رابطه ابعاد کمال گرایی با سلامت روان شناختی: نقش واسطه ای تحمل ناپذیری بلاتکلیفی
محورهای موضوعی : روان درمانگری
محمد صادقی
1
(
کارشناس ارشد روان شناسی بالینی
دانشگاه آزاد اسلامی
واحد کرمانشاه
)
منیر حسینی
2
(
دکتری تخصصی روان شناسی
مرکز آموزشی درمانی فارابی کرمانشاه
)
رضا زمانی
3
(
کارشناس ارشد روان شناسی بالینی
دانشگاه آزاد اسلامی
واحد کرمانشاه
)
مریم السادات حسینی
4
(
دانشجوی دکتری روان شناسی، دانشگاه آزاد اسلامی واحد زاهدان
)
کلید واژه: اضطراب, افسردگی, تنیدگی, کمالگرایی, تحمل‌ناپذیری بلاتکلیفی,
چکیده مقاله :
ایـن پژوهـش بـا هـدف تعییـن نقـش واسـطه‌ای تحمل‌ناپذیـری بلاتکلیفـی در رابطـۀ بیـن کمالگرایـی مثبـت و منفـی و افسـردگی، اضطـراب و تنیدگـی دانشـجویان انجـام شـد.۲۴۰ دانشـجوی مقطـع کارشناسـی و کارشناسـی ارشـد دانشـگاه آزاد اسـلامی واحـد کرمانشـاه در سـال تحصیلـی ۹۹-۱۳۹۸ بـه روش نمونه‌بـرداری داوطلـب برگزیـده شـدند و بـه مقیـاس کمالگرایـی مثبـت و منفـی (تری-شـورت و دیگـران، ۱۹۹۵)، مقیـاس افسـردگی، اضطـراب و تنیدگـی (لاویبانـد و لاویبانـد، ۱۹۹۵) و مقیـاس تحمل‌ناپذیـری بلاتکلیفـی (فریسـتون و دیگـران، ۱۹۹۴) پاسـخ دادنـد. نتایـج نشـان داد کمالگرایـی منفـی بـا افسـردگی، اضطـراب و تنیدگـی همبسـتگی مثبـت معنـادار دارد، در حالـی کـه کمالگرایـی مثبـت فقـط بـا تنیدگـی رابطـۀ مثبـت معنـادار دارد و بـا افسـردگی و اضطـراب رابطـۀ معنـادار نـدارد و تحمل‌ناپذیـری بلاتکلیفـی بـا هـر دو بُعـد کمالگرایـی مثبـت و منفـی و بـا افسـردگی، اضطـراب و تنیدگـی رابطـۀ مثبـت معنـادار دارد. همچنیـن نتایـج نشـان داد داده‌هـا بـا مـدل پژوهـش بـرازش متوسـطی دارد و نقـش واسـطه‌ای تحمل‌ناپذیـری بلاتکلیفـی در رابطـۀ بیـن متغیرهـای پژوهـش مـورد تأییـد قـرار نگرفـت. یافته‌هـای ایـن پژوهـش ایـن نکتـه را آشـکار می‌سـازد کـه سـازه‌های فراتشـخیصی بـر سـلامت روانـی اثـر قابـل توجهـی داشـته و افزایـش شـدت ایـن متغیرهـا، خطـر کاهـش کیفیـت سـلامت روانـی دانشـجویان را بـه همـراه دارد.
This study aimed to determine the mediating role of intolerance of uncertainty in the relationship between positive and negative perfectionism and university students’ depression, anxiety and stress. A number of 240 undergraduate and graduate students of Islamic Azad University Kermanshah branch in 2019-20 academic year were selected by convenience sampling method and responded to Positive and Negative Perfectionism Scale (PNPS; Terry-Short et al, 1995), Depression, Anxiety and Stress Scale (DASS; Lavibond & Lavibond, 1995) and Uncertainty Intolerance Scale (IUS; Freeston et al, 1994). The results showed that maladap- tive perfectionism had a significant positive correlation with depression, anxiety and stress, while adaptive perfectionism has a signifi- cant positive relationship only with stress and has no significant relationship with depression and anxiety. The results also showed that intolerance of uncertainty has a strong positive relationship with both adaptive and maladaptive perfectionism and depression, anxiety and stress. The results also indicated that the hypothesized model had a moderate fit with observed data and the mediating role of intolerance of uncertainty in the relationship between research variables was not confirmed. The findings of the present study showed that the transdiagnostic structures have a significant effect on mental health and increasing the severity these variables carries the risk of reducing the quality of university students’ mental health.
Abdolpour, G., Nasiri, M., Mafakheri, M., Mansouri, K., & Abdi, R. (2019). Structural Equation Modeling of Intolerance of Uncertainty and Symptoms of De- pression and General Anxiety Disorder: Investigation of the Mediating Role of Rumination. Iranian Journal of Psychiatry and Clinical Psychology, 24(4), 400- 415. [In Persian].
Abolghasemi, A., & Narimani, M. (2006). Psychologi- cal tests. Ardebil: Bagh-Rezvan. [In Persian].
Afshar, H., Roohafza, H., Sadeghi, M., Saadaty, A., Salehi, M., Motamedi, M., Matinpour, M., Naji Isfa- hani, H., & Asadollahi, G. A. (2011). Positive and neg- ative perfectionism and their relationship with anxiety and depression in Iranian school students. Journal of Research Medical Sciences, 16(1), 79-86.
Ahadi, B., & Moradi, F. (2018). Psychological cor- relates of intolerance of uncertainty: Meta analysis of Persian language articles. Research in Psychological Health, 12(30), 91-105. [In Persian].
Antai-Otong, D. (2003). Psychiatric nursing: Biolog- ical & behavioral concepts. Florence, KY: Delmar Cengage Learning.
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item version of the Depression Anxiety Stress Scales (DASS) in clinical groups and a commu- nity sample. Psychological Assessment, 10, 176-181.
Besharat, M. A. (2003). Reliability and accuracy (va- lidity) of Positive and Negative Perfectionism Scale. Journal of Psychological Science, 2(8), 346-359. [In Persian].
Besharat, M. A. (2005). Psychometric properties of Depression Anxiety Stress Scale (DASS-21) in clinical samples and general population. University of Tehran. [In Persian].
Besharat, M. A., Nadali, H., Zebardast, A., & Sale- hi, M. (2008). Perfectionism and coping styles with stress. Journal of Developmental Psychology: Iranian Psychologists, 5(17), 7-17. [In Persian].
Besharat, M. A., Farahmand, H., & Gholamali Lavasani, M. (2018). The mediating role of procrastination in the relationship between perfectionism pathologies and depression/anxiety symptoms. Journal of Devel- opmental Psychology: Iranian Psychologists, 14(55), 235-247. [In Persian].
Blanck, J., & Blanck, R. (1994). Ego Psychology. New York: Colombia University Press.
Buhr, K., & Dugas, M. J. (2002). The Intolerance of Uncer- tainty Scale: psychometric properties of the English ver- sion. Behavior Research and Therapy, 40(8), 931-945.
Burns, L. R., & Fedewa, B. A. (2005). Cognitive styles: links with perfectionistic thinking. Personality and In- dividual Differences, 38(1), 103-113.
Carleton, R. N., Sharpe, D., & Asmundson, G. J. G. (2007). Anxiety sensitivity and intolerance of uncer- tainty: Requisites of the fundamental fears?. Behavior Research and Therapy, 45(10), 2307–2316.
Choi, J-G.,& Song, W. (2018). The effect of social- ly-prescribed perfectionism of college students to de- pression: Testing the mediation effect of intolerance of uncertainty and unconditional self-acceptance. Jour- nal of Convergence for Information Technology, 8(3), .183-191
Chou, C-P., & Bentler, P. M. (1995). Estimates and tests in structural equation modeling. structural equa- tion modeling: Concepts, issues, and applications. Thousand Oaks, CA, US: Sage Publications.
Dar, K. A., Igbal, N., & Mushtag, A. (2017). Intoler- ance of uncertainty, depression, and anxiety: Examin- ing the indirect and moderating effects of worry. Asian Journal of Psychiatry, 29, 129-133.
Daza, P., Novy, D. M., Stanley, M. A., & Averill, P. (2002). The Depression Anxiety Stress Scale-21: Spanish translation and validation with Hispanic sam- ple. Journal of Psychopathology and Behavioral As- sessment, 24, 195-205.
Dehghan-nayeri, N., & Adib-Hajbaghery, M. (2011). Effects of progressive relaxation on anxiety and qual- ity of life in female students: A non-randomized con- trolled trial. Complementary Therapies in Medicine,(4)19,194-200 .
Dugas, M. J., Schewartz, A., & Francis, K. (2004). In- tolerance of uncertainty worry and depression. Cogni- tive Therapy and Research. 28(6), 835-842.
Dugas, M. J., Hedayati, M., Karavidas, A., Buhr, K.,Francis, K., & Phillips, N. A. (2005). Intolerance of uncertainty and information processing: Evidence of biased recall and interpretations. Cognitive Therapy and Research, 29(1), 57-70.
Dunkley, D. M., Zuroff, D. C., & Blankstein, K. R. (2003). Self-critical perfectionism and daily affect: Dispositional and situational influences on stress and coping. Journal of Personality and Social Psychology,(1)84, 118-132.
Dupuy, J-B., & Ladouceur, R. (2008). Cognitive pro- cesses of generalized anxiety disorder in comorbid generalized anxiety disorder and major depressive dis- order. Journal of Anxiety Disorders, 22(3), 505–514.
Egan, S. J., Wade, T. D., & Shafran, R. (2011). Perfec- tionism as a transdiagnostic process: A clinical review. Clinical Psychology Review, 31(2), 203-212.
Ellis, A. (2002). The role of irrational beliefs in per- fectionism. In G. L. Flett & P. L. Hewitt (Eds.), Per- fectionism: Theory, research, and treatment (pp. 217–229). Washington, DC: American Psychological Association.
Felman, A. (2022). What is mental health? Retrieved 20 June 2022 from https://www.medicalnewstoday.com/ articles/154543.
Flett, G. L., Hewitt, P. L., Blankstein, K., & O’Brien, S. (1991). Perfectionism and learned resourcefulness in depression and self-esteem. Personality and Individu- al Differences, 12(1), 61-68.
Flett, G., & Hewitt, P. L. (2002). Perfectionism: Theo- ry, research, and treatment. Washington, DC: Ameri- can Psychological Association.
Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Test- ing moderator and mediator effects in counseling psy- chology research. Journal of Counseling Psychology ,(1)51,115-134.
Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Per- sonality and Individual Differences, 17(6), 791-802.
Frost, R. O., Benton, N., & Dowrick, P. W. (1990). Self-evaluation, videotape review, and dysphoria. Journal of Social and Clinical Psychology, 9(3),374–367.
Fry, P. S., & Debats, D. L. (2009). Perfectionism and the five-factor personality traits as predictors of mor- tality in older adults. Journal of Health Psychology, .513-524 ,14
Gnilka, P. B., Ashby, J. S., & Noble, C. M. (2012). Multidimensional perfectionism and anxiety: Differ- ences among individuals with perfectionism and tests of a coping‐mediation model. Journal of Counseling & Development, 90(4), 427-436.
Grzegorek, J. L., Slaney, R. B., Franze, S., & Rice, K. G. (2004). Self-criticism, dependency, self-esteem, and grade point average satisfaction among clusters of perfectionists and nonperfectionists. Journal of Coun- seling Psychology, 51(2), 192-200.
Guo, X., & Jiang, K. (2017). Is depression the result of immune system abnormalities? Shanghai Archives of Psychiatry, 29(3), 171-173.
Hamachek, D. E. (1978). Psychodynamics of normal and neurotic perfectionism. Psychology: A Journal of Human Behavior, 15(1), 27-33.
Harris, P. W., Pepper, C. M., & Maack, D. J. (2008). The relationship between maladaptive perfectionism and depressive symptoms: The mediating role of rumi- nation. Personality and Individual Differences, 44(1), .150-160
Hewitt, P. L., Flett, G. L., & Ediger, E. (1996). Perfec- tionism and depression: Longitudinal assessment of a specific vulnerability hypothesis. Journal of Abnormal Psychology, 105(2), 276–280.
Hunt, J., & Eisenberg, D. (2010). Mental health prob- lems and help-seeking behavior among college stu- dents. Journal of Adolescent Health, 46(1), 3-10.
January, J., Madhombiro, M., Chipamaunga, S., Ray, S., Chingono, A., & Abas, M. (2018). Prevalence of depression and anxiety among undergraduate univer- sity students in low- and middle-income countries: A systematic review protocol. Systematic Reviews, 7, 57.
Jensen, D., Cohen, J. N., Mennin, D. S., Fresco, D. M., & Heimberg, R. G. (2016). Clarifying the unique as- sociations among intolerance of uncertainty, anxiety, and depression. Cognitive Behavior Therapy, 45(6), .431-44
Karababa, A. (2020). The moderating role of hope in the relationship between maladaptive perfectionism and anxiety among early adolescents. The Journal of Genetic Psychology,181(2-3), 159-170.
Kim, L. E., Chen, L., MacCann, C., Karlov, L., & Kleit- man, S. (2015). Evidence for three factors of per- fectionism: Perfectionistic strivings, order, and per- fectionistic concerns. Personality and Individual Differences, 84, 16-22.
Kline, R. B. (2015). Principles and practice of struc- tural equation modeling (4th ed). New York, United State: Guilford Press.
Kraemer, H. C., Stice, E., Kazdin, A., Offord, D., & Kupfer, D. (2001). How do risk factors work togeth- er? Mediators, moderators, and independent, over- lapping, and proxy risk factors. American Journal of Psychiatry, 158(6), 848-856.
Krieger, T., Berger, T., & Grosse Holtforth, M. (2016). The relationship of self-compassion and depression: Cross- lagged panel analyses in depressed patients after outpa- tient therapy. Journal of Affective Disorders, 202, 39-45.
Kawamoto, T., & Furutani, K. (2018). The mediating role of intolerance of uncertainty on the relationships between perfectionism dimensions and psychological adjustment/maladjustment among mothers. Personal- ity and Individual Differences, 122, 62-67.
Lovibond, S., & Lovibond, P. (1995). Manual for the Depression Anxiety Stress Scales (2nded). Sydney: Psychological Foundation.
McEvoy, P. M., & Mahoney, A. E. J. (2011). Achiev- ing certainty about the structure of intolerance of un- certainty in a treatment-seeking sample with anxiety and depression. Journal of Anxiety Disorders, 25(1), .122–112
Molnar, D. S., Reker, D. L., Culp, N. A., Sadava, S. W., & DeCourville, N. H. (2006). A mediated model of perfectionism, affect, and physical health. Journal of Research in Personality, 40(5), 482-500.
Mowlaie, M., Hajloo, N., Sadeghi Hashjin, G., Mikaei- li, N., & Heidari, S. (2018). The effectiveness of brief empathic psychodynamic psychotherapy and anxiety regulating psychodynamic psychotherapy on self-con- cept and emotional expression of university students with symptoms of adult separation anxiety disorder. Iranian Journal of Psychiatric Nursing, 6(2), 50-60. [In Persian].
Naghavi, N., Akbari, M., & Moradi, A. (2017). The structural model of perfectionism based on cognitive, behavioral and emotional transdiagnostic constructs. Research in Psychological Health, 11(20), 19-33. [In Persian].
Naghavi, N., Akbari, M., & Moradi, A. (2018). The role of emotion dysregulation, repetitive negative thoughts, intolerance of uncertainty and experiential avoidance, in prediction of positive and negative perfectionism. Shenakht Journal of Psychology and Psychiatry, 4(4), 9-23. [In Persian].
Pasha, G., & Bozorgian, R. (2011). The relationship between metacognition, perfectionism and self-effica- cy, with perceived stress in the students of Azad Ah- vaz University. Journal of Social Psychology (New Findings in Psychology), 6(18), 91-102. [In Persian].
Reuther, E. T., Davis, T. E., Rudy, B. M., Jenkins, W. S., Whiting, S. E., & May, A. C. (2013). Intolerance of uncertainty as a mediator of the relationship between perfectionism and obsessive-compulsive symptom severity. Depression and anxiety, 30(8), 773-777.
Roohafza, H., Afshar, H., Sadeghi, M., Soleymani, B., Saadaty, A., Matinpour, M., & Asadollahi, G. A. (2011). The relationship between perfectionism and academic achievement, depression and anxiety. Iranian Journal of Psychiatry and Behavioral Sciences, 4(2), 31-36.
Rotge, J. Y., Langbour, N., Dilharreguy, B., Bordessou- lles, M., Guehl, D., Bioulac, B., Martin-Guehl, C, Jaa- fari, N., Aouizerate, B., Allard, M., & Burbaud. (2015). Contextual and behavioral influences on uncertainty in obsessive-compulsive disorder. Cortex, 62, 1-10.
Saboonchi, F., & Lundh, L-G. (1997). Perfectionism, self-consciousness and anxiety. Personality and Indi- vidual Differences, 22(6), 921-928.
Saboonchi, F., & Lundh, L-G. (2003). Perfectionism, anger, somatic health, and positive affect. Personality and Individual Differences, 35(7), 1585-1599.
Sadati Firozabadi, S. (2015). The relationship be- tween perfectionism dimensions with state/trait anxi- ety among high school gifted students. Journal of Re- search in School and Virtual Learning. 2(8), 99-110. [In Persian].
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry: Behavioral scienc- es/clinical psychiatry(11thed). Philadelphia: Wolters Kluwer.
Sexton, K. A., Norton, P. J., Walker, J. R., & Norton, G. R. (2003). Hierarchical model of generalized and spe- cific vulnerabilities in anxiety. Cognitive Behaviour Therapy, 32(2), 82-94.
Shafique, N., Gul, S., & Raseed, S. (2017). Perfection- ism and perceived stress: The role of fear of negative evaluation. International Journal of Mental Health,(4)46312-326 .
Shafran, R., & Mansell. W. (2001). Perfectionism and psychopathology: A review of research and treatment. Clinical Psychology Review, 21(6), 879-906.
Shafran, R., Egan, S., & Wade, T. (2010). A self-helped guide using cognitive behavioral techniques. London, UK: Robinson.
Shaheen, G. L. (2015). Intolerance of uncertainty medi- ating the relationship between perfectionism and gen- eralized anxiety disorder symptom severity. Master of Arts Dissertation, Southeastern Louisiana University, Hammond, Louisiana, United State.
Sherry, S. B., Nealis, L. J., Macneil, M. A., & Stewart, S. H. (2013). Informant reports add incrementally to the un- derstanding of the perfectionism–depression connec- tion: Evidence from a prospective longitudinal study. Personality and Individual Differences, 54, 957-960.
Sherry, S. B., Gautreau, C. M., Mushquash, A. R., & Lee-Baggley, D. (2014). Self-critical perfectionism confers vulnerability to depression after controlling for neuroticism: A longitudinal study of middle-aged, community-dwelling women. Personality and Indi- vidual Differences, 69, 1-4.
Smith, M. M. (2014). The perfectionism-psychological outcome link: The mediating effect of personal re- siliency. Master of Science Dissertation, University of Western Ontario, Ontario, Canada.
Stoeber, J., & Otto, K. (2006). Positive conceptions of perfectionism: Approaches, evidence, challeng- es. Personality and Individual Differences, 10(4), 295-319.
Stober, J., & Rambow, A. (2007). Perfectionism in ad- olescent school students: Relations with motivation, achievement, and well-being. Personality and Individ- ual Differences, 42(7), 1379-1389.
Terry-Short, L. A., Owens, R. G., Slade, P. D., & Dew- ey, M. E. (1995). Positive and negative perfection- ism. Personality and Individual Differences, 18(5), 663-668.
Toussaint, L., Shields, G. S., Dorn, G., & Slavich, G. M. (2016). Effects of lifetime stress exposure on mental and physical health in young adulthood: How stress degrades and forgiveness protects health. Journal of health psychology, 21(6), 1004-1014.
Walsh, J. J., & Ugumba-Agwunobi, G. (2002). Indi- vidual differences in statistics anxiety: The roles of perfectionism, procrastination and trait anxie- ty. Personality and Individual Differences, 33(2), 251–239.
Yu, W., & Rongjuan, Z. (2016). Effect of negative per- fectionism on social anxiety: Mediation effects of in- tolerance of uncertainty and self-esteem. Psychology: Techniques and Application, 4(7), 404-409.
Zarei, H. A. (2017). Manual of Inferential Statistics in Psychology (Made Simple) With SPSS and AMOS. Tehran: Arjmand Publication. [In Persian].
