder attitudes, characteristics, and symptoms. International Journal of Eating Disorders, 18, 317-326.
Hewitt, P. L., Flett, G. L., Sherry, S. B., Habke, A. M., Parkin, M., Lam, R. W., McMurtry, B., Ediger, E. Fairlie, P., &; Stein, M. (2003). The interpersonal expression of perfectionism: Perfectionistic self-presentation and psychological distress. Journal of Personality and Social Psychology, 84, 1303-1325.
Hewitt, P. L., Flett, G. L., &; Turnbull-Donovan, W. (1992). Perfectionism and suicidal potential. British Journal of Clinical Psychology, 31, 181-190.
Hewitt, P. L., Flett, G. L., &; Turnbull-Donovan, W. (1994). Borderline personality disorder: An investigation with the Multidimensional Perfectionism Scale. European Journal of Psychological Assessment, 10, 28-33.
Hewitt, P. L., Flett, G. L., Turnbull-Donovan, W., &; Mikail, S. (1991). The Multidimensional Perfectionism Scale: Reliability, validity, and psychometric properties in psychiatric samples. Psychological Assessment, 3, 464-468.
Hollon, S. D., &; Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an Automatic Thoughts Questionnaire. Cognitive Therapy and Research, 4, 383-395.
Iketani, T., Kiriike, N., Stein, M. B., Nagao, K., Nagata, T., Minamikawa, N., Shidao, A., &; Fukuhara, H. (2002a). Relationship between perfectionism and agoraphobia in patients with panic disorder. Cognitive Behaviour Therapy, 31, 1-10.
Iketani, T., Kiriike, N., Stein, M. B., Nagao, K., Nagata, T., Minamikawa, N., Shidao, A., &; Fukuhara, H. (2002b). Relationship between perfectionism, personality disorders, and agoraphobia in patients with panic disorder. Acta Psychiatrica Scandinavica, 106, 171-181.
Matsunaga, H., Iketani, T., Matsui, T., Oya, K., Iwasaki, Y., &; Miyata, A. (2000). Perfectionism in patients with obsessive-compulsive disorder. Rinsho Seishin Igaku, 29, 1625-1632.
McNally, R. J. (1994). Panic disorder: A critical analysis. New York: Guilford Press.
McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry, 52, 938-946.
McNally, R. J., &; Lorenz, M. (1987). Anxiety sensitivity in agoraphobics. Journal of Behavior Therapy and Experimental Psychiatry, 18, 3-11.
McWilliams, L. A., Stewart, S. H., &; MacPherson, P. S. R. (2000). Does the social concern component of the Anxiety Sensitivity Index belong to the domain of anxiety sensitivity or the domain of negative evaluation sensitivity? Behaviour Research and Therapy, 38, 985-992.
Otto, M. W., &; Reilly-Harrington, N. A. (1999). The impact of treatment on anxiety sensitivity. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 321-336). Mahwah, NJ: Erlbaum.
Peterson, R. A., &; Reiss, S. (1992). Anxiety Sensitivity Index manual (2nd ed.). Worthington, OH: IDS Publishing Corporation.
Reiss, S. (1991). Expectancy model of fear, anxiety and panic. Clinical Psychology Review, 11, 141-155.
Roth, D. A., Coles, M. E., &; Heimberg, R. G. (2002). The relationship between memories for childhood teasing and anxiety and depression in adulthood. Journal of Anxiety Disorders, 16, 149-164.
Saboonchi, F., Lundh, L.-G., &; Ost, L-G. (1999). Perfectionism and self-consciousness in social phobia and panic disorder with agoraphobia. Behaviour Research and Therapy, 37, 799-808.
Scott, E. L., Heimberg, R. G., &; Jack, M. S. (2000). Anxiety sensitivity in social phobia: Comparison between social phobics with and without panic attacks. Depression and Anxiety, 12, 189-192.
Shear, M. K., Cloitre, M., &; Heckleman, L. (1995). Emotion-focused treatment for panic disorder: A brief, dynamically informed therapy. In J. P. Barber &; P. Critz-Christoph (Eds.), Dynamic therapies for psychiatric disorders (axis I) (pp. 267-293). New York: Basic Books.
Shear, M. K., Pilkonis, P. A., Cloitre, M., &; Leon, A. C. (1994). Cognitive behavioral treatment compared with non-prescriptive treatment of panic disorder. Archives of General Psychiatry, 51, 395-401.
Taylor, S. (1996). Nature and measurement of anxiety sensitivity: Reply to Lilienfeld, Turner, and Jacob (1996). Journal of Anxiety Disorders, 10, 425-451
Taylor, S., &; Cox, B. J. (1998). An expanded Anxiety Sensitivity Index: Evidence for a hierarchic structure in a clinical sample. Journal of Anxiety Disorders, 12, 463-483.
Zinbarg, R. E., Barlow, D. H., &; Brown, T. A. (1997). Hierarchical structure and general factor saturation of the Anxiety Sensitivity Index: Evidence and implications. Psychological Assessment, 9, 277-284.
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Flett, G.L., Greene, A. & Hewitt, P.L. Dimensions of Perfectionism and Anxiety Sensitivity. Journal of Rational-Emotive & Cognitive-Behavior Therapy 22, 39–57 (2004). https://doi.org/10.1023/B:JORE.0000011576.18538.8e
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DOI: https://doi.org/10.1023/B:JORE.0000011576.18538.8e

