Multidimensional perfectionism and poor sleep: A meta-analysis of bivariate associations

Stricker, Johannes; Kröger, Lasse; Johann, Anna F.; Küskens, Anna; Gieselmann, Annika; Pietrowsky, Reinhard

doi:10.1016/j.sleh.2022.09.015

Cited by 12 publications

(3 citation statements)

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“…One potential reason for this is that adherence may be specifically related to maladaptive perfectionism, which in turn is related to increased sleep effort, presleep arousal, and dysfunctional beliefs and attitudes about sleep (Johann et al, 2022). Thus, the presumed positive effects of high levels of adherence on CBT-I outcomes may be dampened by the potential negative effects of perfectionism on sleep (Johann et al, 2017(Johann et al, , 2018Stricker et al, 2023). We agree with this recommendation and demonstrate again with the present study that adherence can be evaluated even if it was not the primary outcome measure of the parent study.…”

Section: Discussionmentioning

confidence: 99%

Adherence to sleep restriction therapy – An evaluation of existing measures

Steinmetz

Simon

Feige

et al. 2023

Journal of Sleep Research

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SummarySleep restriction, a key element of cognitive behavioural therapy for insomnia, involves considerable behavioural changes in patients' lives, leading to side‐effects like increased daytime sleepiness. Studies on sleep restriction rarely report adherence, and when assessed it is often limited to the average number of therapy sessions attended. This study aims to systematically evaluate different measures of adherence to cognitive behavioural therapy for insomnia and their relationship with treatment outcome. This is a secondary analysis of data from a randomized controlled trial investigating cognitive behavioural therapy for insomnia (Johann et al. (2020) Journal of Sleep Research, 29, e13102). The sample included 23 patients diagnosed with insomnia according to DSM‐5 criteria who underwent 8 weeks of cognitive behavioural therapy for insomnia. The following adherence measures based on sleep diary data were used: number of sessions completed; deviations from agreed time in bed; average percentage of patients deviating from bedtime by 15, 30 or 60 min; variability of bedtime and wake‐up time; change in time in bed from pre‐ to post‐assessment. Treatment outcome was assessed using the Insomnia Severity Index. Multiple regression models were employed, and insomnia severity was controlled for. Results showed that none of the adherence measures predict insomnia severity. Baseline insomnia severity, dysfunctional thoughts and attitudes about sleep, depression or perfectionism did not predict adherence. The limited variance in the outcome parameter due to most patients benefiting from treatment and the small sample size may explain these findings. Additionally, using objective measures like actigraphy could provide a better understanding of adherence behaviour. Lastly, the presence of perfectionism in patients with insomnia may have mitigated adherence problems in this study.

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Section: Discussionmentioning

confidence: 99%

Adherence to sleep restriction therapy – An evaluation of existing measures

Steinmetz

Simon

Feige

et al. 2023

Journal of Sleep Research

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“…Despite these impressive contributions, many environmental factors were not covered in this special issue. Among these are narrow factors such as childhood experiences (e.g., parenting, Ayoub et al, 2019), biological/health influences (e.g., sleep, Stricker et al, 2023), and broader factors, such as conflict and war (e.g., Cheung et al, 2020). Some researcher-provided topics that are considered most important (see Figure 3a) were missing from the special issue as well, such as trauma and peers.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

Explicating narrow and broad conceptualizations of environmental influences on personality

Weidmann,

Chopik

2023

Journal of Personality

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BackgroundA surge of studies aims to identify environmental factors that explain individual differences, personality stability, and personality development. This special issue builds on this large interest and solicited articles on broad and narrow environmental factors of personality.ObjectiveWe provide an overview of the motivations behind the special issue, review each of the articles, and present data on researchers' perceptions of environmental factors contributing to personality expression and development.MethodWe review 16 special issue articles, thematically grouped into seven topics—culture and race, genes and environment, geography and habitat, major/minor life events, social relationships, socioeconomic status and economic inequality, and work. We also present data on researchers' (N = 223) responses and ratings of environmental influences on personality expression and development.ResultsIn the open‐ended responses, the most important environmental influences were family, culture, peers, relationships, and trauma. Among the least important were weather, birth order, geography, climate, and shared environment. Nearly all the environmental influences featured in this special issue were considered at least somewhat important; however, there was considerable heterogeneity in how important researchers found each topic.ConclusionsThere is no perfect consensus among researchers as to which environmental factors contribute most to personality expression and development. We hope that there is a larger surge of studies on personality constructs beyond traits, that contextualize concepts within a cultural and historical framework and develop more stringent theories to hypothesize about the environmental influences on personality.

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“…Indeed, perfectionism has consistently proven to play a key role in a wide range of psychopathology (for meta-analysis, see [ 11 ]). For instance, there is strong evidence that perfectionistic concerns represent significant risk factors for anxiety [ 12 ] and depressive [ 13 ] symptoms, perinatal depression [ 14 ], stress [ 15 , 16 ], burnout [ 17 ], disordered eating [ 18 – 20 ], obsessive-compulsive disorder [ 21 ], different maladaptive personality traits, particularly narcissism [ 22 ], body dysmorphic symptoms [ 23 ], sleep problems [ 24 ], and even suicide ideation and attempts [ 9 ]. Additional findings suggested that perfectionism has detrimental effects on daily functioning [ 25 ] and subjective well-being [ 26 – 29 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of an Arabic translation of the Big Three Perfectionism Scale–Short Form (BTPS-SF) in a community sample of adults

Fekih-Romdhane,

Rogoza,

Hallit

et al. 2023

BMC Psychiatry

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Background Despite the high clinical relevance of the perfectionism construct as a transdiagnostic contributor to different mental health symptoms, and the recent burgeoning of research in this area across cultures in the past two decades, the Arab region was one of the cultural settings experiencing the slowest progress in this line of research. This study aimed to make a meaningful contribution to the literature by validating an Arabic-language version of the 16-item Big Three Perfectionism Scale–Short Form (BTPS-SF). In particular, we sought to examine structure and concurrent validity, internal consistency, and measurement invariance across gender groups. Method A web-based, convenience sampling method was adopted to collect a sample of Arabic-speaking adults from the general population of Lebanon (N = 515; aged 27.55 ± 10.92 years; 69.9% females). The forward-backward method was applied in translating the Arabic version of the BTPS-SF. Results The examination of the internal structure, using Confirmatory Factor Analysis (CFA), demonstrated that the three-factor model (i.e., rigid, self-critical, and narcissistic perfectionism) fitted well to the data. All three factors of the Arabic 16-item BTPS-SF yielded excellent reliability estimates, with both Cronbach’s alpha and McDonald’s omega ranging from 0.83 to 0.86. Multi-group CFA revealed that fit indices showed no significant difference in model fit at the configural, metric, and scalar levels, thus suggesting that the factor loadings, pattern structure, and item intercepts are invariant across gender groups. Finally, BTPS-SF subscales scores correlated positively with psychological distress (i.e., depression, stress and anxiety), and inversely with subjective well-being, indicating an acceptable concurrent validity. Conclusion The present findings allow us to conclude that the Arabic BTPS-SF permits to capture reliably and validly three main factors of perfectionism. We hope that providing this psychometrically sound scale will encourage its large use not only in empirical research, but also in clinical applications, including psychological screening and treatment monitoring.

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Multidimensional perfectionism and poor sleep: A meta-analysis of bivariate associations

Cited by 12 publications

References 77 publications

Adherence to sleep restriction therapy – An evaluation of existing measures

Adherence to sleep restriction therapy – An evaluation of existing measures

Explicating narrow and broad conceptualizations of environmental influences on personality

Psychometric properties of an Arabic translation of the Big Three Perfectionism Scale–Short Form (BTPS-SF) in a community sample of adults

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