Perfectionism as a mediator of psychological distress: Implications for addressing underlying vulnerabilities to the mental health of medical students

Eley, Diann; Bansal, Vikas; Leung, Janni

doi:10.1080/0142159x.2020.1805101

Cited by 35 publications

(22 citation statements)

References 45 publications

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“…14,15 Recent editorials call attention to the prevalence of maladaptive perfectionism in medicine and the potential role of perfectionism in physician burnout. 15,16 Data from medical student samples indicate that perfectionism is associated with negative mental health outcomes, 17 but no Procedures A research team member recruited physicians via an email sent to the entire medical staff and provided a copy of the study information sheet, which included a description of the study, risks, bene ts, and alternatives to participation. Informed consent was obtained from all individual participants included in the study.…”

Section: Introductionmentioning

confidence: 99%

Perfectionism as a Predictor of Physician Burnout

Martin

Fortier

Heyming

et al. 2022

Preprint

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Burnout is common among physicians and has detrimental effects on patient care and physician health. Recent editorials call attention to maladaptive perfectionism in medicine and the potential role of perfectionism in physician burnout; however, no studies to date have examined the effect of perfectionism on burnout in physicians practicing in the United States. This study examined the unique effects of demographics, perfectionism and personality traits on burnout among physicians. This was a cross-sectional study and included 69 attending physicians. Emotional exhaustion, depersonalization, and personal accomplishment burnout were assessed via the Maslach Burnout Inventory. Validated instruments were used to measure personality and perfectionism. Data were analyzed using linear regression models. Across physicians assessed, 42% reported either high emotional exhaustion burnout or depersonalization burnout. High self-critical perfectionism uniquely predicted both high emotional exhaustion burnout (B = 0.55, 95%CI 0.25–0.85) and depersonalization burnout (B = 0.18, 95%CI 0.05–0.31). Low conscientiousness (B = -6.12; 95%CI, -10.95- -1.28) predicted higher emotional exhaustion burnout and low agreeableness (B = -3.20, 95%CI -5.93- -0.46) predicted higher depersonalization burnout. Perfectionism is understudied among physicians and the current findings suggest that addressing system and individual-level factors that encourage maladaptive perfectionism is warranted and may reduce risk for physician burnout.

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Section: Introductionmentioning

confidence: 99%

Perfectionism as a Predictor of Physician Burnout

Martin

Fortier

Heyming

et al. 2022

Preprint

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“…And 30 years of research indicates the traits and attitudes posited by Hewitt and Flett (1991) and Frost et al (1990) are uniquely important predictors across these levels. Indeed, at the individual level, they predict psychological and physical health (e.g., Eley et al, 2020; Molnar et al, 2020), with perhaps the most compelling finding from a 7-year longitudinal study that found that self-oriented perfectionists are prone to earlier mortality (Fry & Debats, 2009). Likewise, multidimensional perfectionism is associated with an array of mental health problems including anxiety, depression, and suicide (e.g., Flett, Hewitt, et al, 2014; Smith, Sherry, Chen, et al, 2018).…”

Section: Known Knowns In Multidimensional Perfectionism Researchmentioning

confidence: 99%

Multidimensional perfectionism turns 30: A review of known knowns and known unknowns.

Smith¹,

Sherry²,

Ge³

et al. 2022

Canadian Psychology / Psychologie canadienne

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Theory and evidence converge to suggest perfectionism is a personality construct that matters a great deal and is linked with many consequential outcomes (e.g., depression, eating disorders, suicide, marital problems, and procrastination). With the multidimensional perfectionism construct turning 30 years of age, our review critically examines the past and the future of this construct with a focus on the six landmark dimensions of Hewitt and Flett’s (1991) and Frost et al.’s (1990) seminal models: Self-oriented perfectionism, other-oriented perfectionism, socially prescribed perfectionism, personal standards, concerns over mistakes, and doubts about actions. Our review considers both what we understand about these dimensions given the extant empirical literature (i.e., known knowns) and areas where gaps exist in our understanding of multidimensional perfectionism and its consequences (i.e., known unknowns). Evidence suggests the core dimensions of Hewitt and Flett’s (1991) and Frost et al.’s (1990) trait and attitudinal models of perfectionism, respectively, are neither captured by nor redundant with other well-established predictors. In fact, these perfectionism dimensions appear to represent core vulnerability factors that are tied intimately to the development and maintenance of a wide range of maladaptive outcomes.

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“…From the point of view of these disorders, empirical evidence has identified different mechanisms that have an impact on the symptomatology of maladaptive perfectionism. Among these, the clinical relevance of anxiety about perfectionistic actions ( 19 , 20 ).…”

Section: Introductionmentioning

confidence: 99%

Mediating Mechanisms of Perfectionism: Clinical Comorbidity of OCD and ED

et al. 2022

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Obsessive-compulsive disorder (OCD) and eating disorders (ED) share common causal factors and often represent similar entities. Studies on obsessive-compulsive disorders and eating disorders reveal a significant correlation between maladaptive perfectionism. The objective of this study is to evaluate the predictive variables of perfectionism in patients diagnosed with Anorexia Nervosa (AN), Bulimia Nervosa (BN) and OCD using a structural equation model (SEM). The sample consisted of 187 participants (60.9% women, 39.1% men) with a mean age of 26.68 (SD = 10.97). The findings reveal that the model is the same in all the disorders evaluated, achieving an adequate fit: χ2 = 7.95 (p = 0.000), RMSEA = 0.087 (95% confidence interval: 0.00 to 0.02), CFI = 0.991, TLI = 0.951 and with an overall predictive capacity of around 30% (CD = 0.318). It is recommended that future studies address the subtypes of disorders evaluated using longitudinal designs.

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Perfectionism as a mediator of psychological distress: Implications for addressing underlying vulnerabilities to the mental health of medical students

Cited by 35 publications

References 45 publications

Perfectionism as a Predictor of Physician Burnout

Perfectionism as a Predictor of Physician Burnout

Multidimensional perfectionism turns 30: A review of known knowns and known unknowns.

Mediating Mechanisms of Perfectionism: Clinical Comorbidity of OCD and ED

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