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Aims: This study aimed to evaluate the relationship between perfectionism and expectations of thinness and dietary restriction in adults. Methods: This descriptive and cross-sectional study was conducted with adults 18-65 years old. Demographic characteristics and anthropometric measurements were questioned using a questionnaire form. Perfectionism characteristics of individuals were evaluated with "Frost Multidimensional Perfectionism Scale (FMPS)" developed to make a multidimensional assessment of perfectionism, and the findings regarding their expectations from thinness and food restriction were evaluated with the "Thinness and Restricting Expectancy Inventory (TREI) Scale". Data collection was facilitated using a web-based questionnaire. Those who were not in the appropriate age range and did not tick the "I consent to participate in this study voluntarily" tab were excluded from the study. Results: The study population was 1,376 adults (mean age: 27.42±10.99 years; 74.4% female). The TREI total score showed a weak positive correlation with the FMPS total score (r=0.351, p<0.001), and body mass index (BMI) (r=0.288, p<0.001). In multiple regression analysis, BMI, marital status, and TREI score showed an independent association with the FMPS total score. Male sex, TREI score, fear of making mistakes, and dieting showed independent associations with BMI. Conclusions: Perfectionism is associated with body dissatisfaction, BMI, expectations regarding thinness, and dietary restriction. It is considered an influential personality trait for identifying the risk of developing eating disorders and assessing the treatment process in the future. [ABSTRACT FROM AUTHOR]

This study explores the experiences of a group of self-identified perfectionists in relation to perfectionism associated with their crafting. It focuses on the participants' own perceptions of (1) to whom their perfectionistic behavior was directed or by whom it was caused, and (2) whether and how the participants' perfectionism was manifested both positively and negatively. The focal points mirror the constructs of perfectionism by Hewitt and Flett (1991) and Stoeber and Otto (2006). Semi-structured interviews were conducted with 13 Finnish people who identified as women and whose hobby was crafting. Inductive and deductive reasoning were used in the content analysis process to identify themes in the transcribed data. The themes that were identified, namely dimension of perfectionism, positive manifestation of perfectionism, and negative manifestation of perfectionism, provided answers for the research questions. The participants' accounts suggest that their perfectionism was self-oriented, and it manifested both positively and negatively in varying degrees. However, the negative influence of perfectionism seemed to outweigh its positive influence. The findings were in line with previous studies of perfectionism in creative activities. Moreover, they support the presented theories which suggest that the perfectionism construct includes both positive and negative aspects. [ABSTRACT FROM AUTHOR]

Perfectionism measures developed in English-speaking populations have become frequently used in many non-English contexts, including in Italy. Establishing structural and measurement equivalence of instruments between Canadian and Italian samples is therefore important in establishing the validity of these concepts and instruments in Italian contexts, and to allow for direct cross-cultural comparisons. The current study investigated the measurement equivalence between a Canadian and an Italian sample for the commonly used measures of perfectionism constructs based on the Comprehensive Model of Perfectionistic Behavior. The Hewitt & Flett Multidimensional Perfectionism Scale, the Perfectionistic Self-Presentation Scale, and the Perfectionism Cognitions Inventory were examined for configural, metric, and scalar invariance via equivalence testing of multigroup confirmatory factor analysis models. The results showed some evidence for configural and metric equivalence for the three measures, thus facilitating cross-cultural interpretation of pattern of associations. However, there was no consistent evidence for scalar invariance, thus suggesting that direct comparisons of perfectionism levels between the two contexts cannot be meaningfully interpreted. This highlights the need for research in both Canadian and Italian contexts to understand cross-cultural differences and similarities in perfectionism. [ABSTRACT FROM AUTHOR]

Purpose: Orthorexia nervosa (ON), a proposed disorder describing an obsessive focus on “healthy” eating, is characterised as having overlapping symptoms with obsessive–compulsive disorder. However, ON/obsessive–compulsive (OC) symptom relationships are inconsistently reported. The current study aimed to investigate if the contribution of OC symptoms and beliefs explain variability in ON symptoms and determine if perfectionism, a transdiagnostic factor, moderates the ON/OC symptom relationship. Methods: The study comprised 190 participants (Mage = 28.63, SDage = 9.88; 80% female) recruited via an undergraduate research programme, social media, advocacy organisations, and a participant registry. Participants completed an online questionnaire assessing ON, OC, and perfectionism symptoms. Results: A linear regression analysis found OC symptoms and beliefs explained 22.9% variability in ON symptoms (p < 0.001, f2 = 0.38) and perfectionism moderated the ON/OC symptom relationship, where higher levels of perfectionism with higher levels of OC symptoms was associated with higher levels of ON symptoms, explaining 2.2% variability (p =.01, f2 = 0.03). Conclusion: OC symptoms appear more common in ON than previous studies indicate. However, the interaction between perfectionism and OC symptoms may drive obsessions in ON. Findings help refine our current understanding of ON phenomenology with implications for ON treatment development. Future research should further explore perfectionism in ON phenomenology. Level of evidence: Level V (Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees). [ABSTRACT FROM AUTHOR]

Recent research suggested that mental toughness might play a mediating role in the relationship between multidimensional perfectionism and sleep quality. This study sought to examine the associations between multidimensional perfectionism, mental toughness, and sleep quality in young Chinese athletes, with a particular focus on investigating the potential mediating role of mental toughness in the relationship between multidimensional perfectionism and sleep quality. A total of 208 Chinese athletes (129 females and 79 males) aged from 15 to 29 (Mage = 19.9, SD = 2.52) were included. Structural equation modeling (SEM) was used to analyze the potential mediating effect. The results revealed that perfectionism striving was not associated with sleep quality, whereas perfectionism concerning emerged as a negative predictor of sleep quality. Mental toughness could positively predict sleep quality. The mediation analysis demonstrated that mental toughness partially mediated the relationship between perfectionism concerning and sleep quality. This study revealed that perfectionism concerning can reduce sleep quality, and mental toughness played a partial mediating role in the relationship between perfectionism concerning and sleep quality among Chinese young athletes. These findings suggest that enhancing athletes' mental toughness and reducing perfectionism concerning may be effective strategies for improving sleep quality. [ABSTRACT FROM AUTHOR]

Perfectionism has been identified as a vulnerability and maintenance factor across eating disorders (EDs). Additionally, research has found that intolerance of uncertainty (IU) and repetitive negative thinking (RNT) moderate the relationship between perfectionism and psychopathology. Despite this evidence, few studies have examined if these factors specifically moderate ED severity. This study aimed to fill this gap by investigating the moderating effect of IU and RNT on the relationship between perfectionism and ED symptoms, as well as the predictive power of these factors on identifying participants with clinically significant ED symptoms. 331 treatment-seeking adults from a university-affiliated community clinic and 264 undergraduate students completed measures to assess ED symptoms, RNT, perfectionism and IU. 147 participants (24.7% of the total sample) had clinically significant levels of ED symptoms as determined by the Eating Disorder Questionnaire Short-Form (EDE-QS). Multiple linear regressions found significant associations between ED symptoms and both the IU*perfectionism interaction (p <.001) and the RNT*perfectionism interaction (p <.001). A binary logistic regression identified that both the IU*perfectionism interaction (p =.03) and the RNT*perfectionism interaction (p =.001) predicted clinically significant EDE-QS scores. The findings indicate that both IU and RNT moderate the relationship between perfectionism and ED symptoms and build on previous literature recognising transdiagnostic contributors to ED symptomatology. Plain English summary: Perfectionism, intolerance of uncertainty and repetitive negative thinking have been shown to maintain symptoms across multiple eating disorders. This is the first study to investigate the influence of intolerance of uncertainty and repetitive negative thinking on the relationship between perfectionism and eating disorder symptoms in a treatment-seeking sample. We found that both intolerance of uncertainty and repetitive negative thinking impact the relationship between perfectionism and eating disorder symptomatology. By better understanding the role of these constructs, we can develop more effective and personalized treatments. [ABSTRACT FROM AUTHOR]

Background: Perfectionism dimensions, including perfectionistic strivings and perfectionistic concerns, have a significant positive association with psychopathology. Clinical perfectionism is defined as when an individual's self-esteem is excessively reliant on meeting high standards despite negative consequences. Numerous studies have found that higher perfectionistic concerns correlate with lower self-esteem; however, evidence for the association with perfectionistic strivings has been mixed. Aims: The focus of this systematic review and meta-analysis was to inform theoretical understanding of the relationships between perfectionism dimensions and self-esteem in adults. Method: A systematic literature search was conducted in Medline, PsycINFO, PsychARTICLES, ProQuest Central, and Scopus on 31 May 2023. Results: There were 83 articles included, with 32,304 participants (M age=∼24.66 years). There was a significant negative moderate pooled association between self-esteem and perfectionistic concerns, r =–.42, 95% CI [–0.47 to –0.38]. A significant negligible positive pooled association was found between self-esteem and perfectionistic strivings, r =.06, 95% CI [0.01 to 0.11]. Results indicate higher perfectionistic concerns is associated with lower self-esteem, providing indirect support for the cognitive-behavioural model of clinical perfectionism. Conclusions: Future research should compare cognitive behaviour therapy for perfectionism to treatments for low self-esteem on outcomes of perfectionistic concerns and psychopathology. [ABSTRACT FROM AUTHOR]

Objective of this study was to explore the impact of perfectionism on MDD among a cohort of first-year Chinese university students. Methods: This study employed a longitudinal design to investigate the relationship between perfectionism and MDD in a sample of first-year Chinese university students (n=8079). Socially prescribed perfectionism and almost perfectionism were measured using the Multidimensional Perfectionism Scale (MPS) and the Almost Perfect Scale-Revised (APS-R), while MDD was assessed using the Composite International Diagnostic Interview (CIDI-3.0). Random effects logistic regression modeling was utilized to estimate the associations between the variables. Results: The findings revealed that the incidence of MDD was 0.6%. Lifetime exposure to severe traumatic events (≥ 10) (OR=2.619, 95% CI: 1.502– 4.565) and almost perfectionism (OR=1.015, 95% CI: 1.004– 1.026) were identified as significant risk factors for MDD. Conclusion: It is evident that perfectionism is linked to an increased susceptibility to MDD. However, additional longitudinal studies focusing on university students are imperative to delve deeper into the influence of perfectionism on the initial manifestation of MDD. [ABSTRACT FROM AUTHOR]

Background: Adolescence is an important point in the emotional development of young people. It is a time when young people are characterised by a high degree of emotional instability and seek effective ways to regulate their emotions. One of the frequent methods they use to cope with emotional tension is self-injurious behaviour. Methods: In the context of the rising incidence of self-harm among adolescents, this study aims to understand the association of temperament with the experience of tension and self-injurious behaviour along with the mediating role of perfectionism among 366 adolescents aged 15 to 20 years (Mage = 17.98, SD = 1.302, 52.7% female). Participants completed questionnaires on temperament traits, level of perfectionism, and experience of tension and self-injurious behaviour. Results: The results show that traits such as perfectionism, sensory sensitivity and emotional reactivity increase the risk of self-injurious behaviour. Maladaptive perfectionism partially mediates the relationship between these traits and the tendency to experience emotional tension. A temperament profile with a protective role was also identified. Conclusions: The results of the study highlight the importance of innate traits as well as environmental and cognitive influences, and may contribute to a better understanding of the mechanisms leading to self-injurious behaviour and strategies aimed at its prevention. [ABSTRACT FROM AUTHOR]

Objective: The current study investigated the interrelationships between effortless perfectionism (a desire to appear perfect without outward displays of effort) and body dissatisfaction, pathological eating, and pathological exercise. In addition, the mediating role of self-kindness and self-criticism in these relationships was explored. Method: Using a cross-sectional design, undergraduate students (N = 497) were asked to complete a battery of questionnaires assessing these key variables. Results: Effortless perfectionism was indirectly positively associated with more severe body dissatisfaction and pathological eating/exercise, via higher levels of self-criticism (controlling for self-kindness). By contrast, after controlling for self-criticism, self-kindness did not mediate the relationships between effortless perfectionism and body dissatisfaction, pathological eating, or pathological exercise Conclusions: Self-criticism uniquely emerged as a mediating mechanism; the desire for effortless perfection was associated with higher self-criticism, which in turn was linked with worsened symptomatology. By contrast, self-kindness did not emerge as a unique mediating mechanism in this context. Longitudinal research would be useful to establish the effect of situational context, and possible reciprocal relationships between self-kindness and self-criticism over time. Key Points: What is already known about this topic: Body dissatisfaction, and pathological eating and exercise, are positively intercorrelated. These symptoms are characterised by chronicity and physical and psychological impairment. Negative perfectionism has been implicated in the onset and maintenance of eating and body-related pathology. What this topic adds: Effortless perfectionism predicted body dissatisfaction and symptoms of pathological eating/exercise. Self-criticism but not self-kindness uniquely positively mediated these relationships. Findings identified new paths linking negative perfectionism and disordered eating. [ABSTRACT FROM AUTHOR]

Objectives: Clinical perfectionism, characterised by stringent standards and persistent striving, correlates with self-criticism and poor wellbeing. In this study we explored the mediating roles of psychological flexibility and inflexibility, and self-compassion, in the relationships of clinical perfectionism with distress, and clinical perfectionism and wellbeing. Methods: We used a cross-sectional correlational study design. A non-clinical sample of 210 Australian residents aged between 18 to 65 years old completed an online survey. Data were analysed using correlational, multiple regression, and parallel mediation analysis. Results: Heightened clinical perfectionism was associated with lower wellbeing and increased distress. Regression models revealed significant mediation by psychological inflexibility processes (self-as-content, experiential avoidance, cognitive fusion) and self-compassion. Cognitive fusion and inaction mediated clinical perfectionism-distress, while self-compassion and inaction mediated clinical perfectionism-psychological wellbeing. Conclusions: These findings support clinical perfectionism as a transdiagnostic predictor of distress and reduced wellbeing. Those with high clinical perfectionism tend to rigidly respond to perfectionistic thoughts, avoid uncomfortable emotions, and engage in value-disconnected inaction. Associations between psychological flexibility and inflexibility processes emphasise their multidimensional nature, distinct yet interrelated. Inaction emerges as a common process in clinical perfectionism-distress and clinical perfectionism-wellbeing, while cognitive fusion specifically influences distress, and limited self-compassion affects wellbeing. Key Points: What is already known about this topic: Clinical perfectionism is linked to psychopathology and transdiagnostic mechanisms, impacting distress and psychological wellbeing. Psychological inflexibility provides a transdiagnostic framework for understanding how rigid and self-limiting responses to feelings and thoughts are maintained despite negative consequences. Clinical perfectionism may be a form of psychological inflexibility, with rigid responses to perfectionistic thoughts, avoidance of uncomfortable emotions, and value-disconnected inaction. What this topic adds: Cognitive fusion and inaction are crucial for understanding clinical perfectionism's impact on distress. Self-compassion and inaction play a key role in understanding the relationship between clinical perfectionism and wellbeing. Understanding the functions of inaction is vital for fostering flexible responses to perfectionistic thoughts. [ABSTRACT FROM AUTHOR]

numerous stressors, such as test anxiety, imposter phenomenon, and perfectionism. The association between the imposter phenomenon and perfectionism is well-studied, but test anxiety as a mediator of this association is not examined. The present study aimed to explore the mediating role of test anxiety on the imposter phenomenon and perfectionism among Pakistani high-achieving students. Additionally, we investigated gender and grade differences for junior and senior high school students. In the present cross-sectional survey study, participants (n = 250) aged 15–18 years responded to the Clance Imposter Phenomenon Scale, Frost Multidimensional Perfectionism Scale, and Westside Test Anxiety Scale. Findings showed that perfectionism increased by 39% with a one-unit increase in the imposter phenomenon. Test anxiety was a significant positive mediator of the association between imposter phenomenon and perfectionism. T -test showed girls had higher scores on the imposter phenomenon and test anxiety than boys. One-way ANOVA revealed significant educational grade differences with small effect sizes, and junior high school students scored higher than senior high school students on study variables. About 44% and 48% of 250 participants reported having moderate and frequent imposter symptoms, respectively. Almost 36.5% of high-achievers had low test anxiety, and 50% of high-achievers had normal test anxiety. The study presents a discussion of the merits and demerits. [ABSTRACT FROM AUTHOR]

This paper introduces the symposium on Spinoza on perfectionism and education. It frames the key issue of Spinoza's perfectionism in terms of a perennial educational problem and introduces the different contributions to this special issue, where Steven Nadler's main paper is followed by a series of full paper responses by a group of Spinoza scholars and educational theorists. To round off the special issue, Nadler comments on the responses to his main paper. [ABSTRACT FROM AUTHOR]

Steven Nadler has written an insightful paper on 'Spinoza and Maimonides on Human Perfection and the Love of God', in which he analyses the differences and similarities between Spinoza and Maimonides related to the suggested themes, and he argues that becoming blessed is possible. Nadler does not, however, say much about whether blessedness is possible for a few or the whole human species. I argue, though, that pursuing blessedness is hard work and that only a few, if any, seem to engage or are being enabled to engage in the pursuit of becoming blessed, that is, in striving for the highest possible good, namely, the intellectual love of God or Nature. I begin by showing what humans' typical potentials and limitations are with respect to achieving perfection, according to Spinoza. I also show that that we cannot achieve perfection: at least not in the same sense as God or Nature. In the second part I show what we as human beings have to do in order to engage ourselves in the pursuit of becoming blessed. In the final part I discuss some current conditions for education which does not in-themselves make it possible to become blessed in education, and put forward some ideas of what can be done in education in order for those concerned to strive to become blessed. [ABSTRACT FROM AUTHOR]

This essay (written in response to Steven Nadler's article in this issue) seeks to interrogate the promise of Spinoza's perfectionism for education. It does so by first establishing Spinoza's perfectionism as a striving toward the intellectual love of God, occasioning an investigation of the relation Nadler sets up between Spinoza's and Maimonides' perfectionist schemes, and then evaluating the educational currency of such a striving. It is argued that while Spinoza's highest good is difficult to construe as a widely attainable educational aim, it allows for two different educational pathways, where one focuses on the reeducation of passions via narratives adjusted to the ingenia of students and the other on attaining the highest good. At a glance, these two pathways come across as radically different in their setup, but they are aligned insofar as the stability of the community (agreeability) is a precondition for the striving for intellectual perfection. In parallel, this tracks how a pedagogical relation – being necessarily asymmetrical from the outset – can evolve into a relation of mutual friendship once the striving for perfection is identified and accepted as a common goal. [ABSTRACT FROM AUTHOR]

Psychological reactions to the climate change (CC) crisis, encompassing worry, distress, and impairment, are influenced by personality. Also, these psychological reactions to CC and future anxiety can impact an individual's overall psychological distress. The role of perfectionism in psychological distress through CC reactions and future anxiety (FA) has not yet been explored. Our aim was to explore the mediator roles of CC worry, CC distress, CC impairment, and FA in the link between perfectionism and general psychological distress while controlling for the effect of gender. A path analysis was conducted on a sample of 577 adults (mean age = 32.62 ± 14.71) from the general population (64.5% women). The final model with all statistically significant path coefficients (p ≤ 0.01) presented an excellent model fit: χ2(6) = 1.56, p = 0.152; CFI = 0.995; GFI = 0.995; TLI = 0.986; RMSEA = 0.031, CI = 0.000–0.068, p = 0.764. Perfectionism was associated with general PD through several indirect pathways, including CC worry, CC distress, CC impairment, and FA, while controlling for the effect of gender. The model explained 3.89% of CC worry, 39.70% of CC distress, 20.64% of CC impairment, 23.73% of FA, and 20.20% of general PD. These findings suggest that cognitive and emotional responses to CC and future anxiety are exacerbated with higher perfectionism levels, which leads to higher overall psychological distress. These data underscore that individuals with high levels of perfectionism may require help to psychologically adapt to CC. Interventions aimed at lowering the maladaptive cognitive and emotional responses to climate threats should be implemented. [ABSTRACT FROM AUTHOR]

Objective: Students with perfectionist concerns impose significant pressure on themselves, which can lead to negative feelings towards school and decreased participation in academic-related tasks. The aim of this research was to determine the effectiveness of an educational program derived from a validated model of academic engagement on the academic perfectionism of students. Methods and Materials: In this quasi-experimental study, the population included 2500 female high school students in Hamadan, and the research sample consisted of 40 students selected through multi-stage cluster random sampling. These students were divided into two groups of 20 for the experimental and control groups, respectively. Students' perfectionism was measured using the Positive and Negative Perfectionism Scale by Short et al. (1995). Data analysis was conducted using Analysis of Covariance (ANCOVA) through SPSS version 25. Findings: The results indicated that the educational program derived from the validated model of academic engagement significantly impacted both positive perfectionism (P < .001) and negative perfectionism (P < .001) among the female high school students in Hamadan. Conclusion: It can be concluded that the educational program derived from the validated model of academic engagement was effective in addressing academic perfectionism among high school students in Hamadan. [ABSTRACT FROM AUTHOR]

AbstractPerfectionism is widely recognised as a key factor in students’ learning experiences, but such evidence is primarily derived from cross-sectional studies testing unidirectional links. To fill in the gap, our study used a longitudinal design and made the initial attempt to examine the bi-directional links between two types of perfectionism (personal standards and concerns over mistakes), two types of academic motivation (intrinsic and extrinsic motivation), and academic engagement. Results from the cross-lagged panel analysis among Chinese university students found that personal standards and intrinsic motivation were positively and reciprocally related. Another reciprocity was revealed: intrinsic motivation positively predicted later extrinsic motivation, while extrinsic motivation negatively predicted later intrinsic motivation. Besides, our study revealed several unidirectional links: intrinsic motivation positively predicted later academic engagement, extrinsic motivation positively predicted later concerns over mistakes, and academic engagement negatively predicted later concerns over mistakes. [ABSTRACT FROM AUTHOR]

AbstractFilial piety and perfectionism are associated with life satisfaction and are influenced by family values. This study examined the roles of filial piety beliefs and perfectionism in life satisfaction among 379 young adults aged 18 to 25 in Malaysia (n = 199) and the United Kingdom (n = 180). In both samples, reciprocal and authoritarian filial piety beliefs showed positive correlations with life satisfaction, while maladaptive perfectionism correlated negatively with life satisfaction. There was a positive correlation between adaptive perfectionism and life satisfaction only in the Malaysian sample. In both samples, adaptive and maladaptive perfectionism mediated the relationship between reciprocal filial piety and life satisfaction, but in opposite directions. That is, higher reciprocal filial piety was related to higher adaptive perfectionism and greater life satisfaction; higher reciprocal filial piety was also related to lower maladaptive perfectionism and better life satisfaction. Furthermore, maladaptive perfectionism mediated the relationship between authoritarian filial piety and life satisfaction in both samples; higher authoritarian filial piety was related to higher maladaptive perfectionism and reduced life satisfaction. However, specifically in the Malaysian sample, higher authoritarian filial piety predicted greater adaptive and maladaptive perfectionism. Findings highlight the importance of considering traditional family values, individual differences, and their interaction when evaluating subjective wellbeing. [ABSTRACT FROM AUTHOR]

ObjectiveMethodResultsConclusions\nKEY POINTSPrevious research has found a negative association between aversion to happiness and various aspects of mental well-being. In the present study, we hypothesised that aversion to happiness (as measured by the fear of happiness scale) would mediate the association between psychological distress and three predictors: Meaning in life, self-esteem, and perfectionism. We included five dimensions of perfectionism separately, and a composite of the five dimensions to measure overall perfectionism.We used a sample of 317 individuals from Turkey (mean age = 27.31) to test our hypotheses. We employed both ordinary least square regression analysis and path analysis to examine the mediation hypotheses.The results of mediation analyses showed that aversion to happiness was a significant mediator of the associations between psychological distress and self-esteem, meaning in life, the five aspects of perfectionism, and overall perfectionism. In a path model with meaning in life, self-esteem, and overall perfectionism, aversion to happiness was found to significantly mediate only the effects of meaning in life and perfectionism.These results highlight the importance of meaning in life, self-esteem, and perfectionism as predictors of aversion to happiness and the role of aversion to happiness as a mediator for the links between these predictors and mental well-being.What is already known about this topic: Aversion to happiness has been linked to reduced mental well-being and increased psychopathology symptoms.Previous studies have explored some predictors of aversion to happiness, such as childhood maltreatment, insecure attachment, and neuroticism.Aversion to happiness is commonly examined as a predictor variable in psychological research.Aversion to happiness has been linked to reduced mental well-being and increased psychopathology symptoms.Previous studies have explored some predictors of aversion to happiness, such as childhood maltreatment, insecure attachment, and neuroticism.Aversion to happiness is commonly examined as a predictor variable in psychological research.What this topic adds: This study is the first to demonstrate that low self-esteem and a lack of meaning in life are significant predictors of aversion to happiness.This study provides new evidence that perfectionism, across multiple dimensions, contributes to aversion to happiness.Aversion to happiness mediated the relationships between meaning in life, self-esteem, perfectionism, and psychological distress.This study is the first to demonstrate that low self-esteem and a lack of meaning in life are significant predictors of aversion to happiness.This study provides new evidence that perfectionism, across multiple dimensions, contributes to aversion to happiness.Aversion to happiness mediated the relationships between meaning in life, self-esteem, perfectionism, and psychological distress. [ABSTRACT FROM AUTHOR]

Background: Among medical residents, suicide is the second most prevalent cause of mortality. In Iran, the suicide of medical residents has become one of the most important challenges. This study aimed to investigate the mediating role of psychological distress in the relationship between perfectionism and suicidal ideation among medical residents in Iran. Methods: This research was a descriptive-correlational study based on structural equation modeling. The statistical population of the present research included all the residents in Shahid Beheshti University of Medical Sciences (SBMU) in 2023, of whom 277 people were selected as a sample using the available sampling method. The Beck Scale for Suicidal Ideation (BSSI-1997), the Tehran Multidimensional Perfectionism Scale (TMPS-2007) and the Depression, Anxiety and Stress Scale (DASS-21-1995) were used to collect the data. Data was analyzed using structural equation modeling with SPSS and Amos software version 22. Results: Out of 277 participants, 30% (N = 83) were male and 70% (N = 194) were female. The findings showed that the research model had goodness of fit. There was a significant relationship between perfectionism and psychological distress (β = 0.76, P < 0/001) and between psychological distress and suicidal thoughts (β = 0.66, P < 0/001). However, there was no direct relationship between perfectionism and suicidal ideation (P > 0.01), but perfectionism played a role in residents' suicidal ideation through psychological distress (β = 0.50, P < 0/001). In other words, perfectionism led to suicidal ideation by increasing the psychological distress of the residents. In addition, perfectionism and psychological distress were able to explain 42% of the variances of suicidal ideation (R2 = 0/42). Conclusion: The results highlighted the crucial role of psychological distress in suicidal ideation of medical residents. Accordingly, substantial support from health-sector managers and policymakers is essential to meet the requirements of medical residents. [ABSTRACT FROM AUTHOR]

Orthorexia nervosa is described as a pathological fixation with healthy eating. Many risk factors contribute to the development of orthorexia nervosa. This study aimed to better understand the role of perfectionism in the development of orthorexia nervosa. In this context, studies on the relationship between orthorexia nervosa and perfectionism were reviewed. In the databases of PubMed, Wiley Online Library and Sage Journals and were searched. The keywords “orthorexia”, “orthorexia nervosa”, “pathologically healthy eating” and “perfectionism” were used in the search. As a result of the scanning, 17 articles on the relationship between orthorexia nervosa and perfectionism were examined. Studies were evaluated in terms of sample characteristics, study design, orthorexia nervosa measurement tools and study results. The results indicate that orthorexia nervosa and perfectionism are related. In addition, only one study found a weak relationship between ON and perfectionism. However, for more comprehensive findings on the relationship between orthorexia nervosa and perfectionism, cross-cultural studies are needed. Finally, the concept of perfectionism, which is effective in the development of orthorexia nervosa, may be a guide for effective treatment techniques. [ABSTRACT FROM AUTHOR]

Two central questions concerning the role that persistent disagreements about philosophical, ethical, and religious issues in liberal societies are raised in this paper: (i) whether the state's authority may be justified on the basis of controversial views and (ii) whether the state may rely on controversial views when exercising authority. Many assume whatever motivates philosophers to respect disagreement in justifying the state--answering "no" to (i)--seems to also require the state to respect disagreement when it acts--answering "no" to (ii). Here I defend the consistency of answering "no" to (i) and "yes" to (ii), a position I call "political perfectionism." I argue, first, that one prominent reason for answering "no" to (i)--that citizens should be able to endorse the authority of the state--is consistent with answering "yes" to (ii) and, second, that the intuitions underlying why political liberals want citizens to be able to endorse the authority of the state can motivate answering "yes" to (ii). [ABSTRACT FROM AUTHOR]

This study analysed the effects of perfectionism on the formation of attitudes and expectations of organisational behaviour in potential recruiters. Specifically, the dimensions of perfectionism proposed by Hewitt and Flett were analysed in relation to the meta-cognitive process of thought self-validation. Participants were randomly exposed to the résumé (strong vs. weak) of a job candidate that produced either favourable thoughts (strong résumé) or unfavourable thoughts (weak résumé) about the candidate and the résumé. As hypothesised, participants perceived their thoughts as more perfect the higher their self-oriented perfectionism. Consequently, this led them to be more certain and confident in the thoughts generated. This greater cognitive validation of their own thoughts, in turn, gave rise to more polarised attitudes (either in favour of or against the candidate) and expectations about performance, adaptation and organisational commitment, according to the thoughts generated (favourable vs. unfavourable). The implications for research in persuasion and its application in personnel selection are discussed in this article. [ABSTRACT FROM AUTHOR]

Higher Education Institutes (HEIs) have been met with an unprecedented demand on their student counselling and wellbeing services in recent years with the impacts of COVID‐19 and high rates of mental health concerns amongst student populations. Online mental health programs offer one solution by providing students with quick and easy access to effective therapeutic content. The Focused Minds Program is an evidence‐based eight‐module online self‐guided cognitive behavioural intervention that targets the transdiagnostic risk factor of perfectionism and has been shown to decrease depression, anxiety, and disordered eating. The program was implemented at a UK university between 2021 and 2023. Recruitment occurred via departmental emails, academic staff, and the university's counselling staff and website. Participants were provided with access to the intervention for 6‐weeks and completed weekly surveys of psychosocial measures. The trial's implementation was assessed using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework: reach (uptake via the recruitment channels), effectiveness (outcomes on psychometric measures of mental wellbeing), adoption (staff and organisational support), implementation (intervention engagement and attrition), and maintenance (continued implementation across the trial period). Key barriers to successful implementation, as well as proposed solutions, are discussed to guide future online mental health interventions provided in HEIs. [ABSTRACT FROM AUTHOR]

Little is known about how perfectionistic adolescents experience social connection in online spaces. The current qualitative study addressed this gap by examining themes related to social (dis)connection in online and in-person settings from semistructured interviews with 43 adolescents (Mage = 15.16, SD = 2.43; 62.8% female; 58.1% white; 54.4% self-identified perfectionists). Results demonstrated that perfectionists expressed feeling less connected online than nonperfectionists, likely driven by heightened levels of interpersonal sensitivity. However, a subgroup of perfectionists sought out meaningful online relationships, often in response to a fear or experience of rejection by in-person peers. The results highlight the role of interpersonal sensitivity in fueling feelings of disconnection among adolescent perfectionists in both online and in-person settings, as well as the importance of self-monitoring in the social experiences of perfectionistic youth. Public Significance Statement: This study examined teen perfectionists' sense of connection with others on social media, by comparing their responses in semistructured interviews to those of nonperfectionists. For most perfectionists, connecting with others via social media was challenging due to the lack of social cues online that they seem to rely heavily on in-person to soothe their social anxieties. However, for a small group of perfectionists who felt they did not fit in with their face-to-face peers, online platforms gave them a safe space where they could connect with others with whom they shared common interests and values. [ABSTRACT FROM AUTHOR]

There is growing research on the utility of movies to help clients in counseling. Encanto has been used to demonstrate family relationships and generational trauma. In addition, counselors can use Encanto to help clients understand the ways that perfectionism can appear, as well as the meaning and importance of growth-fostering relationships. This article examines Encanto and its themes of perfectionism and disconnection through a relational cultural lens. Methods of incorporating the movie into counseling sessions and implications for clients are discussed. [ABSTRACT FROM AUTHOR]

Perfectionism is a growing concern and leads to multiple psychosocial consequences. Of note, perfectionism greatly impacts relationships and the ability to form meaningful connections. Relational Cultural Theory is an approach to helping clients realize the importance of growth-fostering relationships and focuses on client empowerment. A relational cultural approach can be a highly effective approach for working through perfectionism. This article conceptualizes perfectionism through a relational cultural lens and provides treatment recommendations. [ABSTRACT FROM AUTHOR]

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Using a cross-national approach, we focused on sport perfectionism among university athletes from two Western countries (i.e., Italy and Spain). We examined a guiding theoretical model in which sport perfectionism influenced athletes' experience of their own performance through the intervening effects of their basic psychological needs' satisfaction (BPN). We collected data on the short version of the "Multidimensional Inventory of Perfectionism in Sport" (MIPS) from athletes in both countries and first examined the country measurement invariance of the instrument. We then conducted a second study on a subsample of athletes from study 1 to examine the statistical tenets and the country invariance of the guiding theoretical model. Overall, we found support to the guiding hypotheses. Study 1 findings showed that the MIPS had good psychometric properties and was invariant across countries (i.e., MIPS items had similar meaning among Italian and Spanish athletes). Study 2 findings overall showed support across countries for the guiding model. Athletes with relatively high levels of perfectionistic strivings, later showed greater levels of BPN satisfaction and this, in turn, positively influenced their personal experience of performance. On the contrary, athletes with relatively high levels of perfectionistic concerns, later showed lower levels of BPN satisfaction and this, in turn, negatively influenced their personal experience of performance. This investigation provides initial cross-national evidence for possible mediation mechanisms that may underpin the relations between perfectionism and performance. [ABSTRACT FROM AUTHOR]

Perfectionism cognitions are associated with cognitive biases (including memory), depression, and anxiety. Memory biases related to perfectionism may contribute to perfectionism's role as a transdiagnostic risk factor and high comorbidity rates. However, very limited research exists on the relationship between perfectionism and memory. The current study examined (1) if perfectionism cognitions are related to memory performance, and (2) if perfectionism cognitions are related to sensitivity or decision bias. A convenience sample of 191 university students completed a recognition task with perfectionism-relevant, negative, positive, and neutral stimuli, and the Perfectionism Cognitions Inventory. The results showed perfectionism cognitions were correlated with and predicted memory accuracy for perfectionism-relevant and negative words only, suggesting individuals higher in perfectionism cognitions may exhibit an enhanced memory for perfectionism-relevant and negative stimuli. Signal detection analysis showed higher perfectionism cognitions were also related to (1) a higher memory discriminative ability, and (2) a more liberal response bias, for perfectionism words only. Furthering our understanding of how perfectionism cognitions impact cognitive processes is an important step to identify potential mechanisms in the relation between perfectionism cognitions and distress, and identify targets for intervention. [ABSTRACT FROM AUTHOR]

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Aims: This study aimed to evaluate the relationship between perfectionism and expectations of thinness and dietary restriction in adults. Methods: This descriptive and cross-sectional study was conducted with adults 18-65 years old. Demographic characteristics and anthropometric measurements were questioned using a questionnaire form. Perfectionism characteristics of individuals were evaluated with “Frost Multidimensional Perfectionism Scale (FMPS)” developed to make a multidimensional assessment of perfectionism, and the findings regarding their expectations from thinness and food restriction were evaluated with the “Thinness and Restricting Expectancy Inventory (TREI) Scale”. Data collection was facilitated using a web-based questionnaire. Those who were not in the appropriate age range and did not tick the “I consent to participate in this study voluntarily” tab were excluded from the study. Results: The study population was 1,376 adults (mean age: 27.42±10.99 years; 74.4% female). The TREI total score showed a weak positive correlation with the FMPS total score (r=0.351, p

Orthorexia nervosa is described as a pathological fixation with healthy eating. Many risk factors contribute to the development of orthorexia nervosa. This study aimed to better understand the role of perfectionism in the development of orthorexia nervosa. In this context, studies on the relationship between orthorexia nervosa and perfectionism were reviewed. In the databases of PubMed, Wiley Online Library and Sage Journals and were searched. The keywords “orthorexia”, “orthorexia nervosa”, “pathologically healthy eating” and “perfectionism” were used in the search. As a result of the scanning, 17 articles on the relationship between orthorexia nervosa and perfectionism were examined. Studies were evaluated in terms of sample characteristics, study design, orthorexia nervosa measurement tools and study results. The results indicate that orthorexia nervosa and perfectionism are related. In addition, only one study found a weak relationship between ON and perfectionism. However, for more comprehensive findings on the relationship between orthorexia nervosa and perfectionism, cross-cultural studies are needed. Finally, the concept of perfectionism, which is effective in the development of orthorexia nervosa, may be a guide for effective treatment techniques.

Abstract Recent research suggested that mental toughness might play a mediating role in the relationship between multidimensional perfectionism and sleep quality. This study sought to examine the associations between multidimensional perfectionism, mental toughness, and sleep quality in young Chinese athletes, with a particular focus on investigating the potential mediating role of mental toughness in the relationship between multidimensional perfectionism and sleep quality. A total of 208 Chinese athletes (129 females and 79 males) aged from 15 to 29 (Mage = 19.9, SD = 2.52) were included. Structural equation modeling (SEM) was used to analyze the potential mediating effect. The results revealed that perfectionism striving was not associated with sleep quality, whereas perfectionism concerning emerged as a negative predictor of sleep quality. Mental toughness could positively predict sleep quality. The mediation analysis demonstrated that mental toughness partially mediated the relationship between perfectionism concerning and sleep quality. This study revealed that perfectionism concerning can reduce sleep quality, and mental toughness played a partial mediating role in the relationship between perfectionism concerning and sleep quality among Chinese young athletes. These findings suggest that enhancing athletes’ mental toughness and reducing perfectionism concerning may be effective strategies for improving sleep quality.

Abstract Perfectionism has been identified as a vulnerability and maintenance factor across eating disorders (EDs). Additionally, research has found that intolerance of uncertainty (IU) and repetitive negative thinking (RNT) moderate the relationship between perfectionism and psychopathology. Despite this evidence, few studies have examined if these factors specifically moderate ED severity. This study aimed to fill this gap by investigating the moderating effect of IU and RNT on the relationship between perfectionism and ED symptoms, as well as the predictive power of these factors on identifying participants with clinically significant ED symptoms. 331 treatment-seeking adults from a university-affiliated community clinic and 264 undergraduate students completed measures to assess ED symptoms, RNT, perfectionism and IU. 147 participants (24.7% of the total sample) had clinically significant levels of ED symptoms as determined by the Eating Disorder Questionnaire Short-Form (EDE-QS). Multiple linear regressions found significant associations between ED symptoms and both the IU*perfectionism interaction (p

Abstract Background Procrastination is common among university students and associated with adverse outcomes such as physical and mental health problems. According to the Temporal motivation theory procrastination may vary over time depending on the temporal proximity to goals and deadlines. Aims To determine if mean procrastination levels among university students varies over an academic year, and if trajectories of procrastination are moderated by gender identity, perfectionistic strivings, and/or perfectionistic concerns. Sample Swedish university students (n = 1410). Methods The cohort was followed with web-surveys at four time-points over one academic year (Late semester, Mid semester, After semester, and Early semester). Generalized Estimating Equations were used to estimate mean levels of self-rated procrastination at the different time-points. Results We found only small fluctuations in mean procrastination levels over the academic year. Participants with high perfectionistic concerns demonstrated higher mean procrastination levels at all time-points, but neither gender identity, perfectionistic concerns nor perfectionistic strivings affected the slope of the mean procrastination trajectories. Conclusions In this cohort of Swedish university students, self-rated procrastination levels were stable over the academic year. Perfectionistic concerns, but not gender identity or perfectionistic strivings, was associated with higher levels of procrastination.

Abstract Background Among medical residents, suicide is the second most prevalent cause of mortality. In Iran, the suicide of medical residents has become one of the most important challenges. This study aimed to investigate the mediating role of psychological distress in the relationship between perfectionism and suicidal ideation among medical residents in Iran. Methods This research was a descriptive-correlational study based on structural equation modeling. The statistical population of the present research included all the residents in Shahid Beheshti University of Medical Sciences (SBMU) in 2023, of whom 277 people were selected as a sample using the available sampling method. The Beck Scale for Suicidal Ideation (BSSI-1997), the Tehran Multidimensional Perfectionism Scale (TMPS-2007) and the Depression, Anxiety and Stress Scale (DASS-21-1995) were used to collect the data. Data was analyzed using structural equation modeling with SPSS and Amos software version 22. Results Out of 277 participants, 30% (N = 83) were male and 70% (N = 194) were female. The findings showed that the research model had goodness of fit. There was a significant relationship between perfectionism and psychological distress (β = 0.76, P 0.01), but perfectionism played a role in residents’ suicidal ideation through psychological distress (β = 0.50, P

Introduction: Identifying factors that contribute to the development of suicidal ideation (SI) is crucial for prevention and treatment. Perfectionistic Concerns (PC) represent the experience of external pressure to be perfect and have been consistently linked to SI, but it is unclear how PC and SI are associated in depressed adults. This study examined the association between PC and SI and whether self-esteem, loneliness and rumination (brooding, reflection and depression-related rumination) moderated this association in a clinical sample. Methods: This cross-sectional study used a psychiatric outpatient sample of depressed adults, selected for the presence of SI. In total 110 adults (mean age 33.54 (SD = 12.03) and 60% female) participated in this study. Associations were estimated by regression analyses. Results: PC was not associated with SI in the sample (r =.16, p =.087). However, high levels of PC in combination with low self-esteem (β = -.29, p =.007) or with high levels of depression-related rumination (β =.22, p =.017) were positively associated with SI. Loneliness, brooding and reflection did not moderate the PC-SI relationship. Discussion: These findings underline the importance of taking into account the individual characteristics in depressed, perfectionistic individuals when estimating SI severity and selecting the focus of intervention. Due to the cross-sectional design no causal inferences can be made. [ABSTRACT FROM AUTHOR]

Background: The escalating importance of physical attractiveness, concerns regarding body image, and fear of bodily appearance can significantly influence the decision to undergo cosmetic surgery. While the efficacy of various interventions on variables such as body shame and signs of body dysmorphic disorder has been examined, the effectiveness of schema therapy has not received sufficient attention from researchers. Therefore, it is imperative to investigate the impact of this intervention on improving the psychological status of individuals seeking cosmetic surgery. Aims: The aim of the present study was to investigate the effectiveness of schema therapy on perfectionism, body shame and symptoms of body dysmorphic disorder in women seeking cosmetic surgery. Methods: This study employed a semi-experimental pretest-posttest design with a two-month follow-up period. The statistical population included all women seeking cosmetic surgery at the Fatemeh Zahra Beauty Clinic in Tehran during the first 9 months of 2021. Among them, 30 participants were selected based on the study's inclusion criteria and randomly assigned to either the experimental or control group. The experimental group received schema therapy sessions (Yang et al., 2006) for ten 90-minute sessions. All participants were evaluated using multidimensional measures of perfectionism (Hewitt & Flett, 1991), body image shame (Davard et al., 2014), and fear of physical deformity (Littleton et al., 2005). Data were analyzed using SPSS-24 software and multivariate analysis of variance with repeated measures. Results: The results indicated the effectiveness of schema therapy on reducing perfectionism, body shame and symptoms of body dysmorphic disorder (p<0.05). Also, the results related to the interaction effect between time and group show that this effect is significant in all variables (p<0.05). Therefore, there is interaction between different levels of time and groups. Conclusion: Considering to the effectiveness of schema therapy it is suggested to focus on this therapy as one of the auxiliary, supportive and rehabilitation therapy along with drug treatment in reducing the consequences of perfectionism, body shame and the symptoms of dysmorphic disorder. [ABSTRACT FROM AUTHOR]

Talent-school settings may generate stress via demanding expectations. To investigate students representing Norway's growing phenomenon of early adolescent talent schools, we interviewed twenty-seven 14- to15-year-old boys and girls about their experiences with self- and socially imposed expectations. Students were recruited from two sports schools (n = 14) and one school each with talent classes for ballet (n = 7) and music (n = 6). Using reflexive thematic analysis, we found four main themes representing the performers' accounts of (a) self-oriented expectations of persistent hard work, evoking self-doubts, and never-give-up attitudes; (b) coaches'/teachers' socially prescribed expectations, stimulating hard work, and pursuit of approval and opportunities; (c) parental expectations, reflected as helpful support, concerns of letting parents down, and negotiating independence; and (d) struggles with balancing expectations, reflected by demanding workloads, difficulties with prioritizing recovery, and ill-being. Early interventions targeting unhealthy self- and socially imposed expectations in high-expectation settings may be required to safeguard youth performers' healthy development. [ABSTRACT FROM AUTHOR]

Nonsuicidal self-injury typically involves deliberate harm without suicidal intent; however, rare cases exist where self-injury occurs unintentionally, without conscious awareness. This report presents the case of a 16-year-old boy who exhibited unintentional self-harm during sleep, associated with severe academic stress and perfectionism. Despite psychological and medical interventions, the behavior persisted until academic stress was alleviated. This case highlights the need for a differentiated clinical approach to managing unintentional self-harm, emphasizing the importance of stress management and psychological support in adolescents to address the underlying emotional and behavioral triggers.

Abstract Background Social media use, perfectionism, and disordered eating have all increased over the last decades. Some studies indicate that there is a relationship between self-presentation behaviors and being exposed to others’ self-presentation on social media, and disordered eating. Studies also show that the relationship between focus on self-presentation and highly visual social media is stronger than for non-visual social media, hence facilitating upward social comparison. Nevertheless, no previous studies have investigated the link between adolescents’ focus on self-presentation and upward social comparison on social media, and perfectionism and disordered eating, which is the aim of the present study. Method The present study is based on a cross-sectional survey from the “LifeOnSoMe”-study (N = 3424), conducted in 2020 and 2021. Respondents were high school students (mean age 17.3 years, 56% females) in Bergen, Norway. Multiple regression analysis was performed, where SPAUSCIS, a measure of self-presentation and upward social comparison, was the independent variable. Perfectionism and disordered eating were dependent variables. Self-reported age, gender, and subjective socioeconomic status were used as covariates, as well as frequency and duration of social media use. Regression models were performed to compare proportions across the median split of SPAUSCIS. Results The multiple regression analysis showed that increased focus on self-presentation and upward social comparison on social media were positively associated with both perfectionism (standardized coefficient 0.28) and disordered eating. A stronger association for girls than boys was found for disordered eating (standardized coefficient 0.39 for girls and 0.29 for boys). There was no gender moderation for perfectionism. Conclusions Findings suggest that focus on self-presentation and upward social comparison on social media is associated with perfectionism and disordered eating. We recommend promoting a healthy use of social media. This could be established by increasing adolescents’ ability to reflect on and think critically about self-presentation and upward social comparison on social media.

Network models of psychopathology can identify specific items/symptoms that explain the connections among broader constructs such as depression, anxiety, and perfectionism. In two studies, we examine the dynamic interplay between depression, anxiety, and perfectionism symptoms among undergraduates using structural equation modeling (SEM) and network analysis. Participants in two independent samples (N = 774 and N = 759) completed online, cross-sectional questionnaires including measures of anxiety, depressive symptoms, and perfectionism (i.e., concerns over mistakes, doubts about actions, and personal standards). When analyzing data in the traditional fashion using SEM as a point of comparison, results from both samples were consistent with the existing literature. After controlling for all other perfectionism variables in the model, concerns over mistakes and doubts about actions were positively associated with depressive and anxiety symptoms (βs from .21 to .46), while personal standards showed negative associations with depressive symptoms (β = -.20 both samples) and non-significant associations with anxiety symptoms (βs from -.09. to -.03). Nonetheless, model fit for the confirmatory factor model was below ideal cutoffs in the second sample, suggesting other structures (e.g., a network model) might better represent the data. Network analyses revealed associations between constructs at the item level across both samples. Four key symptoms emerged as central nodes linking depression, anxiety, and perfectionism: difficulty taking initiative to do activities, feeling worthless, feeling close to panic, and doubts about simple everyday activities. This study underscores the importance of investigating item-level associations for a nuanced interpretation of these constructs.

Introduction: This study aimed to investigate the psychometric characteristics of the perfectionism scale regarding physical appearance in patients seeking rhinoplasty. Methods: This cross-sectional study involved 250 individuals seeking rhinoplasty in Kermanshah beauty clinics. Participants were purposively selected. Tools included perfectionism, social comparison, and body image acceptance scales. Divergence and convergence were assessed using various scales. Data analysis was performed using SPSS version 25 and LISREL. Results: The obtained value for the Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy was 0.83, indicating that the sample adequacy was desirable, and the data in this study had the potential for factor analysis. The significance level for Bartlett's test of sphericity was also less than 0.0001, demonstrating the appropriateness of factor analysis for identifying the structure (factor model). Furthermore, the Cronbach's alpha-coefficient for the entire scale was 0.853, indicating acceptable questionnaire reliability. Internal consistency among the perfectionism subscales was confirmed. Additionally, the correlation between perfectionism subscales and measures of interindividual sensitivity and body appearance acceptance was confirmed (p < 0.001). Results supported the convergent validity of perfectionism with appearance acceptance and the divergent validity of perfectionism with interindividual sensitivity. Conclusion: This questionnaire, a self-report tool for measuring perfectionism traits in individuals seeking rhinoplasty, is recommended for use alongside interviews and observations for a thorough assessment. However, results may be influenced by individual biases. Despite this, the acceptable validity and reliability of this questionnaire make it suitable for research.

Athletes' perfectionism is influenced by personality, which in turn leads to differences in athletic performance. This study investigates the intricate relationship between perfectionism and the Big Five personality traits, particularly within the context of athletes. We apply fuzzy-set qualitative comparative analysis (fsQCA) to survey data to identify which personality combinations lead to perfectionism. The study sample selected through purposive sampling from various sports disciplines within Macao and Anhui Province. Personality traits and perfectionism levels were assessed using the Simplified Chinese Big Five Personality Questionnaire (CBF-PI) and the Chinese Frost Multidimensional Perfectionism Questionnaire (CFMPS). Results indicate that neuroticism and conscientiousness are crucial in predicting perfectionistic concerns and perfectionistic strivings, respectively. Three personality configurations leading to perfectionistic concerns were identified, with high neuroticism, high conscientiousness, low extraversion, and low openness being core conditions. Four configurations leading to perfectionistic strivings were identified, with low neuroticism, high conscientiousness, high agreeableness, and either high extraversion or high openness as core conditions. The study reveals the complex interactions between personality traits and challenges the variable-centered research approach. The results underscore the importance of understanding the multidimensionality and complexity of perfectionism in athletes and offer directions for further research.

Abstract Background Theory and research indicate that an appearance focused self-concept (i.e., placing overriding importance on physical appearance for self-definition and self-worth) plays a role in the etiology and maintenance of disordered eating and eating disorders. Although the consequences of an appearance focused self-concept are palpable, less is known about its correlates. Accordingly, we examined a range of factors that may characterize appearance focused people, including personality traits (perfectionism, impulsivity, sensation-seeking, hopelessness, and anxiety sensitivity), self-concept (global self-esteem and self-concept clarity), sociocultural (thin-ideal, muscular-ideal, general attractiveness internalizations, and perceived pressure to be thin), and early life experiences (adverse childhood experiences, attachment styles) factors. Methods Female undergraduate university students (N = 568; M age = 19.58, SD age = 4.24) completed a questionnaire battery that included the Beliefs About Appearance Scale, Depressive Experiences Questionnaire–Self-Criticism-6 Scale, Frost-Multidimensional Perfectionism Scale, the Revised Almost Perfect Scale, Substance Use Risk Profile Scale, Self-Concept Clarity Scale, Rosenberg Self-Esteem Scale, Sociocultural Attitudes Towards Appearance Questionnaire-4 Scale, Adverse Childhood Experiences Questionnaire, Experiences in Close Relationships Scale Short Form, and the Dietary Restraint subscale of the Eating Disorders Examination Questionnaire. Results Multiple regression analyses were conducted for each set of factors separately and together. For personality traits, perfectionism, impulsivity, and anxiety sensitivity were uniquely associated with appearance focused self-concept. For self-concept, global self-esteem and self-concept clarity were uniquely associated with appearance focused self-concept. For sociocultural, general attractiveness internalization, thin-ideal internalization, and perceived pressure to be thin were uniquely associated with appearance focused self-concept. For early life experiences, attachment anxiety and avoidance were uniquely associated with appearance focused self-concept. In the combined analysis, the various factors explained 54% of the variance in appearance focused self-concept. Impulsivity, global self-esteem, general attractiveness internalization, and perceived pressure to be thin were uniquely associated with appearance focused self-concept. Conclusions Results for global self-esteem were consistent with prior research. Findings for evaluative concerns perfectionism were inconsistent with prior research. We discuss future research directions to examine the link between evaluative concerns perfectionism and appearance focused self-concept. We also discuss how sociocultural factors (general attractiveness internalization and perceived pressure to be thin) and impulsivity may help cultivate an appearance focused self-concept, advancing knowledge on the characteristics of appearance-focused people.

The model of excellencism and perfectionism (MEP) theorizes that the attitude toward goals as characterized in excellencism is desirable over perfectionism. Using the self-determination theory (SDT), this study aims to investigate the varying effects of perfectionism and excellencism on work engagement and performance. The study used a time-lagged multi-phase, multi-source, and cross-sectional online survey to collect responses from 360 corporate employees of Indian companies in the services industry. The results indicate that while both perfectionism and excellencism entail pursuing high standards, they relate differently with performance and work engagement. Interestingly, excellencism and work engagement were significantly associated with performance (p < .001); however, perfectionism was insignificant (p = .989). Perfectionism strengthens work engagement (β = 0.112; p = .013), while excellencism has an insignificant effect (β = 0.035; p = .537). Work engagement fully mediates the perfectionism-performance relationship. This demonstrates that striving for excellence alone is sufficient to achieve positive performance, challenging the traditional belief that one must focus on perfection. Furthermore, perfectionism is positively associated with performance only when employees are engaged and have positive motivation toward work.

Abstract Background Orthorexia Nervosa (ON) is a disordered eating style involving an unhealthy obsession with ‘healthy’ or ‘clean’ eating. Its aetiology is still poorly understood and is not yet recognised in diagnostic manuals. While ON has been associated with Obsessive Compulsive (OC) symptoms and perfectionism, no study to date has looked at the relationship between OC symptoms and ON tendencies via perfectionism, or the influence of two facets of perfectionism in this relationship, namely evaluative concern and achievement striving. Examining the potential role of perfectionism helps to understand the aetiology of ON as well as inform potential treatments tailored specifically for ON and comorbid OC symptoms. Methods In this cross sectional study, we tested 507 participants (n = 70 males, n = 69 at risk of ON) on questionnaires measuring OC symptoms, perfectionism and ON symptoms. We ran two mediation analyses to look at the overall relationship between perfectionism and OC and ON symptoms (Model 1) as well as the specific contribution of evaluative concern and achievement striving in the relationship between OC and ON symptoms (Model 2). Results We found that perfectionism partially mediated the relationship between OC and ON symptoms. Specifically, we found that while achievement striving and evaluative concern were associated with OC symptoms, only achievement striving was significantly associated with ON symptoms, mediating the relationship between OC and ON symptoms. Conclusions This study highlighted the role of one key facet of perfectionism (achievement striving) in the aetiology of ON. The role of achievement striving was indicated as a transdiagnostic construct explaining the link between ON and OC symptoms. These findings are discussed in terms of their implications for treatment models, specifically in terms of the potential role of targeting perfectionism in ON treatment.