Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-27T07:57:53.209Z Has data issue: false hasContentIssue false
  • English
  • Français

The Relationship between Perfectionism and Rumination in Post Traumatic Stress Disorder

Published online by Cambridge University Press:  15 February 2013

Sarah J. Egan ,
Mary Hattaway  and
Robert T. Kane
Sarah J. Egan*
Affiliation:
Curtin University, Perth, Australia
Mary Hattaway
Affiliation:
Curtin University, Perth, Australia
Robert T. Kane
Affiliation:
Curtin University, Perth, Australia
*
Reprint requests to Sarah Egan, School of Psychology and Speech Pathology, Curtin University, GPO Box U1987, Perth, WA 6845, Australia. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: To date no research has investigated the link between Post Traumatic Stress Disorder (PTSD) and perfectionism in a clinical sample. Aims: The aim of the current study was to examine whether there is a relationship between PTSD and perfectionism. This is important to address as many studies have demonstrated a link between other anxiety disorders, eating disorders, depression and perfectionism. The research also aimed to examine whether rumination was a mediator of the relationship between PTSD and perfectionism. Method: The sample consisted of 30 participants who were currently in treatment for PTSD. Results: The results suggest that perfectionism and PTSD symptoms were significantly correlated. In addition, rumination was a significant mediator of the relationship between Concern over Mistakes and PTSD. Conclusions: These findings help increase understanding about the relationships of perfectionism and rumination in PTSD and have implications for the treatment of PTSD.

Keywords

Post traumatic stress disorderperfectionismruminationtransdiagnostic
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 42 , Issue 2 , March 2014 , pp. 211 - 223
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Australian Centre for Posttraumatic Mental Health (2007). The Australian Guidelines for the Treatment of Adults with Acute Stress Disorder and Posttraumatic Stress Disorder [Brochure]. Melbourne, Australia: Author.Google Scholar
Baron, R. M. and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.Google Scholar
Beck, A. T., Ward, C. H., Mendelsohn, M., Mock, J. and Erbaugh, J. (1961). An inventory or measuring depression. Archives of General Psychiatry, 4, 561–571.Google Scholar
Cahill, S. P. and Foa, E. B. (2007). Psychological theories of PTSD. In Friedman, M. J., Keane, T. M. and Resick, P. A. (Eds.), Handbook of PTSD: science and practice (pp. 55–77). New York: Guilford Press.Google Scholar
Clohessy, S. and Ehlers, A. (1999). PTSD symptoms, response to intrusive memories and coping in ambulance service workers. British Journal of Clinical Psychology, 38, 251–265.CrossRefGoogle ScholarPubMed
Egan, S. J., Wade, T. D. and Shafran, R. (2011). Perfectionism as a transdiagnostic process: a clinical review. Clinical Psychology Review, 31, 203–212.Google Scholar
Ehlers, A., Mayou, R. A. and Bryant, B. (1998). Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. Journal of Abnormal Psychology, 107, 508–519.Google Scholar
Ehring, T. and Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Therapy, 1, 192–205.Google Scholar
Enns, M. W. and Cox, B. J. (2002). Nature and assessment of perfectionism. In Flett, G. L. and Hewitt, P. L. (Eds.), Perfectionism: theory, research and treatment (pp. 33–62). Washington, DC: American Psychological Association.Google Scholar
Fairburn, C., Cooper, Z. and Shafran, R. (2003). The Clinical Perfectionism Questionnaire. Oxford, UK: Unpublished manuscript.Google Scholar
Faul, F., Erdfelder, E., Buchner, A. and Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160.Google Scholar
Flett, G. L., Madorsky, D., Hewitt, P. L. and Heisel, M. J. (2002). Perfectionism cognitions, rumination and psychological distress. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 20, 33–47.Google Scholar
Frost, R. O., Marten, P. A., Lahart, C. and Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.Google Scholar
Harris, P. W., Pepper, C. M. and Maack, D. J. (2008). The relationship between maladaptive perfectionism and depressive symptoms: the mediating role of rumination. Personality and Individual differences, 44, 150–160.Google Scholar
Hewitt, P. L. and Flett, G. L. (1991). Perfectionism in the self and social contexts: conceptualization, assessment and association with psychopathology. Journal of Personality and Social Psychology, 60, 456–470.Google Scholar
Hewitt, P. L. and Flett, G. L. (2002). Perfectionism and stress processes. In Flett, G. L. and Hewitt, (Eds.), Perfectionism: theory, research and treatment (pp. 255–284). Washington, DC. American Psychological Association.CrossRefGoogle Scholar
Kawamura, K., Hunt, S., Frost, R. and DiBartolo, P. (2001). Perfectionism, anxiety, and depression: are the relationships independent? Cognitive Therapy and Research, 25, 291–301.Google Scholar
Keane, T. M., Brief, D. J., Pratt, E. M. and Miller, M. W. (2007). Assessment of PTSD and its comorbidities in adults. In Friedman, M. J.., Keane, T. M. and Resick, P. A. (Eds.), Handbook of PTSD: science and practice (pp. 279–305). New York: Guilford Press.Google Scholar
Martin, L. L. and Tesser, A. (1996). Some ruminative thoughts. In Wyer, R. S. (Ed.), Ruminative Thought (pp. 306–326). New York: Guilford.Google Scholar
Mayou, R. A., Ehlers, A. and Bryant, B. (2002). Posttraumatic stress disorder after motor vehicle accidents: 3-year follow-up of a prospective longitudinal study. Behaviour Research and Therapy, 40, 665–675.Google Scholar
Michael, T., Halligan, S. L., Clark, D. M. and Ehlers, A. (2007). Rumination in Posttraumatic Stress Disorder. Depression and Anxiety, 24, 307–317.Google Scholar
Moberly, N. J. and Watkins, E. R. (2006). Processing mode influences the relationship between trait rumination and emotional vulnerability. Behavior Therapy, 37, 281–291.Google Scholar
Murray, J., Ehlers, A. and Mayou, R. A. (2002). Dissociation and posttraumatic stress disorder: two prospective studies of motor vehicle accident survivors. British Journal of Psychiatry, 180, 363–368.CrossRefGoogle Scholar
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on their on the duration of depressive episode. Journal of Abnormal Psychology, 100, 569–582.Google Scholar
O'Connor, D., O'Connor, R. and Marshall, R. (2007). Perfectionism and psychological distress: evidence of the mediating effects of rumination, European Journal of Personality, 21, 429–452.Google Scholar
Olson, M. L. and Kwon, P. (2008). Brooding perfectionism: refining the roles of rumination and perfectionism in the etiology of depression. Cognitive Therapy and Research, 32, 788–802.Google Scholar
Shafran, R. and Mansell, W. (2001). Perfectionism and psychopathology: a review of research and treatment. Clinical Psychology Review, 21, 879–906.Google Scholar
Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In Leinhardt, S. (Ed.), Sociological Methodology 1982 (pp. 290–312). Washington DC: American Sociological Association.Google Scholar
Steele, A. L., O'Shea, A., Murdock, A. and Wade, T. D. (2011). Perfectionism and its relation to overevaluation of weight and shape and depression in an eating disorder sample. International Journal of Eating Disorders, 44, 459–464.Google Scholar
Stoeber, J. and Otto, K. (2006). Conceptions of perfectionism: approaches, evidence, challenges. Personality and Social Psychology Review, 10, 295–319.CrossRefGoogle ScholarPubMed
Treynor, W., Gonzalez, R. and Nolen-Hoeksema, S. (2003). Rumination reconsidered: a psychometric analysis. Cognitive Therapy and Research, 27, 247–259.Google Scholar
Weathers, F. W., Huska, J. A. and Keane, T. M. (1991). PCL-C for DSM-IV. Boston: National Center for PTSD – Behavioral Science Division.Google Scholar
Weathers, F., Litz, B., Herman, D., Huska, J. and Keane, T. (1993). The PTSD Checklist (PCL): reliability, validity, and diagnostic utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX, October.Google Scholar
Wells, A. (2009). Metacognitive Therapy for Anxiety and Depression. New York: Guilford Press.Google Scholar
Submit a response

Comments

No Comments have been published for this article.