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Heavy episodic drinking (or binge drinking) is a significant public health concern. Self-medication using alcohol is often thought to explain the co-occurrence of heavy episodic drinking with depression and anxiety. Yet, there is little longitudinal work examining both depressive and anxiety symptoms and how they are independently related to heavy episodic drinking in adult community samples. To this end, we invited adult community members (N = 102) to come to the lab to complete validated measures of depressive symptoms (composite of CES-D-SF, SCL-90-D, and DASS-21-D), anxiety symptoms (DASS-21-A), and heavy episodic drinking (composite of frequency, severity, and perceptions) at baseline, and again three and six months later. Using a three-wave cross-lagged panel model, we tested reciprocal relations between heavy episodic drinking and each internalizing symptom. We found strong temporal stability in our study variables. Depressive symptoms were associated with increases in heavy episodic drinking, and anxiety symptoms were associated with decreases in heavy episodic drinking. In contrast, heavy episodic drinking did not predict either internalizing symptom over time. Results are consistent with the notion that individuals with greater depressive symptoms use alcohol to self-medicate, and that anxiety symptoms (particularly autonomic arousal) may be potentially protective against future heavy episodic drinking., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Aims: Alcohol use follows a developmental trajectory-steadily increasing and peaking in the early stages of emerging adulthood (e.g. first year of university) and declining thereafter. While most individuals 'mature out' of problem drinking as they move through emerging adulthood, some continue to drink heavily and experience serious problems. Tension reduction theory identifies social anxiety (SA) as a potential risk factor for problem drinking during emerging adulthood. However, mixed data suggest that the associations between SA and drinking behaviours are not straightforward. Cross-sectional studies demonstrate that socially anxious emerging adults are at risk for problem drinking, but only if they are also high in trait impulsivity. This study aimed to expand on previous work by examining trait impulsivity as moderator of the prospective associations between SA and maturing out of problem drinking in emerging adulthood., Methods: Undergraduates (N = 302) completed online self-reports at regular intervals (6-months) over an 18-month period, resulting in four waves of data., Results: Unconditional latent growth curve models indicated that alcohol problems (but not use) declined linearly over time. Next, conditional growth curve models revealed that SA was associated with impeded maturing out of alcohol problems, but this effect was only present in socially anxious participants with high levels of trait impulsivity., Conclusion: Our study advances growing literature on the crucial moderating role that impulsivity plays in the SA pathway to problem drinking. Clinical interventions for problem drinking among socially anxious students should both assess for and target concurrent impulsivity., (© The Author(s) 2020. Medical Council on Alcohol and Oxford University Press. All rights reserved.)

Objective: Over 50 years of research implicates perfectionism in suicide. Yet the role of perfectionism in suicide needs clarification due to notable between-study inconsistencies in findings, underpowered studies, and uncertainty about whether perfectionism confers risk for suicide. We addressed this by meta-analyzing perfectionism's relationship with suicide ideation and attempts. We also tested whether self-oriented, other-oriented, and socially prescribed perfectionism predicted increased suicide ideation, beyond baseline ideation., Method: Our literature search yielded 45 studies (N = 11,747) composed of undergraduates, medical students, community adults, and psychiatric patients., Results: Meta-analysis using random effects models revealed perfectionistic concerns (socially prescribed perfectionism, concern over mistakes, doubts about actions, discrepancy, perfectionistic attitudes), perfectionistic strivings (self-oriented perfectionism, personal standards), parental criticism, and parental expectations displayed small-to-moderate positive associations with suicide ideation. Socially prescribed perfectionism also predicted longitudinal increases in suicide ideation. Additionally, perfectionistic concerns, parental criticism, and parental expectations displayed small, positive associations with suicide attempts., Conclusions: Results lend credence to theoretical accounts suggesting self-generated and socially based pressures to be perfect are part of the premorbid personality of people prone to suicide ideation and attempts. Perfectionistic strivings' association with suicide ideation also draws into question the notion that such strivings are healthy, adaptive, or advisable., (© 2017 Wiley Periodicals, Inc.)

Background: The cognitive behavioural (CB) model of health anxiety proposes parental illness leads to elevated health anxiety in offspring by promoting the acquisition of specific health beliefs (e.g. overestimation of the likelihood of illness)., Aims: Our study tested this central tenet of the CB model., Method: Participants were 444 emerging adults (18-25-years-old) who completed online measures and were categorized into those with healthy parents (n = 328) or seriously ill parents (n = 116)., Results: Small (d = .21), but significant, elevations in health anxiety, and small to medium (d = .40) elevations in beliefs about the likelihood of illness were found among those with ill vs. healthy parents. Mediation analyses indicated the relationship between parental illness and health anxiety was mediated by beliefs regarding the likelihood of future illness., Conclusions: Our study incrementally advances knowledge by testing and supporting a central proposition of the CB model. The findings add further specificity to the CB model by highlighting the importance of a specific health belief as a central contributor to health anxiety among offspring with a history of serious parental illness.

Background: Health anxiety is common, impairing, and costly. The role of catastrophizing of bodily sensations (i.e. rumination about, overconcern with, and intolerance of bodily sensations) in maintaining health-related anxiety (i.e. anxiety about perceived health problems) is important, but understudied, in the health anxiety literature., Aims: The present study investigates the role of catastrophizing of bodily sensations as a maintenance factor for health-related anxiety over time., Method: Undergraduates (n = 226 women; n = 226 men) completed a baseline assessment, 14-day daily diary study, and 14-day longitudinal follow-up., Results: Path analysis indicated catastrophizing of bodily sensations maintains health-related anxiety from one month to the next in both men and women., Conclusions: The present study bridges an important gap between theory and evidence. Results support cognitive behavioral theories and extend cross-sectional research asserting catastrophizing of bodily sensations maintains health-related anxiety over time. A cyclical, self-perpetuating pattern was observed in the present study wherein catastrophizing of bodily sensations and health-related anxiety contribute to one another over time. Results also suggest targeting catastrophizing of bodily sensations may reduce health-related anxiety.

The perfectionism model of binge eating (PMOBE) is an integrative model explaining the link between perfectionism and binge eating. This model proposes socially prescribed perfectionism confers risk for binge eating by generating exposure to 4 putative binge triggers: interpersonal discrepancies, low interpersonal esteem, depressive affect, and dietary restraint. The present study addresses important gaps in knowledge by testing if these 4 binge triggers uniquely predict changes in binge eating on a daily basis and if daily variations in each binge trigger mediate the link between socially prescribed perfectionism and daily binge eating. Analyses also tested if proposed mediational models generalized across Asian and European Canadians. The PMOBE was tested in 566 undergraduate women using a 7-day daily diary methodology. Depressive affect predicted binge eating, whereas anxious affect did not. Each binge trigger uniquely contributed to binge eating on a daily basis. All binge triggers except for dietary restraint mediated the relationship between socially prescribed perfectionism and change in daily binge eating. Results suggested cross-cultural similarities, with the PMOBE applying to both Asian and European Canadian women. The present study advances understanding of the personality traits and the contextual conditions accompanying binge eating and provides an important step toward improving treatments for people suffering from eating binges and associated negative consequences.

Perfectionistic automatic thoughts have been linked with depressive symptoms in numerous cross-sectional studies, but this link has not been assessed in longitudinal research. An investigation with two timepoints was conducted to test whether perfectionistic automatic thoughts, as assessed by the Perfectionism Cognitions Inventory (PCI), are contributors to subsequent depression or vice versa. The possible role of a third factor (major life events stress) was also evaluated. A sample of 118 university students completed the PCI, the Center for Epidemiologic Studies Depression Scale (CES-D), and the Life Experiences Survey on two occasions with a 5-month interval. A cross-lagged analysis using structural equation modeling showed that above and beyond within-time associations and across-time stability effects, perfectionism automatic thoughts contributed to subsequent depressive symptoms and not vice versa. Negative life events stress was correlated significantly with both depressive symptoms and perfectionism automatic thoughts but did not have an influence on Time 2 depressive symptoms or on perfectionistic automatic thoughts. Our discussion focuses on perfectionistic automatic thoughts as a contributor to depressive vulnerability according to the perfectionism cognition theory.

The Big Three Perfectionism Scale (BTPS) is a 45-item self-report measure of perfectionism with three overarching factors: rigid, self-critical, and narcissistic perfectionism. Our objective was to create a brief version of the BTPS, the Big Three Perfectionism Scale--Short Form (BTPS-SF). Sixteen items were selected, and confirmatory factor analysis using a large sample of Canadian university students (N = 607) revealed the BTPS-SF had acceptable model fit. Moreover, the BTPS-SF displayed strong test-retest reliability. The relationships of the BTPS-SF factors with depression, anxiety, stress, emotional intelligence, personality, resiliency, and elements of subjective well-being also suggested adequate criterion validity. Overall, results suggest the BTPS-SF represents an efficient, easily administered, and novel means of assessing multidimensional perfectionism.

In the current research, we illustrate the impact that item wording has on the content of personality scales and how differences in item wording influence empirical results. We present evidence indicating that items in certain scales used to measure "adaptive" perfectionism fail to capture the disabling all-or-nothing approach that is synonymous with the individual who is driven to attain perfection. Original and modified versions of two perfectionism measures of high personal standards and modified perfectionistic standards versions of these scales were administered to three samples of participants. A series of analyses established that item wording does indeed matter. In particular, our results differed for a modified version of the Almost Perfect Scale-Revised when the focus was on a conceptualization and assessment of perfectionism that is fundamentally different from conscientious striving. The current findings are discussed in terms of their implications for scale construction and item wording in general and for the measurement of perfectionism in particular. The specific implications of these findings are examined in terms of understanding dysfunctional perfectionism and the current debate about whether certain aspects of perfectionism are adaptive versus maladaptive.

Research on adults indicates that perfectionistic self-presentation, the interpersonal expression of one's perfection, is associated with a variety of psychopathological outcomes independent of trait perfectionism and Big Five traits. The current article reports on the development and evidence for the validity of the subtest score interpretations of an 18-item self-report measure of perfectionistic self-presentation for children and adolescents. Analyses conducted on data from two clinical samples and one nonclinical sample of children and adolescents found that the Perfectionistic Self-Presentation Scale-Junior Form (PSPS-Jr) reflected a multidimensional model of perfectionistic self-presentation with three subscales: Perfectionistic Self Promotion, Nondisplay of Imperfection, and Nondisclosure of Imperfection. The subscale scores were found to demonstrate internal consistency, and there was good evidence supporting the validity of the interpretation of subscale scores based on this new measure. The subscales were associated with maladaptive outcomes, but were not influenced unduly by biases that included social desirability and differential item functioning by gender. Overall, the PSPS-Jr appears to be a useful measure of the expression of perfection among youths and an important tool in attempting to understand the nature and the consequences of perfectionistic self-presentation in children and adolescents. (Contains 3 figures, 4 footnotes and 7 tables.)

This study investigated potential differences in baseline (i.e., non-hangover-related) levels of depression, anxiety, and stress between individuals who are sensitive to and those resistant to hangovers after consuming alcohol. Participants included 5111 university students from the Netherlands and the U.K., including 3205 hangover-sensitive and 1906 hangover-resistant drinkers. All participants completed surveys on their demographics, alcohol consumption, and hangover susceptibility (whether they experienced a hangover in the past 12 months), as well as their baseline levels of depression, anxiety, and stress on the DASS-21 scale. The results showed that hangover-sensitive drinkers had significantly higher levels of anxiety and stress, but not depression, compared to hangover-resistant drinkers. However, the observed differences between the two groups were small, with a magnitude of less than 1 out of 42 points on the DASS-21 anxiety and stress subscales, and are thus unlikely to be clinically meaningful. [ABSTRACT FROM AUTHOR]

Abstract Anxiety sensitivity (AS) refers to a dispositional tendency to respond to one's anxiety sensations with fear. Longstanding theoretical accounts implicate AS in alcohol misuse; however, the relationship between AS and alcohol misuse remains unclear. We addressed this by testing whether AS is a risk factor for, and/or complication of, alcohol misuse by conducting a rigorous meta-analysis using random effect models. Our literature search yielded 15 studies (N = 9459). Studies were included if they used a longitudinal design, assessed AS and alcohol misuse at baseline, and assessed alcohol misuse and/or AS at follow-up. Results failed to support AS as a risk factor for, or complication of, alcohol misuse. Researchers are encouraged to test if the link between AS and alcohol misuse emerges under specific conditions (e.g., elevated state anxiety). Highlights • Meta-analyzed the relation between anxiety sensitivity (AS) and alcohol misuse • Located 15 relevant studies involving 9459 participants • AS did not predict increases in alcohol misuse over time. • Alcohol misuse did not predict increases in AS over time. • AS may not be a risk factor for, or complication of, alcohol misuse. [ABSTRACT FROM AUTHOR]

Background: Over 50 years of theory and research implicates perfectionism in anxiety. However, it is unclear which (if any) perfectionism dimensions are risk factors for anxiety.Objective: To address this, we conducted a meta-analysis testing whether socially prescribed perfectionism, concern over mistakes, doubts about actions, self-oriented perfectionism, and personal standards predict increases in anxiety.Method: Our literature search yielded 11 relevant studies for inclusion, composed of children, adolescents, undergraduates, community adults, and psychiatric patients.Results: Meta-analysis using random-effects models revealed concern over mistakes (r+ = .11), doubts about actions (r+ = .13), and personal standards (r+ = .08), but not socially prescribed perfectionism or self-oriented perfectionism, displayed significant small positive relationships with follow-up anxiety, after controlling for baseline anxiety.Conclusion: Research is needed to understand the conditions under which the connection between perfectionism and anxiety becomes stronger (e.g., stress). [ABSTRACT FROM AUTHOR]

This study supports the generalizability of perfectionistic strivings and concerns across Canadian and Chinese university students (N = 1,006) and demonstrates the importance of establishing measurement invariance prior to hypothesis testing with different groups. No latent mean difference in perfectionistic concerns was observed, but Canadian individuals reported higher perfectionistic strivings. [ABSTRACT FROM AUTHOR]

Cross-sectional research suggests a relationship between perfectionism and social anxiety. However, research has not examined the direction of this relationship using a longitudinal design. Perfectionism may be an antecedent or consequence of social anxiety, or both. Our study tested reciprocal relations between self-critical perfectionism (i.e., intense self-rebuke, negative reactions to perceived failures, and nagging self-doubt about actions) and social anxiety. We hypothesized that self-critical perfectionism would be both an antecedent and a consequence of social anxiety. A 3-wave, 12-month longitudinal design was used to test the hypotheses. Waves were spaced 6 months apart. Participants ( N = 301 undergraduates) completed measures in the lab at Wave 1. Online questionnaires were administered for Waves 2 and 3. Self-critical perfectionism and social anxiety both displayed strong rank-order inter-individual stability. Social anxiety predicted increases in self-critical perfectionism. However, self-critical perfectionism did not predict change in social anxiety. Self-critical perfectionism was a consequence of, but not an antecedent of, social anxiety. Results suggest treatments that reduce social anxiety may also reduce self-critical perfectionism. [ABSTRACT FROM AUTHOR]

It is unclear whether perfectionism is an antecedent of depressive symptoms, a consequence of depressive symptoms, or both. Furthermore, no study has tested reciprocal relations between perfectionism and anxiety symptoms, despite theory suggesting perfectionism both leads to, and results from, anxiety symptoms. We recruited 302 undergraduates and tested reciprocal relations between self-critical perfectionism and depressive and anxiety symptoms using a 12-month, 3-wave longitudinal design. Self-critical perfectionism predicted increases in depressive symptoms; depressive symptoms did not predict changes in self-critical perfectionism. Self-critical perfectionism was also a concomitant of, but not an antecedent or consequence of, anxiety symptoms. Results complement theory suggesting self-critical perfectionism is a vulnerability factor for depressive symptoms. [ABSTRACT FROM AUTHOR]

Highlights: [•] Study tested the role of anxious and avoidant attachment in health anxiety. [•] Study included emotional instability as a predictor and control variable. [•] Anxious attachment uniquely predicted health anxiety. [•] Anxious attachment and emotional instability interacted to predict health anxiety. [Copyright &y& Elsevier]

Abstract: Health anxiety (HA) involves persistent worry about one’s health and beliefs one has an illness or may contract a disease. In the present study, gender differences in Noyes et al.’s (2003) interpersonal model of health anxiety (IMHA) were examined. Using a sample of 950 undergraduates (674 women; 276 men), multigroup confirmatory factor analyses suggested the measurement model for key dimensions of the IMHA (i.e., reassurance-seeking, alienation, worry, and absorption) were invariant across gender. This suggests key dimensions of this model are applicable to and generalizable across women and men. Coefficients alpha for and bivariate correlations between these IMHA dimensions were also roughly comparable across women and men. As hypothesized, mean levels of reassurance-seeking and worry were significantly higher in women compared to men. No gender differences were observed in mean levels of alienation or absorption. Reassurance-seeking and worry appear salient in the interpersonal behavior and emotional life of women with HA. The present study helps to clarify gender differences in the IMHA and other HA models involving similar variables. [Copyright &y& Elsevier]

The Multidimensional Inventory of Hypochondriacal Traits (MIHT; Longley, Watson, & Noyes, 2005) appears to address shortcomings of other common measures of health anxiety, but further research is required prior to using this measure in treatment planning and outcome assessment. This study was designed to explore the hierarchical structure of this health anxiety measure and relations of the various MIHT health anxiety components to anxiety sensitivity. A sample of 535 university students (362 women) was administered the 31-item MIHT and the 16-item Anxiety Sensitivity Index (ASI; Reiss, Peterson, Gursky, & McNally, 1986). Confirmatory factor analyses of participants' responses on the MIHT showed that this measure may be conceptualized either as involving four correlated factors (i.e., Affective, Cognitive, Behavioral, and Perceptual) or as being hierarchical in nature, with the four lower-order factors loading on a single higher-order global health anxiety factor. Correlational analyses revealed significant relations of anxiety sensitivity to each of the four MIHT subscales and to the MIHT total score. Of the three established anxiety sensitivity components, ASI Physical Concerns were most strongly and consistently related to the various dimensions of health anxiety on the MIHT. Additional analyses revealed that the ASI and MIHT are better represented as two correlated but independent traits as opposed to common manifestations of a single underlying trait. The results have implications for case conceptualization, treatment planning, and assessment of treatment outcome in cognitive psychotherapy with health- anxious populations. [ABSTRACT FROM AUTHOR]

For most individuals, perfectionistic strivings and perfectionistic concerns coexist to varying degrees. While there is agreement that within-person combinations of perfectionistic strivings and perfectionistic concerns produce meaningful “subtypes”, the number and characterization of these within-person combinations is still debated. The two most prominent person-centered perfectionism models (the tripartite model and the 2 × 2 model) offer differing characterizations of how perfectionistic strivings effects perfectionistic concerns’ relationship with psychological outcomes. According to the 2 × 2 model, perfectionistic strivings buffers against the negative effects of perfectionistic concerns. The 2 × 2 model thus claims the most deleterious within-person combination of perfectionistic strivings and perfectionistic concerns is low strivings and high concerns. In contrast, according to the tripartite model, perfectionistic strivings exacerbates the maladaptive effects of perfectionistic concerns. The tripartite model thus claims the most maladaptive within-person combination of perfectionistic strivings and perfectionistic concerns is high strivings and high concerns. The present study tested these competing claims in a group of English speaking Canadians and a group of Mandarin speaking Chinese. Results support the tripartite model of perfectionism. [ABSTRACT FROM AUTHOR]

Abstract: Background: Numerous studies have observed that offspring of bipolar parents manifest a broad spectrum of psychiatric disorders. We tested the hypothesis that in high risk offspring, bipolar disorder evolves in a predictable clinical sequence from non-specific (non-mood) to specific (mood) psychopathology. Methods: Offspring from well-characterized families with one bipolar parent (high risk) or two well parents (controls) were assessed annually or at anytime symptoms developed using KSADS-PL interviews for up to 15 years. DSM-IV diagnoses were made on blind consensus review using all available clinical material. We compared the age-adjusted risks of lifetime psychopathology between high risk and control subjects and assessed the conditional probability of developing a mood disorder given a history of non-mood disorders. In subjects meeting full DSM-IV criteria for bipolar disorder, we assessed the sequence of psychopathology against a clinical staging model. Results: High risk offspring manifest higher rates of anxiety and sleep disorders, as well as major mood and substance use disorders compared to controls. Antecedent anxiety increased the age-adjusted risk of mood disorder from 40 to 85% (hazard ratio of 2.6). High risk subjects who developed a mood disorder had an increased risk of a substance use disorder (hazard ratio of 2.4), typically meeting diagnostic criteria during or after the first major mood episode. The evolution of psychopathology leading to bipolar disorder generally followed the proposed sequence, although not all subjects manifest all stages. Limitations: Larger numbers of high risk offspring prospectively assessed over the risk period would allow confirmation of these preliminary findings. Conclusions: Clinical staging may be a useful approach to refine the early diagnosis and facilitate research into the evolution of bipolar disorder in those at familial risk. [Copyright &y& Elsevier]

The relationships among measures of dimensions of perfectionism, depression, anxiety, stress, and anger were investigated in 114 children (45 males and 69 females, aged 10–15 years). Based on previous research [e.g. 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, 58–65], self-oriented perfectionism and socially prescribed perfectionism were hypothesized to interact with either achievement stress or social stress to predict concurrent depression. Participants completed the Child-Adolescent Perfectionism Scale, Children''s Depression Inventory, Children''s Manifest Anxiety Scale-Revised, Children''s Hassles Scale, and Pediatric Anger Expression Scale. Results revealed that self-oriented perfectionism was significantly associated with depression and anxiety, whereas socially prescribed perfectionism was significantly correlated with depression, anxiety, social stress, anger-suppression, and outwardly directed anger. Findings also indicated that: (1) self-oriented perfectionism interacted with social stress to predict anxiety; and that (2) self-oriented perfectionism interacted with achievement stress and with social stress to predict depression. Results suggest that dimensions of perfectionism may be relevant variables in, and differential predictors of, maladjustment and distress in children. [Copyright &y& Elsevier]