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Longitudinal Links Between Perfectionism and Depression in Children

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Abstract

The temporal relation between two types of perfectionism - self-oriented perfectionism (SOP) and socially prescribed perfectionism (SPP) - and depressive symptoms was examined in a sample of 653 children (286 girls, 367 boys) across Grades 6 (depressive symptoms only), 7, and 8. A vulnerability model, in which perfectionism affects depressive symptoms, was compared to a scar model, in which depressive symptoms affects perfectionism, and to a reciprocal-causality model, in which both constructs concurrently affect each other across time. Cross-lagged paths analyses using structural equation modeling supported a scar model where increases in depressive symptoms lead to increases in SPP, but not SOP. The findings applied to both boys and girls. Results suggest that in childhood, depressive symptoms increase the perception that others are expecting excessively high standards of oneself and the need to satisfy this perception.

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References

  • Acock, A. C. (2005). Working with missing values. Journal of Marriage and Family, 67, 1012–1028. doi:10.1111/j.1741-3737.2005.00191.x.

    Article  Google Scholar 

  • Akaike, H. (1974). A new look at the statistical model identification. IEEE Transactions on Automatic Control, 19, 716–723.

    Article  Google Scholar 

  • Akaike, H. (1987). Factor analysis and AIC. Psychometrika, 52, 317–332. doi:10.1007/ BF02294359.

    Article  Google Scholar 

  • Arbuckle, J. L. (2011). Amos 20 user’s guide. Meadville: Amos Development Corporation.

    Google Scholar 

  • Angold, A., Costello, E. J., Erkanli, A., & Worthman, C. M. (1999). Pubertal changes in hormone levels and depression in girls. Psychological Medicine, 29, 1043–1053. doi:10.1017/S0033291799008946.

    Article  PubMed  Google Scholar 

  • Angold, A., & Worthman, C. W. (1993). Puberty onset of gender differences in rates of depression: A developmental, epidemiologic and neuroendocrine perspective. Journal of Affective Disorders, 29, 145–158. doi:10.1016/0165-0327%2893%2990029-J.

    Article  PubMed  Google Scholar 

  • Bandura, A. (1977). Social learning theory. Oxford: Prentice-Hall.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy for depression. New York: Guilford Press.

    Google Scholar 

  • Berndt, T. J. (1979). Developmental changes in conformity to peers and parents. Developmental Psychology, 15, 606–616.

    Google Scholar 

  • Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Thousand Oaks: Sage.

    Google Scholar 

  • Byrne, B. N. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah: Lawrence Erlbaum & Associates.

    Google Scholar 

  • Castro, J., Gila, A., Gual, P., Lahortiga, F., Saura, B., & Toro, J. (2004). Perfectionism dimensions in children and adolescents with anorexia nervosa. Journal of Adolescent Health, 35, 392–398. doi:10.1016/j.jadohealth.2003.11.094.

    Article  PubMed  Google Scholar 

  • Chang, E. C., & Rand, K. L. (2000). Perfectionism as a predictor of subsequent adjustment: Evidence for a specific diathesis–stress mechanism among college students. Journal of Counseling Psychology, 47, 129–137. doi:10.1037/0022-0167.47.1.129.

    Article  Google Scholar 

  • Cheung, G., & Rensvold, R. (2002). Evaluating goodness-of-fit indices for testing measurement invariance. Structural Equation Modeling, 9, 233–255. doi:10.1207/S15328007SEM09 02_5.

    Article  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum.

    Google Scholar 

  • Cox, B. J., & Enns, M. W. (2003). Relative stability of dimensions of perfectionism in depression. Canadian Journal of Behavioural Science/ Revue Canadienne des Sciences du Comportement, 35, 124–132. doi:10.1037/h0087194.

    Article  Google Scholar 

  • Coyne, J. C. (1976). Depression and the response of others. Journal of Abnormal Psychology, 85, 186–193. doi:10.1037/0021-843X.85.2.186.

    Article  PubMed  Google Scholar 

  • Damian, L. E., Stoeber, J., Negru, O., & Baban, A. (2013). On the development of perfectionism in adolescence: Perceived parental expectations predict longitudinal increases in socially prescribed perfectionism. Personality and Individual Differences, 6, 688–693. doi:10.1016/j.paid.2013.05.021.

    Article  Google Scholar 

  • Edwards, A. L. (1953). The relationship between the judged desirability of a trait and the probability that it will be endorsed. Journal of Applied Psychology, 37, 90–93.

    Article  Google Scholar 

  • Einstein, D. A., Lovibond, P. F., & Gaston, J. E. (2000). Relationship between perfectionism and emotional symptoms in an adolescent sample. Australian Journal of Psychology, 52, 89–93. doi:10.1080/00049530008255373.

    Article  Google Scholar 

  • Enns, M. W., & Cox, B. J. (1999). Perfectionism and depression symptom severity in major depressive disorder. Behaviour Research and Therapy, 37, 783–794. doi:10.1016/S0005-7967(98)00188-0.

    Article  PubMed  Google Scholar 

  • Enns, M. W., Cox, B. J., & Clara, I. (2002). Adaptive and maladaptive perfectionism: Developmental origins and association with depression proneness. Personality and Individual Differences, 33, 921–935. doi:10.1016/S0191-8869(01)00202-1.

    Article  Google Scholar 

  • Feldman, J. M., Ortega, A. N., McQuaid, E. L., & Canino, G. (2006). Comorbidity between asthma attacks and internalizing disorders among Puerto Rican children at one-year follow-up. Psychosomatics, 47, 333–339. doi:10.1176/appi.psy.47.4.333.

    Article  PubMed Central  PubMed  Google Scholar 

  • Flett, G. L., & Hewitt, P. L. (2002). Perfectionism: Theory, research, and treatment. Washington: American Psychological Association.

    Book  Google Scholar 

  • Flett, G. L., Hewitt, P. L., Blankstein, K., & O’Brien, S. (1991). Perfectionism and learned resourcefulness in depression and self-esteem. Personality and Individual Differences, 12, 61–68. doi:10.1016/0191-8869(91)90132-U.

    Article  Google Scholar 

  • Flett, G. L., Hewitt, P. L., Blankstein, K. R., & Mosher, S. W. (1995). Perfectionism, life events, and depressive symptoms: A test of a diathesis-stress model. Current Psychology, 14, 112–137. doi:10.1007/BF02686885.

    Article  Google Scholar 

  • Flett, G. L., Hewitt, P. L., Boucher, D. J., Davidson, L. A., & Munro, Y. (1997). The child–adolescent perfectionism scale: Development, validation and association with adjustment. Unpublished manuscript, York University, Toronto, Ontario, Canada.

  • Flett, G. L., Coulter, L. M., Hewitt, P. L., & Nepon, T. (2011a). Perfectionism, rumination, worry, and depressive symptoms in early adolescents. Canadian Journal of School Psychology, 26, 159–176. doi:10.1177/0829573511422039.

    Article  Google Scholar 

  • Flett, G. L., Panico, T., & Hewitt, P. L. (2011b). Perfectionism, type A behavior, and self-efficacy in depression and health symptoms among adolescents. Current Psychology, 30, 105–116. doi:10.1007/s12144-011-9103-4.

    Article  Google Scholar 

  • Flett, G. L., Hewitt, P. L., Oliver, J. M., & Macdonald, S. (2002a). Perfectionism in children and their parents: A developmental analysis. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 89–132). Washington: American Psychological Association.

    Chapter  Google Scholar 

  • Flett, G. L., Madorsky, D., Hewitt, P. L., & Heisel, M. J. (2002b). Perfectionism cognitions, rumination, and psychological distress. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 20, 33–47. doi:10.1023/A:1015128904007.

    Article  Google Scholar 

  • Flett, G. L., Besser, A., Davis, R. A., & Hewitt, P. L. (2003). Dimensions of perfectionism, unconditional self-acceptance, and depression. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 21, 119–138. doi:10.1023/A:1025051431957.

    Article  Google Scholar 

  • Flett, G. L., Greene, A., & Hewitt, P. L. (2004). Dimensions of perfectionism and anxiety sensitivity. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 22, 39–57. doi:10.1023/B:JORE.0000011576.18538.8e.

    Article  Google Scholar 

  • Fröjd, S. A., Nissinen, E. S., Pelkonen, M. U., Marttunen, M. J., Koivisto, A. M., & Kaltiala-Heino, R. (2008). Depression and school performance in middle adolescent boys and girls. Journal of Adolescence, 31, 485–498. doi:10.1016/j.adolescence.2007.08.006.

    Article  PubMed  Google Scholar 

  • Frost, R. O., Heimberg, R. G., Holt, C. S., Mattia, J. I., & Neubauer, A. L. (1993). A comparison of two measures of perfection. Personality and Individual Differences, 14, 119–126. doi:10.1016/0191-8869(93)90181-2.

    Article  Google Scholar 

  • Hammen, C. (1991). The generation of stress in the course of unipolar depression. Journal of Abnormal Psychology, 100, 555–561. doi:10.1037/0021-843X.100.4.555.

    Article  PubMed  Google Scholar 

  • Hawley, L. L., Ho, M. H. R., Zuroff, D. C., & Blatt, S. J. (2006). The relationship of perfectionism, depression, and therapeutic alliance during treatment for depression: Latent difference score analysis. Journal of Consulting and Clinical Psychology, 74, 930–942. doi:10.1037/0022-006X.74.5.930.

    Article  PubMed  Google Scholar 

  • Heider, F. (1958). The psychology of interpersonal relations. New York: Wiley.

    Book  Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (1991a). Dimensions of perfectionism in unipolar depression. Journal of Abnormal Psychology, 100, 98–101. doi:10.1037/0021-843X.100.1.98.

    Article  PubMed  Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (1991b). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456–470. doi:10.1037/0022-3514.60.3.456.

    Article  PubMed  Google Scholar 

  • Hewitt, P. L., Flett, G. L., & Ediger, E. (1996). Perfectionism and depression: Longitudinal assessment of a specific vulnerability hypothesis. Journal of Abnormal Psychology, 105, 276–280. doi:10.1037/0021-843X.105.2.276.

    Article  PubMed  Google Scholar 

  • Hewitt, P. L., Newton, J., Flett, G. L., & Callander, L. (1997). Perfectionism and suicide ideation in adolescent psychiatric patients. Journal of Abnormal Child Psychology, 25, 95–101. doi:10.1023/A:1025723327188.

    Article  PubMed  Google Scholar 

  • Hewitt, P. L., Flett, G. L., Ediger, E., Norton, G. R., & Flynn, C. A. (1998). Perfectionism in chronic and state symptoms of depression. Canadian Journal of Behavioural Science/Revue Canadienne des Sciences du Comportement, 30, 234–242. doi:10.1037/ h0087066.

    Article  Google Scholar 

  • Hewitt, P. L., Caelian, C. F., Flett, G. L., Sherry, S. B., Collins, L., & Flynn, C. A. (2002). Perfectionism in children: Associations with depression, anxiety, and anger. Personality and Individual Differences, 32, 1049–1061. doi:10.1016/S0191-8869(01)00109-X.

    Article  Google Scholar 

  • Hewitt, P. L., Flett, G. L., Sherry, S. B., Habke, M., Parkin, M., Lam, R. W., & Stein, M. B. (2003). The interpersonal expression of perfection. Journal of Personality and Social Psychology, 84, 1303–1325. doi:10.1037/0022-3514.84.6.1303.

    Article  PubMed  Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. doi:10.1080/10705519909540118.

    Article  Google Scholar 

  • Huang, L., Stroul, B., Friedman, R., Mrazek, P., Friesen, B., Pires, S., & Mayberg, S. (2005). Transforming mental health care for children and their families. American Psychologist, 60, 615–627. doi:10.1037/0003-066X.60.6.615.

    Article  PubMed  Google Scholar 

  • Huggins, L., Davis, M. C., Rooney, R., & Kane, R. (2008). Socially prescribed and self-oriented perfectionism as predictors of depressive diagnosis in preadolescents. Australian Journal of Guidance and Counselling, 18, 182–194. doi:10.1375/ajgc.18.2.182.

    Article  Google Scholar 

  • Joiner, T. E. (1994). Contagious depression: Existence, specificity to depressive symptoms, and the role of reassurance seeking. Journal of Personality and Social Psychology, 67, 287–296.

    Article  PubMed  Google Scholar 

  • Joiner, T. E., Jr., Katz, J., & Lew, A. (1997). Self-verification and depression in youth psychiatric inpatients. Journal of Abnormal Psychology, 106, 608–618. doi:10.1037/00 21-843X. 106.4.608.

    Article  PubMed  Google Scholar 

  • Kenney‐Benson, G. A., & Pomerantz, E. M. (2005). The role of mothers’ use of control in children’s perfectionism: Implications for the development of children’s depressive symptoms. Journal of Personality, 73, 23–46. doi:10.1111/j.1467-6494.2004.00303.x.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Avenevoli, S., & Merikangas, K. R. (2001). Mood disorders in children and adolescents: An epidemiologic perspective. Biological Psychiatry, 49, 1002–1014.

    Article  PubMed  Google Scholar 

  • Klibert, J. J., Langhinrichsen-Rohling, J., & Saito, M. (2005). Adaptive and maladaptive aspects of self-oriented versus socially-prescribed perfectionism. Journal of College Student Development, 46, 141–156. doi:10.1353/csd.2005.0017.

    Article  Google Scholar 

  • Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: The Guilford.

    Google Scholar 

  • Kupersmidt, J. B., Coie, J. D., & Dodge, K. A. (1996). The role of poor peer relationships in the development of disorder. In S. R. Asher & J. D. Coie (Eds.), Peer rejection in childhood (pp. 274–305). New York: Cambridge University Press.

    Google Scholar 

  • Little, R. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83, 1198–1202. doi:10.1080/ 01621459.1988.10478722.

    Article  Google Scholar 

  • Masten, A. S., & Cicchetti, D. (2010). Editorial: Developmental cascades. Development and Psychopathology, 22, 491–495. doi:10.1017/S0954579410000222.

    Article  PubMed  Google Scholar 

  • McCreary, B. T., Joiner, T. E., Schmidt, N. B., & Ialongo, N. S. (2004). The structure and correlates of perfectionism in African American children. Journal of Clinical Child and Adolescent Psychology, 33, 313–324. doi:10.1207/s15374424jccp3302_13.

    Article  PubMed  Google Scholar 

  • McGrath, D. S., Sherry, S. B., Stewart, S. H., Mushquash, A. R., Allen, S. L., Nealis, L. J., & Sherry, D. L. (2012). Reciprocal relations between self-critical perfectionism and depressive symptoms: Evidence from a short-term, four-wave longitudinal study. Canadian Journal of Behavioural Science/Revue Canadienne des Sciences du Comportement, 44, 169–181. doi:10.1037/a0027764.

    Article  Google Scholar 

  • Merikangas, K. R., He, M. J. P., Burstein, M., Swanson, M. S. A., Avenevoli, S., Cui, M. L., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the national comorbidity study-adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989. doi:10.1016/ j.jaac.2010.05.017.

    Article  PubMed Central  PubMed  Google Scholar 

  • Nolen-Hoeksema, S., & Girgus, J. S. (1994). The emergence of gender differences in depression during adolescence. Psychological Bulletin, 115, 424–443. doi:10.1037/0033-2909.115.3.424.

    Article  PubMed  Google Scholar 

  • O’Connor, R. C., Dixon, D., & Rasmussen, S. (2009). The structure and temporal stability of the child and adolescent perfectionism scale. Psychological Assessment, 21, 437–443. doi:10.1037/a0016264.

    Article  PubMed  Google Scholar 

  • O’Connor, R. C., Rasmussen, S., & Hawton, K. (2010). Predicting depression, anxiety and self-harm in adolescents: The role of perfectionism and acute life stress. Behaviour Research and Therapy, 48, 52–59. doi:10.1016/j.brat.2009.09.008.

    Article  PubMed  Google Scholar 

  • Orth, U., Robins, R., & Roberts, B. W. (2008). Low self-esteem prospectively predicts depression in adolescence and young adulthood. Journal of Personality and Social Psychology, 95, 695–708. doi:10.1037/0022-3514.95.3.695.

    Article  PubMed  Google Scholar 

  • Persons, J. B., & Miranda, J. (1992). Cognitive theories of vulnerability to depression: Reconciling negative evidence. Cognitive Therapy and Research, 16, 485–502. doi:10.1007/BF01183170.

    Article  Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (2004). Behavior assessment system for children - second edition manual. Minneapolis: Pearson.

    Google Scholar 

  • Rice, K. G., & Aldea, M. A. (2006). State dependence and trait stability of perfectionism: A short-term longitudinal study. Journal of Counseling Psychology, 53, 205–213. doi:10.1037/0022-0167.53.2.205.

    Article  Google Scholar 

  • Rice, K. G., Leever, B. A., Noggle, C. A., & Lapsley, D. K. (2007). Perfectionism and depressive symptoms in early adolescence. Psychology in the Schools, 44(2), 139–156. doi:10.1002/pits.20212.

    Article  Google Scholar 

  • Rudolph, K. D., Flynn, M., & Abaied, J. L. (2008). A developmental perspective on interpersonal theories of youth depression. In J. R. Z. Abela & B. L. Hankin (Eds.), Child and adolescent depression: Causes, treatment, and prevention (pp. 79–102). New York: Guilford.

    Google Scholar 

  • Salmela-Aro, K., & Nurmi, J. (1996). Depressive symptoms and personal project appraisals: A cross-lagged longitudinal study. Personality and Individual Differences, 21, 373–381. doi:10.1016/0191-8869(96)00078-5.

    Article  Google Scholar 

  • Scott, K. M., Von Korff, M., Angermeyer, M. C., Benjet, C., Bruffaerts, R., de Girolamo, G., & Kessler, R. C. (2011). Association of childhood adversities and early-onset mental disorders with adult-onset chronic physical conditions. Archives of General Psychiatry, 68, 838–844. doi:10.1001/archgenpsychiatry.2011.77.

    Article  PubMed Central  PubMed  Google Scholar 

  • Segal, Z. V., & Ingram, R. E. (1994). Mood priming and construct activation in tests of cognitive vulnerability to unipolar depression. Clinical Psychology Review, 14, 663–695. doi:10.1016/0272-7358(94)90003-5.

    Article  Google Scholar 

  • Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: A cognitive–behavioural analysis. Behaviour Research and Therapy, 40, 773–791. doi:10.1016/S0005-7967%2801%2900059-6.

    Article  PubMed  Google Scholar 

  • Shahar, G., Blatt, S. J., Zuroff, D. C., Kuperminc, G. P., & Leadbeater, B. J. (2004). Reciprocal relations between depressive symptoms and self-criticism (but not dependency) among early adolescent girls (but not boys). Cognitive Therapy and Research, 28, 85–103. doi:10.1023/B:COTR.0000016932.82038.d0.

    Article  Google Scholar 

  • Sherry, S. B., Mackinnon, S. P., Macneil, M. A., & Fitzpatrick, S. (2012). Discrepancies confer vulnerability to depressive symptoms: A three-wave longitudinal study. Journal of Counseling Psychology, 60, 112–126. doi:10.1037/a0030439.

    Article  PubMed  Google Scholar 

  • Sherry, S. B., Richards, J. E., Sherry, D. L., & Stewart, S. H. (2014). Self-critical perfectionism is a vulnerability factor for depression but not anxiety: A 12-month, 3-wave, longitudinal study. Journal of Research in Personality, 52, 1–5. doi:10.1016/j.jrp.2014.05.004.

    Article  Google Scholar 

  • Slaney, R. B., Rice, K. G., Mobley, M., Trippi, J., & Ashby, I. (2001). The revised almost perfect scale. Measurement and Evaluation in Counseling and Development, 34, 130–145.

    Google Scholar 

  • Soenens, B., Luyckx, K., Vansteenkiste, M., Luyten, P., Duriez, B., & Goossens, L. (2008). Maladaptive perfectionism as an intervening variable between psychological control and adolescent depressive symptoms: A three-wave longitudinal study. Journal of Family Psychology, 22, 465–474. doi:10.1037/0893-3200.22.3.465.

    Article  PubMed  Google Scholar 

  • Stoeber, J., Otto, K., & Dalbert, C. (2009). Perfectionism and the big five: Conscientiousness predicts longitudinal increases in self-oriented perfectionism. Personality and Individual Differences, 47, 363–368. doi:10.1016/j.paid.2009.04.004.

    Article  Google Scholar 

  • Teasdale, J. D. (1983). Negative thinking in depression: Cause, effect, or reciprocal relationship? Advances in Behaviour Research and Therapy, 5, 3–25. doi:10.1016/0146-6402(83)90013–9.

    Article  Google Scholar 

  • Tram, J. M., & Cole, D. A. (2006). A multimethod examination of the stability of depressive symptoms in childhood and adolescence. Journal of Abnormal Psychology, 115, 674–686. doi:10.1037/0021-843X.115.4.674.

    Article  PubMed  Google Scholar 

  • Weisz, J. (1998). Effects of psychopathology with children and adolescents: What we know and what we need to learn. In D. Cicchetti & S. L. Toth (Eds.), Rochester symposia on developmental psychopathology: Vol. 9. Developmental approaches to prevention and intervention (pp. 22–49). Rochester: University of Rochester Press.

    Google Scholar 

  • Yamamoto, Y., & Holloway, S. D. (2010). Parental expectations and children’s academic performance in sociocultural context. Educational Psychology Review, 22, 189–214. doi:10.1007/s10648-010-9121-z.

    Article  Google Scholar 

  • Zuroff, D. C., Blatt, S. J., Sanislow, C. A., Bondi, C. M., & Pilkonis, P. A. (1999). Vulnerability to depression: Reexamining state dependence and relative stability. Journal of Abnormal Psychology, 108, 76–89. doi:10.1037/0021-843X.108.1.76.

    Article  PubMed  Google Scholar 

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This study was supported by grants from the Canadian Institutes for Heath Research, Social Sciences and Humanities Research Council of Canada, and Fonds québécois de la recherche sur la société et la culture (FQRSC).

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Asseraf, M., Vaillancourt, T. Longitudinal Links Between Perfectionism and Depression in Children. J Abnorm Child Psychol 43, 895–908 (2015). https://doi.org/10.1007/s10802-014-9947-9

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